Anaphylactoid syndrome of pregnancy and disorders of the hemostatic system

Makatsariya A.D., Mingalimov M.A., Serov V.N., Di Renzo G.C., Bitsadze V.O., Grigoryeva K.N., Vorobyev A.V., Khizroeva D.Kh.

1) Department of Obstetrics and Gynecology, Institute of Children’s Health, I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia, Moscow, Russia; 2) Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia, Moscow, Russia; 3) Perinatal and Reproductive Medicine Center, University of Perugia, Italy
The authors carried out a systematic analysis of data on the pathogenesis of anaphylactoid syndrome and its relationship to disorders of the hemostatic system. The review includes data from the foreign and Russian articles published in the past 10 years and found in e-Library and PubMed on this topic. It gives data on diagnostic criteria and markers for anaphylactoid syndrome of pregnancy, as well as on the current approach to its treatment.

Keywords

amniotic fluid embolism
anaphylactoid syndrome
hemostatic disorders
thrombophilia
anticoagulant therapy

References

  1. Макацария А.Д., Панфилова О.Ю. Эмболия околоплодными водами или анафилактоидный синдром беременности. Практическая медицина. 2010, (43), 13-19. [Makatzaria A.D., Panfilova O.J. Amniotic fluid embolism or anaphylactoid syndrome of pregnancy. Prakticheskaja medicina. 2010; 4(43):13-19.(In Russ.)]. URL: https://cyberleninka.ru/article/n/emboliya-okoloplodnymi-vodami-ili-anafilaktoidnyy-sindrom-beremennosti (дата обращения: 07.11.2019).
  2. Gist R.S., Stafford I.P., Leibowitz A.B., Beilin Y. Amniotic fluid embolism. Anesth Analg. 2009; 108(5): 1599-602. doi: 10.1213/ane.0b013e31819e43a4
  3. Tsunemi T., Hidekazu O.I., Sado T., Naruse K., Noguchi T., Kobayashi H. An overview of amniotic fluid embolism: Past, present and future directions. Open Womens Health J. 2012; 6: 24-9.
  4. Meyer J.R. Embolia pulmonar amnio caseosa. Bra Med. 1926; 2: 301–3.
  5. Steiner P.E., Luschbaugh C.C. Maternal pulmonary embolism by amniotic fluid as a cause of obstetric shock and unexpected deaths in obstetrics. JAMA. 1986; 255(16): 2187-203. DOI: 10.1001/jama.255.16.2187
  6. Rudra A., Chatterjee S., Sengupta S, Nandi B., Mitra J. Amniotic fluid embolism. Indian J Crit Care Med. 2009; 13(3): 129-35. doi: 10.4103/0972-5229.58537
  7. Conde-Agudelo A., Romero R. Amniotic fluid embolism: an evidence-based review. Am J Obstet Gynecol. 2009; 201(5): 445.e1-13. doi: 10.1016/j.ajog.2009.04.052
  8. Clark S.L., Hankins G.D., Dudley D.A., Dildy G.A., Porter T.F. Amniotic fluid embolism: Analysis of the national registry. Am J Obstet Gynecol. 1995; 172(4 Pt 1): 1158-67. DOI: 10.1016/0002-9378(95)91474-9
  9. Skerman J.H., Rajab K.E. Amniotic fluid embolism. Kuwait Med J. 2003; 35(2): 91-7.
  10. Sultan P., Seligman K., Carvalho B. Amniotic fluid embolism. Curr Opin Anaesthesiol. 2016; 29(3): 288-96. doi: 10.1097/ACO.0000000000000328
  11. Benson M.D. Current concepts of immunology and diagnosis in amniotic fluid embolism. Clin Dev Immunol. 2012; 2012: 946576. doi: 10.1155/2012/946576
  12. Balazic J., Rott T., Jancigaj T., et al. Amniotic fluid embolism with involvement of the brain, lungs, adrenal glands, and heart. Int J Legal Med. 2003; 117(3): 165-9. DOI: 10.1007/s00414-003-0368-5
  13. Fineschi V., Gambassi R., Gherardi M., Turillazzi E. The diagnosis of amniotic fluid embolism: an immunohistochemical study for the quantification of pulmonary mast cell tryptase. Int J Legal Med. 1998; 111(5): 238-43. DOI: 10.1007/s004140050160
