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BMC Pregnancy and Childbirth
Published in: BMC Pregnancy and Childbirth 1/2020

01-12-2020 | Care | Case report

Case report of amniotic fluid embolism coagulopathy following abortion; use of viscoelastic point-of-care analysis

Authors: Halley P. Crissman, Charisse Loder, Carlo Pancaro, Jason Bell

Published in: BMC Pregnancy and Childbirth | Issue 1/2020

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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.
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Metadata
Title
Case report of amniotic fluid embolism coagulopathy following abortion; use of viscoelastic point-of-care analysis
Authors
Halley P. Crissman
Charisse Loder
Carlo Pancaro
Jason Bell
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Pregnancy and Childbirth / Issue 1/2020
Electronic ISSN: 1471-2393
DOI
https://doi.org/10.1186/s12884-019-2680-1

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