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Abstract

Amniotic fluid embolism, venous thrombembolism, and eclampsia

A report, released by UNICEF in 2009, highlights the risks faced during pregnancy and childbirth with an overall maternal mortality of 1500 women per day.The highest rates of maternal mortality and severe morbidity are in developing countries where prepartum and intrapartum care are compromised by limited resources. Pulmonary embolism is the leading cause of maternal death in the developed world with current estimates of deaths in 1.1 to 1.5 per 100000 deliveries.Together with amniotic fluid embolism, pulmonary thrombembolism accounts for nearly 20 percent of perinatal maternal mortality in the United States.Venous thrombembolism can also lead to maternal death due to delayed diagnosis or inadequate prophylaxis and treatment. In the United Kingdom, venous thrombembolism accounts for one third of all maternal deaths. Another serious complication in pregnancy is eclapmsia with maternal mortality ranging from 0 to 14 percent. The purpose of this article is to provide a practical approach to the diagnosis,management, and prevention of these complications in pregnant patients.

CME Prakt Fortbild Gynakol Geburtsmed Gynakol Endokrinol 2009; 5(3): 194-204

Keywords
Amniotic fluid embolism, venous thromembolism, eclampsia,maternal mortality

Katrin Karl, Franz Kainer
Klinikum der Universität München, Klinik und Poliklinik für
Frauenheilkunde und Geburtshilfe - Innenstadt, München
Reviewer: Michael Bolz,Rostock
und Ulrike Friebe-Hoffmann, Düsseldorf

Karl K. Fruchtwasserembolie ... Gynakol Geburtsmed Gynakol Endokrinol 2009;5(3):194-204 publiziert 31.11.09 www.akademos.de/gyn ©akademos Wissenschaftsverlag 2009 ISSN 1614-8533