Cardiopulmonary Considerations in Nonfatal Amniotic Fluid Embolism

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Abstract
Survival in pulmonary amniotic fluid embolism is rare. Cardiopulmonary and other aspects of a well-studied nonfatal case are presented and compared with those of 14 other cases from the literature. The patient was a primipara, 19 yr of age. Symptoms of embolism appeared at the end of a successful delivery by cesarean section. Because shock is such a prominent feature, therapy has too often been directed toward blood transfusion and fluid replacement. Attention is called to the heart and lungs and to reflex neurogenic mechanisms. It is suggested that survival might be increased by early recognition and prompt therapy of cardiopulmonary complications. In the present case recovery was complete.

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