How to deal with amniotic fluid embolism during abortion

Artificial abortion refers to the termination of pregnancy by surgical method at 3 months of pregnancy, including vacuum aspiration and forceps curettage. Some complications may occur during or after the operation. Among them, amniotic fluid embolism may occasionally occur during artificial abortion forceps curettage.

Amniotic fluid embolism refers to a serious complication of labor during delivery in which amniotic fluid suddenly enters the maternal blood circulation, causing acute pulmonary embolism, anaphylactic shock, disseminated intravascular coagulation, renal failure or sudden death. Amniotic fluid embolism during curettage is mainly caused by cervical injury and placental detachment that open the blood sinuses, allowing amniotic fluid to enter the blood. The use of oxytocin at this time can promote its occurrence. The amniotic fluid in early and mid-pregnancy contains very few oily substances such as cells. Even if it occurs, its symptoms and severity are not as severe as those in late pregnancy, but attention should also be paid to treatment.

The key to the successful rescue of amniotic fluid embolism lies in early diagnosis, early treatment, early use of heparin and early treatment of the pregnant uterus. The treatment includes: in case of anaphylactic shock, large doses of corticosteroids should be used, and continuous positive pressure oxygen should be given to reduce pulmonary edema and improve cerebral and other tissue hypoxia; the use of aminophylline, papaverine, atropine and other drugs to relieve pulmonary hypertension; anti-shock treatment; anticoagulant treatment; prevention of heart failure; prevention and treatment of multiple organ damage; timely and correct use of antibiotics; timely obstetric treatment, etc.