AFE
What does AFE stand for?
Amniotic Fluid Embolism
Left
What does DVT stand for?
Deep vein thrombosis
What does PE stand for?
Pulmonary Embolism
What does DIC stand for?
Disseminated Intravascular Coagulation
AFE is typically associated with cardiac arrest. What is the first priority in the event of maternal cardiac arrest?
CPR
We shouldn't. Fetal monitoring is NOT recommended during maternal resus efforts.
In which limb do the majority of cases originate?
Left leg
Which anticoagulant is contraindicated in pregnancy?
Warfarin
Name 3 techniques for managing intrauterine bleeding after delivery of the fetus?
Bakri/uterine tamponade, Jada, B-lynch sutures, foley insertion, uterotonics, fundal pressure, interventional radiology
Name 3 risk factors for AFE
IOL, multiple pregnancy, AMA, operative delivery, eclampsia, polyhydramnios, cervical laceration, tetanic contractions, uterine rupture
Within 5 minutes
List 3 symptoms of DVT
Pain/tenderness, swelling, warmth, redness, positive Homans sign, vague abdo/pelvic pain
Name 2 types of diagnostic imaging that may be ordered for a suspected PE?
Chest XRay
VQ scan
CT Angiography
ECG (non-diagnostic, but ordered for chest pain)
DIC typically arises as a secondary complication of an underlying condition. Name one underlying condition that can trigger DIC?
Placental abruption, AFE, Fetal demise with necrosis, Pre-eclampsia/HELLP, sepsis
During the average birth, how much amniotic fluid is expected to enter the maternal circulation?
1-2 mls
Where should a perimortem C-section take place?
At the location of the code.
What type of diagnostic imaging do we use to diagnose a suspected DVT?
What do we have to consider when evaluating pain relief options for patient on LMWH?
Timing of last dose: epidural is generally not recommended within 12-24 hours of the last dose of LMWH
How much blood loss constitutes a PPH for a vaginal delivery? For a C-section?
Vaginal: >500mls
C-section: >1000mls