Amniotic fluid embolism quiz

  Why should this disease be so dangerous?  It is because there is no effective method to screen for amniotic fluid embolism at this time. The typical amniotic fluid embolism is well known, but the ones that appear in the clinic are often atypical, and there is no prenatal test that has a way to detect the precursor so far. Medical advances to date have not fully understood the causes of amniotic fluid embolism. The symptoms of amniotic fluid embolism are similar to those of a severe allergic reaction, and the name “allergic reaction to pregnancy syndrome” is suggested. Many people can have amniotic fluid entering the mother’s body, but not everyone develops amniotic fluid embolism, and no exact cause has been found. Therefore, there is no way to detect the precursor in advance with the current prenatal screening.  But we need to focus on its risk factors?  First of all, we should not be very afraid of having a baby because of the danger of the disease amniotic fluid embolism. After all, its incidence is very low, and in terms of the occurrence of this event, while we very much deplore the pregnant woman in Xiangtan, but also to our obstetricians and society to sound the alarm, the high risk of giving birth to a child, on the one hand, we medical workers to improve their understanding of the disease, resuscitation ability, usually training prophecy; on the other hand, when the patient is in danger, doctors, patients’ families must work together to respect the doctor’s choice.  Although there is no screening method for the disease, there are some high-risk factors that are relatively clear. Advanced age, cesarean delivery, and multiple deliveries are the high-risk factors for amniotic fluid embolism however. The first is cesarean delivery, where amniotic fluid embolism is explicitly mentioned as a category of complication in the record of preoperative conversation for cesarean delivery, and according to the norms, hospitals inform mothers and families who choose cesarean delivery of the possible risks. A natural birth can also be associated with amniotic fluid embolism, but a cesarean delivery increases this risk many times. Therefore, it is best to listen to the doctor’s advice when a woman chooses to have a birth or a cesarean.  Spontaneous contractions that are too strong may also cause amniotic fluid embolism. The cause of amniotic fluid embolism is usually related to strong uterine contractions, so the abuse of oxytocin may also cause amniotic fluid embolism. The use of oxytocin is based on the number of drops, one drop at a time. Misuse of oxytocin, which artificially speeds up the labor, may cause the amniotic fluid to enter the mother’s bloodstream if the contractions are too fast and the pressure is too strong.  Other factors that may increase the risk include advanced age and multiple births. The increase in the number of deliveries and the increase in advanced maternal age with the relaxation of the two-child policy may cause an increase in the number of amniotic fluid embolism accidents.  Amniotic fluid embolism can not be known in advance, but can be avoided: 1, childbirth is indeed dangerous, please recognize the danger of childbirth, women used to be called “ghost gate”, now the maternal mortality rate has decreased greatly, but still can not do everything.  2, the child should not be too big, about 3 kg is fine.  3, maintain a certain amount of physical strength, and strive for a normal delivery.  4, choose whether to give birth by yourself or by cesarean section, listen to the doctor’s advice.  5.If there is a problem, listen to the doctor’s advice and give him an answer as soon as possible.