Female present with shock after normal delivery. Most common causes? (AIIMS Nov 2012)
|B||Aminotic fluid embolism|
• Indeed, hemorrhage has been identified as the single most important cause of maternal death worldwide, accounting for almost half of all postpartum deaths in developing countries
1. Aminotic fluid embolism
a. This is a complex disorder classically characterized by the abrupt onset of hypotension, hypoxia, and consumptive coagulopathy.
b. Women are encountered in whom one of these three clinical hallmarks dominates or is entirely absent.
2. Uterine inversion
a. Complete uterine inversion after delivery of the infant is almost always the consequence of strong traction on an umbilical cord attached to a placenta implanted in the fundus.
b. Uterine inversion is most often associated with immediate life-threatening hemorrhage, and without prompt treatment it may be fatal.
c. This is contrary to the belief that the bleeding is not as much in a case of inversion and also against the often quoted fact that the shock is considered disproportional to the amount of bleeding in inversion