Amniotic Fluid Embolism during Dilation and Evacuation during 2nd Trimester Treated by ACLS Guidelines, ECMO and Dialysis: A Case Report

Amniotic fluid embolism (AFE) is a rare and often fatal complication of pregnancy. While supportive therapy is in the primary goal, more invasive measures have been introduced in an attempt to improve outcomes in severe cases. We present the case of a 35 year old G3P2 female with an intrauterine fetal demise who underwent outpatient dilation and evacuation during her second trimester. AFE presentation and management are discussed including utilization of Extracorporeal Membrane Oxygenation as a supportive intervention in cases of profound and rapid cardiovascular collapse.