Risk factors, management, and outcomes of amniotic fluid embolism: A multicountry, population-based cohort and nested case-control study.
Kathryn E FitzpatrickThomas van den AkkerKitty W M BloemenkampCatherine Deneux-TharauxAlexandra KristufkovaZhuoyang LiTimme P SchaapElizabeth A SullivanDerek TuffnellMarian KnightPublished in: PLoS medicine (2019)
The findings of our study suggest that when an AFE is suspected, initial supportive obstetric care is important, but having an obstetrician and/or anaesthetist present at the time of the AFE event and use of interventions to correct coagulopathy, including the administration of an adequate dose of tranexamic acid, may be important to improve maternal outcome. Future research should focus on early detection of the coagulation deficiencies seen in AFE alongside the role of tranexamic acid and other coagulopathy management strategies.