{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T10:54:56Z","timestamp":1781002496358,"version":"3.54.1"},"reference-count":11,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2022,4,28]],"date-time":"2022-04-28T00:00:00Z","timestamp":1651104000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,4,28]],"date-time":"2022-04-28T00:00:00Z","timestamp":1651104000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100020207","name":"Health Commission of Sichuan Province","doi-asserted-by":"crossref","award":["17PJ216"],"award-info":[{"award-number":["17PJ216"]}],"id":[{"id":"10.13039\/501100020207","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Pregnancy Childbirth"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>For a healthy parturient, a cardiopulmonary collapse that suddenly occurs shortly after an uneventful caesarean section is a relatively rare event and presents a significant challenge for the anesthesia provider.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>Amniotic fluid embolism (AFE) is characterized by acute and rapid collapse and is well known to the obstetric team. Our patient experienced sudden cardiovascular collapse, severe respiratory difficulty and hypoxia, in the absence of other explanations for these findings at the time, and thus AFE was immediately become the focus of the consideration. However, there is no quick, standard laboratory test for AFE, therefore the diagnosis is one of exclusion based on presenting symptoms and clinical course. After given symptomatic treatment, the patient made an uneventful initial recovery in a short period and developed a rash. We recognized that the postpartum shock was associated with delayed anaphylaxis of antibiotics.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>These observations have implications for understanding whenever administering drugs in surgery, which may affect the anesthesiologist\u2019s judgment regarding the complications of anesthesia. Even though serious complications of common perioperative drugs may rarely occur, anesthesia providers should be aware of the consideration. Early recognition and effective treatment are more important than prompt diagnosis.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12884-022-04701-3","type":"journal-article","created":{"date-parts":[[2022,4,28]],"date-time":"2022-04-28T19:09:27Z","timestamp":1651172967000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Sudden respiratory and circulatory collapse after cesarean section: Amniotic fluid embolism or other reasons? \u2013 a case report"],"prefix":"10.1186","volume":"22","author":[{"given":"Jinxi","family":"Zhang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chao","family":"Yu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hui","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qing","family":"Zhu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,4,28]]},"reference":[{"issue":"3","key":"4701_CR1","doi-asserted-by":"publisher","first-page":"545","DOI":"10.1016\/j.ogc.2007.08.002","volume":"34","author":"I Stafford","year":"2007","unstructured":"Stafford I, Sheffield J. Amniotic fluid embolism. Obstet Gynecol Clin North Am. 2007;34(3):545\u201353.","journal-title":"Obstet Gynecol Clin North Am"},{"issue":"2 Pt 1","key":"4701_CR2","doi-asserted-by":"publisher","first-page":"337","DOI":"10.1097\/AOG.0000000000000107","volume":"123","author":"SL Clark","year":"2014","unstructured":"Clark SL. Amniotic fluid embolism. Obstet Gynecol. 2014;123(2 Pt 1):337\u201348.","journal-title":"Obstet Gynecol"},{"issue":"11","key":"4701_CR3","doi-asserted-by":"publisher","first-page":"1714","DOI":"10.1111\/jog.13445","volume":"43","author":"MD Benson","year":"2017","unstructured":"Benson MD. Amniotic fluid embolism mortality rate. J Obstet Gynaecol Res. 2017;43(11):1714\u20138.","journal-title":"J Obstet Gynaecol Res"},{"issue":"4","key":"4701_CR4","doi-asserted-by":"publisher","first-page":"B16","DOI":"10.1016\/j.ajog.2016.03.012","volume":"215","author":"LD Pacheco","year":"2016","unstructured":"Pacheco LD, Saade G, Hankins GD, Clark SL. Amniotic fluid embolism: diagnosis and management. Am J Obstet Gynecol. 