  14. Возгомент О.В. О диагностике эмболии околоплодными водами. Трудный пациент. 2016; 14(2-3): 10-15.[Vozgoment O.V. On the Diagnosis of Amniotic Fluid Embolism. Difficult Patient. 2016; 14(2-3): 10-15.(In Russ.)]
  15. Hikiji W., Tamura N., Shigeta A., et al. Fatal amniotic fluid embolism with typical pathohistological, histochemical and clinical features. Forensic Sci Int. 2013; 226(1-3): e16-9. doi: 10.1016/j.forsciint.2012.12.008
  16. Fineschi V., Riezzo I., Cantatore S., Pomara C., Turillazzi E., Neri M. Complement C3a expression and tryptase degranulation as promising histopathological tests for diagnosing fatal amniotic fluid embolism. Virchows Arch. 2009; 454(3): 283-90. doi: 10.1007/s00428-009-0730-1
  17. Biron-Andreani C., Morau E., Schved J.F., Hédon B., Dechaud H. Amniotic fluid embolism with haemostasis complications: primary fibrinogenolysis or disseminated intravascular coagulation? Pathophysiol Haemost Thromb. 2003; 33(3): 170-1. DOI: 10.1159/000077826
  18. Uszynski M., Uszyński W. Coagulation and fibrinolysis in amniotic fluid: physiology and observations on amniotic fluid embolism, preterm fetal membrane rupture, and pre-eclampsia. Semin Thromb Hemost. 2011; 37(2): 165-74. doi: 10.1055/s-0030-1270345
  19. Balinger K.J., Chu Lam M.T., Hon H.H., Stawicki S.P., Anasti J.N. Amniotic fluid embolism: despite progress, challenges remain. Curr Opin Obstet Gynecol. 2015; 27(6): 398-405. doi: 10.1097/GCO.0000000000000218
  20. Clark S.L. Amniotic fluid embolism. Obstet Gynecol. 2014; 123(2 Pt 1): 337-48. doi: 10.1097/AOG.0000000000000107
  21. McDonnell N.J., Percival V., Paech M.J. Amniotic fluid embolism: a leading cause of maternal death yet still a medical conundrum. Int J Obstet Anesth. 2013; 22: 329-36. doi: 10.1016/j.ijoa.2013.08.004
  22. McDonnell N.J., Chan B.O., Frengley R.W. Rapid reversal of critical haemodynamic compromise with nitric oxide in a parturient with amniotic fluid embolism. Int J Obstet Anesth. 2007; 16: 269-273. DOI: 10.1016/j.ijoa.2006.10.008
  23. Stanten R.D., Iverson L.I., Daugharty T.M., et al. Amniotic fluid embolism causing catastrophic pulmonary vasoconstriction: diagnosis by transesophageal echocardiogram and treatment by cardiopulmonary bypass. Obstet Gynecol. 2003; 102(3): 496-8. DOI: 10.1016/s0029-7844(03)00161-3
  24. Ito F., Akasaka J., Koike N., Uekuri C., Shigemitsu A., Kobayashi H. Incidence, diagnosis and pathophysiology of amniotic fluid embolism. J Obstet Gynaecol. 2014; 34(7): 580-4. doi: 10.3109/01443615.2014.919996
  25. Harnett M.J., Hepner D.L., Datta S., Kodali B.S. Effect of amniotic fluid on coagulation and platelet function in pregnancy: an evaluation using thromboelastography. Anaesthesia. 2005; 60(11): 1068-72. DOI: 10.1111/j.1365-2044.2005.04373.x
  26. Collins N.F., Bloor M., McDonnell N.J. Hyperfibrinolysis diagnosed by rotational thromboelastometry in a case of suspected amniotic fluid embolism. Int J Obstet Anesth. 2013; 22: 71-76. doi: 10.1016/j.ijoa.2012.09.008
  27. Gogola J., Hankins G.D. Amniotic fluid embolism in progress: A management dilemma. Am J Perinatol. 1998; 15(8): 491-3. DOI: 10.1055/s-2007-994071
  28. Oi H., Kobayashi H., Hirashima Y., Yamazaki T., Kobayashi T., Terao T. Serological and immunohistochemical diagnosis of amniotic fluid embolism. Semin Thromb Hemost. 1998; 24(5): 479-84. DOI: 10.1055/s-2007-996043
  29. Kanayama N., Yamazaki T., Naruse H., Sumimoto K., Horjuchi K., Terao T. Determining zinc coproporphyrin in maternal plasma-A new method for diagnosing amniotic fluid embolism. Clin Chem. 1992; 38(4): 526-9. PMID: 1568317
