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Table 1 New classification of amniotic fluid embolism

From: Successful resuscitation of amniotic fluid embolism applying a new classification and management strategy

  Initial symptoms Time from symptom onset to cardiac arrest Histology Initial management
Cardiopulmonary collapse type (Classic type) • Sudden dyspnea Very short (0–60 min in typical cases) • Amniotic components in pulmonary vessels Cardiopulmonary resuscitation including inotropes
• Severe hypotension (including cardiac arrest)
• Seizure
DIC type • Massive bleeding without clotting Several hours • Amniotic components in uterus and/or uterine vessels Volume resuscitation including supplement of platelets and clotting factors
• Uterine atony • Thrombus in uterine vessels
• Intestinal edema in uterus
  1. Modified from [7]
  2. DIC disseminated intravascular coagulation