2016;215(4):B16-24.","journal-title":"Am J Obstet Gynecol"},{"issue":"14","key":"4701_CR5","doi-asserted-by":"publisher","first-page":"1163","DOI":"10.2174\/1389201015666140430161404","volume":"14","author":"G Pantaleo","year":"2014","unstructured":"Pantaleo G, Luigi N, Federica T, Paola S, Margherita N, Tahir M. Amniotic fluid embolism: review. Curr Pharm Biotechnol. 2014;14(14):1163\u20137.","journal-title":"Curr Pharm Biotechnol"},{"issue":"6","key":"4701_CR6","doi-asserted-by":"publisher","first-page":"1357","DOI":"10.1213\/ANE.0b013e3182a706c7","volume":"117","author":"DL Hepner","year":"2013","unstructured":"Hepner DL, Castells M, Mouton-Faivre C, Dewachter P. Anaphylaxis in the Clinical Setting of Obstetric Anesthesia: A Literature Review. Anesth Analg. 2013;117(6):1357\u201367.","journal-title":"Anesth Analg"},{"issue":"3","key":"4701_CR7","doi-asserted-by":"publisher","first-page":"597","DOI":"10.1016\/j.jaci.2012.06.035","volume":"130","author":"FE Simons","year":"2012","unstructured":"Simons FE, Schatz M. Anaphylaxis during pregnancy. J Allergy Clin Immunol. 2012;130(3):597\u2013606.","journal-title":"J Allergy Clin Immunol"},{"issue":"8","key":"4701_CR8","doi-asserted-by":"publisher","first-page":"965","DOI":"10.1111\/1471-0528.15041","volume":"125","author":"SJ McCall","year":"2018","unstructured":"McCall SJ, Bunch KJ, Brocklehurst P, D\u2019Arcy R, Hinshaw K, Kurinczuk JJ, Lucas DN, Stenson B, Tuffnell DJ, Knight M. The incidence, characteristics, management and outcomes of anaphylaxis in pregnancy: a population-based descriptive study. BJOG. 2018;125(8):965\u201371.","journal-title":"BJOG"},{"issue":"5","key":"4701_CR9","doi-asserted-by":"publisher","first-page":"1141","DOI":"10.1097\/ALN.0b013e3181bbd443","volume":"111","author":"P Dewachter","year":"2009","unstructured":"Dewachter P, Mouton-Faivre C, Emala CW. Anaphylaxis and anesthesia: controversies and new insights. Anesthesiology. 2009;111(5):1141\u201350.","journal-title":"Anesthesiology"},{"issue":"2","key":"4701_CR10","doi-asserted-by":"publisher","first-page":"282","DOI":"10.1007\/s00540-010-1085-0","volume":"25","author":"P Dewachter","year":"2011","unstructured":"Dewachter P, Tanase C, Levesque E, Nicaise-Roland P, Chollet-Martin S, Mouton-Faivre C, Benhamou D. Apical ballooning syndrome following perioperative anaphylaxis is likely related to high doses of epinephrine. J Anesth. 2011;25(2):282\u20135.","journal-title":"J Anesth"},{"key":"4701_CR11","doi-asserted-by":"crossref","unstructured":"American College of Obstetricians and Gynecologists. Use of prophylactic antibiotics in labor and delivery. ACOG Practice Bulletin No. 120. Obstet Gynecol 2011, 117(6):1472\u201383.","DOI":"10.1097\/AOG.0b013e3182238c31"}],"container-title":["BMC Pregnancy and Childbirth"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12884-022-04701-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12884-022-04701-3\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12884-022-04701-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,4,28]],"date-time":"2022-04-28T19:09:42Z","timestamp":1651172982000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcpregnancychildbirth.biomedcentral.com\/articles\/10.1186\/s12884-022-04701-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4,28]]},"references-count":11,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,12]]}},"alternative-id":["4701"],"URL":"https:\/\/doi.org\/10.1186\/s12884-022-04701-3","relation":{},"ISSN":["1471-2393"],"issn-type":[{"value":"1471-2393","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,4,28]]},"assertion":[{"value":"14 October 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"22 April 2022","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"28 April 2022","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The patient described in this case report provided informed consent. This case report was deemed exempt by our Institutional Review Board.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient for publication of this case report and any accompanying images. A copy of the written consent is available for review by the editor of the journal.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to publication"}},{"value":"The authors state that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"369"}}