1. Case report of amniotic fluid embolism coagulopathy following abortion; use of viscoelastic point-of-care analysis
- Author
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Halley P. Crissman, Charisse Loder, Carlo Pancaro, and Jason Bell
- Subjects
Abortion ,Amniotic fluid embolism ,Viscoelastic point-of-care analysis ,Thromboelastography ,Coagulopathy ,Case report ,Gynecology and obstetrics ,RG1-991 - Abstract
Abstract Background Amniotic fluid embolism (AFE) is a rare, life threatening obstetric complication, often associated with severe coagulopathy. Induced abortions are extremely safe procedures however complications including AFE can occur. Case presentation A 29-year-old previously healthy woman, gravida 1 para 0, presented for a scheduled second trimester induced abortion via dilation and evacuation at 22-weeks gestation. The case was complicated by a suspected AFE with associated profound coagulopathy. Viscoelastic point-of-care coagulation analysis was used to successfully and swiftly guide management of her coagulopathy. Conclusion AFE can occur in the setting of induced abortion. This case report suggests viscoelastic point-of-care coagulation analyzers may aid in the management of pregnancy-related coagulopathy by providing faster coagulation assessment than laboratory testing, and facilitating timely, targeted management of coagulopathy.
- Published
- 2020
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