During active labor, a woman experiences sudden respiratory distress, hypotension, and cyanosis. What is the most likely diagnosis?
Suspect amniotic fluid embolism
Amniotic fluid embolism occurs when amniotic fluid and fetal cells enter the maternal circulation during labour or delivery, triggering an anaphylactoid reaction.
Its classic picture is sudden respiratory distress, cyanosis, hypotension and cardiovascular collapse, often followed by DIC.
Cord prolapse causes fetal distress, placental abruption causes painful bleeding and a tense uterus, and uterine inversion occurs in the third stage with shock and haemorrhage — none fits this sudden respiratory picture.
Hence, Suspect amniotic fluid embolism.
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Important Questions from Midwifery and Obstetrical Nursing
A 29-year-old woman presents with primary infertility and regular cycles. Her hysterosalpingography reveals bilateral tubal blockage. Which investigation should be prioritized next for management?
During infertility assessment, a female is diagnosed with Asherman's syndrome. What is the primary mechanism by which this condition causes infertility?
Which hormone fluctuation is primarily linked to premenstrual syndrome symptoms?
A 30-year-old pregnant woman with hyperemesis gravidarum is at risk for Wernicke's encephalopathy. Which vitamin supplement is essential in her treatment plan?
During assessment, a midwife observes a blood-tinged mucus discharge, known as the 'show,' in a pregnant woman. What is the significance of this finding?
