AI Article Synopsis
- * The majority of cases occurred during labor, with an average time from symptom onset to death being about 4 hours and 45 minutes, highlighting the rapid progression of the condition.
- * Preventability was suggested for 35% of these deaths, indicating opportunities for improvement in medical skills, communication, and health care organization; autopsies were conducted in 38% of the cases.
Article Abstract
Amniotic embolism remains the 3rd leading cause of maternal death in France, with 21 maternal deaths over the 2016-2018 triennium. The women who died were more likely to be obese (25%), to benefit from induction of labor (71%) and be cared in a maternity hospital <1500 deliveries/year (45%), compared with the reference population (ENP 2016). The symptom occurred mainly during labor (95%) and the course was rapid, with a symptom-to-fatality interval of 4hours 45minutes (min: 25minutes - max: 8 days). Preventability was proposed for 35% of the deaths assessed, with areas for improvement identified in terms of technical skills (haemostasis procedures, management of polytransfusion), non-technical skills (communication) and health care organization (human resources, vital emergency plan, wide access to PSL). An autopsy was performed in 38% of deaths.
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| http://dx.doi.org/10.1016/j.gofs.2024.02.015 | DOI Listing |
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