Sunday, March 27, 2011

Amniotic fluid embolism: mother and child mortality of up to 80%!

Four days in advance, 33-year-old Wang Zhen's maternal, a special trip to Hong Kong for a second, but in Hong Kong private hospital Baptist Hospital confinement, suspicious of amniotic fluid embolism, currently the world's pregnant women the chance of amniotic fluid embolism appears as the second one, mother-child mortality rate is 60% to 80%, that's what may happen and how to avoid the amniotic fluid embolism?

What is the amniotic fluid embolism?

Speaking of "amniotic fluid embolism", most people are a little knowledge or strange, but the the nouns are all alarmed gynecologists, even reluctant to talk about it! because "amniotic fluid embolism" is a major cause of maternal death, and disarmingly occurs, it is almost impossible to prevent.

We all know, the fetus in the mother's belly birth, the first on is through the umbilical cord and placental transfer of nutrients, while the second is through amniotic fluid inside the rich in protein. Foetus must keeps drink amniotic fluid to supply the required nutrients in the body, the most important is the protein. However, the main ingredients of amniotic fluid is drained by the fetal own urine because fetal renal function is not yet finished, so in the development of many proteins cannot be completely filter recycling and discharged into the amniotic fluid.

But as the name suggests is impeding embolization, jams, and "amniotic fluid embolism" the most direct interpretation is caused by obstruction of amniotic fluid.

Amniotic fluid embolism refers in childbirth, a large amount of amniotic fluid into the mother's blood circulation, the meconium in amniotic fluid, mucin, wool, epithelial cells and fetal grease become embolism Embolic, causing blood embolism; at the same time, since the destruction of amniotic fluid in the blood coagulation factor material, causing the blood coagulation, will make the mother immediately pulmonary embolism, shock and difficult to control bleeding.

Amniotic fluid embolism is "dangerous", in:

Performance: the mother in childbirth, for a short period of time after childbirth, a restless, chills, vomiting, cough, dyspnoea, cyanosis, heart rate, home, suddenly let people off and in shock. 病情急骤的孕妈妈甚至在惊叫一声后便血压消失,数分钟内即迅速死亡。

表现二: 孕妈妈会出现持续的阴道大出血,而且这种出血往往不能凝固,有时还伴皮肤、胃肠道及尿道出血。 由于凝血因子被大量羊水所消耗,即使输入大量的鲜血也常常无法纠正血流不止以及循环衰竭。

表现三:孕妈妈出现了尿少甚至无尿,这是由于休克而使循环血量不足以及肾脏血管栓塞所致。

可导致不良结局:

Amniotic fluid embolism often occur very quickly, dangerous conditions, often due to a lack of understanding about it instead of delayed treatment time, makes it difficult to successfully salvage treatment by surprise, so the pregnant mother and the baby's life are great threat, usually within a few minutes pregnant mother will lose a life, it is the most afraid of Obstetricians to occur.

No comments:

Post a Comment