An amniotic fluid embolism (AFE) is a condition with one of the highest pregnancy- associated mortality rates, accounting for 5-15% of pregnancy-related deaths worldwide. This article describes a case of a 36- year- old G4P1 at 38 weeks of gestation who underwent a planned Cesarean section for a placenta previa which was complicated by cardiac arrest and disseminated intravascular coagulopathy secondary to a suspected AFE. The patient was treated with a multidisciplinary approach, rapid response to alterations in vital stability and factor VII. The unpredictable nature of AFE and the gravity of its sequelae warrant high suspicion in those at risk for AFE, as early recognition and prompt treatment can improve morbidity and mortality.

Authors: Natalia Hanson, Christopher Heron, Emil R. Szabo

Key Words: Amniotic fluid embolism, disseminated intravascular coagulation, vaginal bleeding, factor VII