  30. Kaur K., Bhardwaj M., Kumar P., Singhai S., Singh T., Hooda S. Amniotic fluid embolism. J Anaesthesiol Clin Pharmacol. 2016; 32(2): 153-9. doi: 10.4103/0970-9185.173356
  31. Guntupalli K.K., Hall N., Karnad D.R., Bandi V., Belfort M .Critical illness in pregnancy, part I: an approach to a pregnant patient in the ICU and common obstetric disorders. Chest. 2015; 148(4): 1093-1104. doi: 10.1378/chest.14-1998.
  32. Куликов А.В., Шифман Е.М., Буланов А.Ю., Заболотских И.Б., Синьков С.В. Интенсивная терапия острых нарушений гемостаза в акушерстве (ДВС-синдром). Клинические рекомендации (протоколы лечения). Анестезиология и реаниматология. 2017; 62(5): 399-406. [Kulikov A.V., Shifman E.M., Bulanov A. Yu., Zabolotskikh I.B., Sin’kov S.V. Intensive therapy of acute hemostasis disorders in obstetrics (DIC-sindrome). Clinical recommendations (treatment protocols). Anesteziologiya IReanimatologiya (Russian Journal ofAnaesthe-siology andReanimatology) 2017; 62(5): 399-406. (In Russ.)]. DOI: http://dx.doi.org/10.18821/0201-7563-2017-62-5-399-406
  33. Pacheco L.D., Saade G., Hankins G.D.V, Clark S.L. Amniotic fluid embolism: diagnosis and management. Society for Maternal-Fetal Medicine (SMFM) clinical guideline no. 9. Am J Obstet Gynecol. 2016; 215(2): B16-B24. doi: 10.1016/j.ajog.2016.03.012
  34. Taylor J., Taylor L. A 32-year-old woman with postpartum cardiac arrest. J Emerg Nurs. 2018; 44(5): 514-6. doi: 10.5811/westjem.2011.4.2263
  35. Константинова О.Д., Мазуровская О.П., Демина Л.М. Эмболия околоплодными водами. Ремедиум Приволжье. 2014; 3(123): 24-29. [Konstantinova O.D., Mazurovskaja O.P., Demina L.M. Jembolija okoloplodnymi vodami. Remedium Privolzh’e. 2014; 3(123): 24-29.(In Russ.)].URL:https://cyberleninka.ru/article/n/emboliya-okoloplodnymi-vodami (дата обращения: 07.11.2019).
  36. Watson C., Wilkinson J.N., Ali N. Critical care management of obstetric emergencies. Br J Hosp Med (Lond). 2010; 71(7): 382-7. DOI: 10.12968/hmed.2010.71.7.48996
  37. Rath W.H., Hoferr S., Sinicina I. Amniotic fluid embolism: an interdisciplinary challenge: epidemiology, diagnosis and treatment. Dtsch Arztebl Int. 2014; 111(8): 126-32. doi: 10.3238/arztebl.2014.0126
  38. Thongrong C., Kasemsiri P., Hofmann J.P., Bergese S.D., Papadimos T.J., Gracias V.H., Adolph M.D., Stawicki S.P. Amniotic fluid embolism. Int J Crit Illn Inj Sci. 2013; 3(1): 51-7. doi: 10.4103/2229-5151.109422.
  39. Девятова Е.А. Эмболия околоплодными водами. Акушерство и гинекология: новости, мнения, обучение. 2015; 3 (9): 21-32.[Devyatova E.A. Amniotic fluid embolism. Akusherstvo i ginekologija: novosti, mnenija, obuchenie. 2015; 3 (9): 21-32. (In Russ.)].
  40. Rogers W.K., Wernimont S.A., Kumar G.C., Bennett E., Chestnut D.H. Acute hypotension associated with intraoperative cell salvage using a leukocyte depletion filter during management of obstetric hemorrhage due to amniotic fluid embolism. Int. Anesth. Analg. 2013; 117(2): 449-52. doi: 10.1213/ANE.0b013e3182938079
  41. Tuffnell D.J., Slemeck E. Amniotic fluid embolism. Obstet Gynecol Reprod Med. 2014; 24(5): 148-152.
  42. Hession P.M., Millward C.J., Gottesfeld J.E, et al. Amniotic fluid embolism: using the medical staff process to facilitate streamlined care. Perm J. 2016 Fall; 20(4): 15-248. doi: 10.7812/TPP/15-248
  43. Rezai S., Hughes A., Larsen T., Fuller P., Henderson C. Atypical amniotic fluid embolism (AFE) managed with a novel therapeutic regimen. Case Rep Obstet Gynecol. 2017; 2017: ID 8458375. https://doi.org/10.1155/2017/8458375

