Amniotic Fluid Embolism: a comprehensive review of diagnosis and management Article Swipe
YOU?
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· 2025
· Open Access
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· DOI: https://doi.org/10.1515/jpm-2025-0161
Introduction Amniotic Fluid Embolism (AFE) is a rare but catastrophic obstetric emergency characterized by the sudden entry of amniotic fluid or fetal debris into the maternal circulation. This triggers acute cardiopulmonary collapse, disseminated intravascular coagulation (DIC), and multi-organ failure. Despite its low incidence, AFE remains a significant contributor to maternal mortality worldwide. The pathophysiology is poorly understood, involving immune-mediated anaphylactoid reactions and mechanical vascular obstruction. Content This review provides a comprehensive synthesis of current knowledge on AFE, examining its epidemiology, pathophysiology, risk factors, clinical manifestations, diagnostic challenges, and management strategies. A systematic literature review was conducted following PRISMA guidelines, incorporating peer-reviewed articles and clinical protocols published from 2000 to 2024. Clinical tools such as diagnostic algorithms and resuscitation frameworks were developed from aggregated evidence and thematic analysis. Summary AFE typically presents intrapartum or in the immediate postpartum period with sudden hypoxia, hypotension, and coagulopathy. Diagnosis is clinical, as no single confirmatory biomarker currently exists. Management is primarily supportive, focusing on rapid resuscitation, hemodynamic stabilization, and aggressive coagulopathy correction. Emerging strategies such as the A-OK regimen (Atropine, Ondansetron, Ketorolac) are discussed as investigational approaches under consideration. Outlook AFE continues to challenge obstetric and critical care teams due to its abrupt onset and high fatality. Future priorities include the development of validated diagnostic biomarkers, refinement of therapeutic interventions, and establishment of standardized multidisciplinary response protocols to improve maternal and neonatal outcomes.
Related Topics
- Type
- review
- Language
- en
- Landing Page
- https://doi.org/10.1515/jpm-2025-0161
- https://www.degruyterbrill.com/document/doi/10.1515/jpm-2025-0161/pdf
- OA Status
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- References
- 18
- Related Works
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- OpenAlex ID
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https://openalex.org/W4413440716Canonical identifier for this work in OpenAlex
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https://doi.org/10.1515/jpm-2025-0161Digital Object Identifier
- Title
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Amniotic Fluid Embolism: a comprehensive review of diagnosis and managementWork title
- Type
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reviewOpenAlex work type
- Language
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enPrimary language
- Publication year
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2025Year of publication
- Publication date
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2025-08-22Full publication date if available
- Authors
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Wiku Andonotopo, Muhammad Adrianes Bachnas, Julian Dewantiningrum, Besari Adi Pramono, Catur Dian Setiawan, Sri Sulistyowati, Milan Stanojević, Asım KurjakList of authors in order
- Landing page
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https://doi.org/10.1515/jpm-2025-0161Publisher landing page
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https://www.degruyterbrill.com/document/doi/10.1515/jpm-2025-0161/pdfDirect link to full text PDF
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YesWhether a free full text is available
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diamondOpen access status per OpenAlex
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https://www.degruyterbrill.com/document/doi/10.1515/jpm-2025-0161/pdfDirect OA link when available
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Medicine, Amniotic fluid embolism, Intensive care medicine, Disseminated intravascular coagulation, Coagulopathy, Pregnancy, Surgery, Genetics, BiologyTop concepts (fields/topics) attached by OpenAlex
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0Total citation count in OpenAlex
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10Other works algorithmically related by OpenAlex
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