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What is an AFE?

Published in Pregnancy Complications 1 min read

An AFE, or Amniotic Fluid Embolism, is a rare but extremely serious complication that can occur during pregnancy or shortly after delivery. It involves amniotic fluid, fetal cells, hair, or other fetal debris entering the mother's bloodstream, causing a cascade of life-threatening events.

Understanding Amniotic Fluid Embolism (AFE)

AFE is a catastrophic obstetric emergency. Let's break down what that means:

  • Amniotic Fluid: The fluid surrounding the baby in the womb.
  • Embolism: A blockage in a blood vessel, in this case caused by amniotic fluid or fetal material.
  • Catastrophic: Indicating the severe and life-threatening nature of the condition.

How AFE Affects the Mother

According to the provided abstract, when amniotic fluid and/or fetal debris enters the maternal pulmonary circulation, it can lead to:

  • Cardiovascular Collapse: A sudden and severe drop in blood pressure, leading to shock.
  • Pulmonary Issues: Difficulty breathing and oxygen deprivation.

Key Features of AFE

Here's a quick recap of what constitutes an AFE:

Feature Description
Trigger Entry of amniotic fluid, fetal cells, hair, or debris into maternal blood
Primary Effect Cardiovascular collapse
Other Effects Pulmonary issues, difficulty breathing
Severity Life-threatening
Occurrence During pregnancy, labor, delivery or shortly after delivery