Amniotic fluid embolism is extremely difficult to diagnose and treat promptly and effectively. Certain pre-treatment precautions can significantly impact the entire treatment process. Therefore, we must dedicate sufficient attention to ensure the smooth progression of amniotic fluid embolism treatment.
1. Pregnant women must undergo regular prenatal checkups. Ultrasound examinations can diagnose 90% of placenta previa cases, while fetal monitoring devices enable early detection of placental abruption. Early identification of gestational hypertension is crucial. If hypertension, edema, or proteinuria symptoms appear, prompt treatment is essential to prevent severe preeclampsia.
2. Women over 30, those with preterm or post-term pregnancies, multiparous women, and especially those with premature rupture of membranes or uterine/cervical hypoplasia are at higher risk for amniotic fluid embolism. Close cooperation with medical staff for appropriate interventions is crucial.
3. During labor, promptly report any discomfort such as chest tightness, restlessness, or chills to the medical team for immediate intervention.
4. Strictly adhere to indications for oxytocin administration, use it appropriately, and conduct necessary monitoring. During labor, if uterine contractions become excessively strong, the mother should cooperate with the doctor to use sedatives to weaken contractions and prevent uterine rupture.
5. If amniotic fluid embolism occurs during the first stage of labor, the fetus cannot be delivered immediately. Although the condition may improve after resuscitation, the underlying cause remains unresolved, posing a risk of deterioration. When necessary, cooperate with the doctor to perform a cesarean section to terminate labor promptly and avoid the critical situation of uterine rupture.
6. Strictly adhere to indications for artificial rupture of membranes. Do not perform membrane stripping, and avoid membrane rupture during active contractions.
7. Strictly adhere to indications for cesarean section. When membranes rupture, use gauze pads to protect the incision edges.
8. For excessive contractions during labor, use uterine relaxants such as magnesium sulfate or Bolucan to reduce contractions. Administer diazepam for sedation.
9. For mid-term induction with forceps, rupture membranes first and allow amniotic fluid to drain completely before applying forceps and administering oxytocin.
10. Maintain heightened vigilance for amniotic fluid embolism in women with predisposing factors.
11. Conduct thorough observation during the fourth stage of labor to promptly identify shock inconsistent with the degree of bleeding.