{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T23:49:30Z","timestamp":1782604170093,"version":"3.54.5"},"reference-count":32,"publisher":"Federa\u00e7\u00e3o das Associa\u00e7\u00f5es de Ginecologia e Obstetr\u00edcia","issue":"07","license":[{"start":{"date-parts":[[2017,5,2]],"date-time":"2017-05-02T00:00:00Z","timestamp":1493683200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ginecol Obstet"],"published-print":{"date-parts":[[2017,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Amniotic fluid embolism (AFE) is a rare but potentially catastrophic clinical condition, characterized by a combination of signs and symptoms that reflect respiratory distress, cardiovascular collapse and disseminated intravascular coagulation (DIC). Its pathogenesis is still unclear. More recently, the traditional view of obstruction of pulmonary capillary vessels by amniotic fluid emboli as the main explanation for the etiology has been ruled out, and immunologic factors and the activation of the inflammatory cascade took on an important role. Amniotic fluid embolism has an unpredictable character, its diagnosis is exclusively clinical, and the treatment consists mainly of cardiovascular support and administration of blood products to correct the DIC. No diagnostic test is recommended until now, though multiple blood markers are currently being studied. The authors present a case report of a woman who had survived AFE in her previous pregnancy and had a subsequent pregnancy without recurrence, providing one more clinical testimony of the low risks for the pregnancy after AFE.<\/jats:p>","DOI":"10.1055\/s-0037-1601428","type":"journal-article","created":{"date-parts":[[2017,5,2]],"date-time":"2017-05-02T22:54:38Z","timestamp":1493765678000},"page":"369-372","source":"Crossref","is-referenced-by-count":7,"title":["Amniotic Fluid Embolism. Is a New Pregnancy Possible? Case Report"],"prefix":"10.61622","volume":"39","author":[{"given":"Ana Filipa Cabrita","family":"Caeiro","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Hospital Prof. Doutor Fernando Fonseca, Amadora, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irina Dulce Tapadinhas Matos","family":"Ramilo","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Hospital Prof. Doutor Fernando Fonseca, Amadora, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Paula","family":"Santos","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Hospital Prof. Doutor Fernando Fonseca, Amadora, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Ferreira","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Hospital Prof. Doutor Fernando Fonseca, Amadora, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabel Santos","family":"Batalha","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Hospital Prof. Doutor Fernando Fonseca, Amadora, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"47794","published-online":{"date-parts":[[2017,5,2]]},"reference":[{"issue":"02","key":"ref1","first-page":"301","article-title":"Embolia-pulmonar amnio-caseosa","volume":"40","author":"J R Meyer","year":"1926","journal-title":"Bras Med"},{"issue":"16","key":"ref2","first-page":"2187","article-title":"Landmark article, Oct. 1941: Maternal pulmonary embolism by amniotic fluid as a cause of obstetric shock and unexpected deaths in obstetrics. 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