Amniotic Fluid Embolism

Amniotic fluid embolism is the condition in which the amniotic fluid is escaped into the maternal circulation. It is usually fatal to the mother because the debris containing amniotic fluid deposits in the pulmonary arterioles.

Signs and Symptoms:

• Respiratory distress and chest pain
• Seizures
• Cyanosis
• Heart failure and pulmonary edema
• Fetal bradycardia and distress

Nursing Interventions:

• Emergency action is performed to maintain life
• Administer oxygen at 8-10 L/min by face mask or resuscitation bag
• Position patient on side
• Prepare for intubation and mechanical ventilation
• Administer IV fluids, blood products, and coagulation therapy
• Monitor fetal status
• Prepare for emergency delivery
• Provide emotional support for patient, partner and family