Volume 18
Number 5
Dec 2014
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Case Reports
J. Lopez Matta, M.M. Kamphuis, G. Alblas, E. de Jonge, D.J. van Westerloo

A 33-year-old multiparous woman in the process of labour was admitted to our hospital after developing a cardiorespiratory arrest immediately after manual rupture of the membranes in a home setting. On arrival, she was quickly stabilised and approached from the very beginning in a multidis- ciplinary fashion, working through the differential diagnosis of a peripartum collapse resulting in the highly suggestive diagnosis of amniotic fluid embolism (AFE) complicated with disseminated intravascular coagulation (DIC). In this brief report we describe a case of peripartum cardiorespiratory collapse due to AFE, review the diagnostic and therapeutic considerations involved in this scenario with a special emphasis on the phenomenon of DIC.

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