Embolia by the amniotic fluid of the woman in labor in cesarean section: causes, treatment, prevention. Providing emergency assistance to a woman with embolism by amniotic fluid

Causes, treatment and prevention of embolism by amniotic fluid.

Childbirth is a complex and subtle process, for the regulation and adjustment of which the help and experience of a professional-obstetric gynecologist is necessary. One of the complications that can occur is considered by embolism of amniotic fluid. This will be discussed in our material, and you will also learn about how to cure the disease and prevent it.

What is embolism by amniotic fluid of the woman in labor?

Embolia is a rather dangerous pathology. In some cases, it even leads to deaths of both the mother and the child. This disease also has a second name - thromboembolism.

Embolia often arises in those women who have previously gave birth. In this case, swelling of the placenta itself may also appear. As a rule, embolism (thrombosis) occurs during childbirth. Only in some cases the disease was observed in early postpartum terms.

Symptoms of the disease:

You can suspect the appearance of embolism during the birth of a child by a lack of oxygen in the woman in labor. When the vessels of the lungs are filled with amniotic fluids, alveolar edema is formed, as a result of which the functionality of gas exchange is impaired and hypoxia appears.

This may be accompanied by shortness of breath, rapid breathing, suffocation attacks. The woman in labor begins to cough for no special reason. With a cough, foam and bloody sputum begins to appear.

These all symptoms can be accompanied by severe pain in the abdomen and chest. The skin turns pale, peripheral cionosis appears on it, sometimes cramps and swelling of the soft muscle tissue.

Further development of the disease can cause uterine bleeding and point hemorrhage of the epidermis. Very often blood pressure drops sharply, a woman loses consciousness, her breath and heart stop.

Embolia can be several types:

• Collaptoid. During such embolism, the cardiovascular system is disturbed, for example, blood pressure decreases, a woman may lose consciousness.
• Convulsive. Rhythmic contractions of muscle tissue appear, which alternate with its relaxation.
• Hemorrhagic. It is accompanied by bleeding from the uterine cavity.
• Swelling. During this embolism, a liquid accumulates in the lungs, interfering with oxygen to get into the bloodstream.
• Lightning. The disease proceeds very quickly, during this period the functionality of all organs is disrupted.

The most severe form of the disease is lightning fast. It is she who can lead to death.

What are the reasons for this process during the cesarean section?

Embolia can occur for very diverse reasons:

• From the rupture of the cervix or the uterus itself during childbirth.
• After surgery (cesarean).
• Due to the abnormal formation of the shells.
• Due to the premature aging of the placenta.
• Due to the puffiness of the placenta.
• Due to swift births.
• After not coordinated labor.
• If pregnancy passes longer than a certain period.
• Because of the large fetus.
• After the woman in labor was prescribed a drug to enhance the fights.
• Due to the incomplete compartment of the placenta.
• After an injury in the abdomen.
• Due to age, as a rule, which is 35 years.
• Due to thrombosis during pregnancy, veins on the legs.

Embolia can also develop due to a number of diseases, namely:

• Due to arterial hypertension.
• Due to diabetes.
• Due to renal failure.
• Due to the weakness of muscle mass in the pelvis area.
• Due to diseases that are directly related to the tone of blood vessels.
• Because of the vegetative-vascular dystonia.

Treatment of the disease with cesarean section

Embolia OV (amniotic fluid) is a situation where "you must always be ready." If the woman in labor remains alive, immediate intensive therapy is carried out. But all this can be avoided if you conduct a comprehensive treatment of the disease in advance. The main goals of treatment are:

• Restore the performance of the cardiovascular system.
• Restore the performance of the respiratory system.
• Carry out the adjustment of hemostasis.
• Complete blood loss.
• To normalize the functionality of each vital organ and each system in the body.

To restore the performance of the cardiovascular system and the respiratory system, a therapeutic event is carried out, which eliminates the woman's shock. Treatment, which is associated with coagulation disorders, is carried out using the therapeutic technique of acute DIA syndrome. As a rule, treatment is carried out simultaneously with an anesthetist and with a resuscitation.

After all therapeutic processes have been performed, a cesarean section is made, or childbirth is carried out naturally. Everything will depend on what kind of obstetric situation. If the measures do not give a positive effect that stop bleeding in the uterus, extirpation of the uterus is performed.

Providing emergency assistance to a woman with embolism by amniotic fluid

The urgent help of the woman in labor, as a rule, begins with the following:

• The obstetrician and an anesthesiologist are called immediately. In the following minutes, the woman provides urgent help.
• A woman is laid on a surface that should be perfectly flat.
• The woman is undressed so that she does not have close clothes.
• A woman is served oxygen.
• A special fluid is administered an intravenous woman (the best drug is reopoliglyukin).
• The woman is introduced by an antispasmodic.

Also, during the above manipulations, drugs are prepared, which are part of first aid during embolism.

Clinical recommendations for embolism by amniotic fluid

Clinical recommendations of Embolia OV are considered very important and mandatory. As a rule, the hospital is diagnosed with this disease. From the very beginning, standard methods are used: collecting an anamnesis and determining complaints, a woman is being examined, as a result of which the Embolia of OV is revealed.

The clinical diagnosis of the disease is carried out by the following methods:

• An electrocardiographic examination is carried out, which makes it possible to identify sinus tachycardia, as well as myocardial hypoxia.
• The chest x -ray is carried out, which allows you to detect interstitial edema, which resembles in the photo open wings of an ordinary butterfly.
• A full blood test is carried out.
• The cervix is \u200b\u200bcarefully examined. For this, gynecological mirrors are used to help detect the causes of the disease.
• The volume of platelets is determined, blood coagulation is checked. This helps to make an accurate diagnosis.

These examinations make it possible to diagnose Embolia of OV with the greatest accuracy.

Rehabilitation after embolism by amniotic fluid

Since the disease is considered quite complicated, a woman after her needs mandatory rehabilitation. It will be aimed at adjusting the identified problems with the rehabilitation analogy. Rehabilitation itself is carried out after traumatic and hemorrhagic shock, as well as after the DIC.

Embolia by the amniotic fluid of the woman in labor with cesarean section: Prevention

With this disease, it is very important to prevent the stage when the doctor’s urgent help is needed. As statistics shows, the main restoring methods mainly lead to disappointing consequences. Therefore, in order to avoid this, it is necessary to carry out a number of preventive measures that can prevent the risk of Embolia of OV.

So, we will consider the measures that pregnant women must observe in order to avoid the appearance of Embolia:

• It is necessary to exclude swelling of the legs. This mainly manifests itself in large women and girls, as well as in those who love salty food. The human body cannot derive a large number of mineral components independently. It is always worth remembering that the body is now functioning for two. In this case, diuretic drugs can be used to eliminate stagnation of salt in organs and in the entire body.
• To exclude the formation of blood clots, you need to correctly plan your own day by watch and enable physical training. In addition to therapeutic qualities, they are also able to return the woman a slender figure after the birth of a child.

• Regularly undergo an examination by the doctor for the absence of various diseases.
• Limit the use of drugs that were not prescribed by a gynecologist. Pregnant women should take only those drugs that their attending doctors prescribe to them. Other medicines are strictly prohibited without consulting a gynecologist.
• Exclude completely stressful situations and disorders. In this case, the doctor can prescribe a sedative to a pregnant woman to a sedative.
• It is necessary to lead a healthy lifestyle, competently approaching the planning of future pregnancy.
• A special diet should be observed, which will contain a moderate amount of proteins, fats and carbohydrates.

Video: Embolia by amniotic fluid