Of all complications during childbirth amniotic fluid one of the worst. Fortunately, this is only very rare. In short, it means that amniotic fluid ends up in the mother's bloodstream. This causes an allergic reaction and can even be fatal in some cases. The most annoying part of this complication is that there are no clear guidelines for treatment. The doctor will take action as a result of the complaints. But hopefully more research will be done to tackle it more efficiently. Read more about this complication during childbirth.
How often does amniotic fluid appear?
In the Netherlands it occurs annually at 10 to 20 of all births. Of these, 26 to 37% of the women who suffer from it die! This means that of all maternity mortality, 10% was caused by amniotic fluid.
What does amber water embolism mean?
An amniotic canal will therefore be created during delivery, where amniotic fluid enters the mother's bloodstream. This can happen because there is a damage in the birth canal. What is also possible is that the membranes that 'hold' the amniotic fluid 'tear' at the moment that the surrounding blood vessels also tear.
The result is that the mother gets an allergic reaction, in which the blood vessels that go to the lungs narrow. This can in the worst case cause heart failure in the mother.
Cause amniotic fluid
Unfortunately, it is not entirely clear what the exact cause of amniotic embolism is. Unfortunately, it is therefore very difficult to prevent. But what is known is that it can happen especially when the membranes break. It is also suspected that the age of the mother also plays a role, with women who are older than 35 years at increased risk.
Other risk factors can be:
- Cesarean section
- Multiple pregnancy
- Placenta previa. The placenta is located at the bottom of the uterus, often against the cervix.
- Art deliverance
- Introduce the delivery
- Too much amniotic fluid in the womb
- Preeclampsia. High blood pressure in combination with the loss of protein via the urine.
Weed inducers may cause amniotic fluid
Canadian researchers believe that the use of rabies can double the chance of amniotic canal embolism. This is evident from their research, which lasted 11 years in which 3 million women were followed who gave birth to a loner. (Source: The Lancet)
In 1 out of 17,000 births, amniotic embolism occurred in which 15% of the mothers died. This study showed that the chances of a mother dying from the embolism, after contractions have been induced, are 3.5 times greater. However, there are no clear guidelines yet to determine the embolism, because in this area the care sometimes falls short.