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Gynaecology & Obstetrics Antepartum Haemorrhage db3fde79

Amniotic fluid embolism cause:

A
Shock
B
DIC
C
Bleeding tendency
D
All of the above
High-Yield Explanation
Ans. is d, i.e. All of the aboveRef. COGDT 10/e, p 992, fora and c, 997, ford; Sheila Balakrishnan, 1/e, p 490, 491Amniotic fluid embolism:It is usually fatal and is characterized by an abrupt onset of respiratory distress and coagulopathy.It should be considered in all cases of peripartum collapse.It is diagnosed clinicallyClinical features: are due to 2 components:i. Embolic component causes acute respiratory distress syndrome and ultimately death.ii. Coagulation failure causes hemorrhage, DIC and consumptive coagulopathy.Classically a woman in late labor or immediate postpartium gasps for air, has bronchospasm, becomes cyanotic and undergoes immediate collapse and cardiorespiratory arrest usually accompanied by Hemorrhage.QSudden death is usual.Timing:After ARM and at cesarean section.In labor with strong uterine contractions.Immediate postpartum.

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