Received 30.09.2019

Accepted 04.10.2019

About the Authors

Aleksander D. Makatsariya, MD, PhD, Academician of the Russian Academy of Sciences, Professor, Head of the Department of Obstetrics and Gynecology,
The First I.M. Sechenov Moscow State Medical University. E-mail: gemostasis@mail.ru
Mingalimov Marat, student of Institute of Child Health, The First I.M. Sechenov Moscow State Medical University. E-mail: ya.mingalimov2017@yandex.ru
Vladimir N. Serov, MD, PhD, Professor, Academician of the Russian Academy of Sciences, Principal Researcher, Research Center for Obstetrics, Gynecology, and Perinatology; President of Russian Society of Obstetricians and Gynecologists. Тel.: +7(495) 438-72-87.  E-mail: v_serov@oparina4.ru.
Gian Carlo Di Renzo, MD, PhD, Professor and Chairman Department of Obstetrics and Gynecology, Director Centre for Perinatal and Reproductive Medicine University of Perugia, professor of the Department of Obstetrics and Gynecology, The First I.M. Sechenov Moscow State Medical University
E-mail: giancarlo.direnzo@unipg.it
Viktoria О. Bitsadze, MD, PhD, Professor of the Russian Academy of Sciences, Professor of the Department of Obstetrics and Gynecology, The First I.M. Sechenov Moscow State Medical University. E-mail: gemostasis@mail.ru
Kristina Grigorieva, student of Institute of Child Health, The First I.M. Sechenov Moscow State Medical University. E-mail: grigkristik96@gmail.com
Alexander Vorobev V., MD, PhD, Associate Professor of the Department of Obstetrics and Gynecology, The First I.M. Sechenov Moscow State Medical University.
E-mail: alvorobev@gmail.com
Jamilya Kh. Khizroeva, MD, PhD, Professor of the Department of Obstetrics and Gynecology, The First I.M. Sechenov Moscow State Medical University.
E-mail: gemostasis@mail.ru

For citations: Makatsariya A.D., Mingalimov M.A., Serov V.N., Di Renzo G.C., Bitsadze V.O., Grigoryeva K.N., Vorobyev A.V., Khizroeva D.Kh. Anaphylactoid syndrome of pregnancy and disorders of the hemostatic system.
Akusherstvo i Ginekologiya/ Obstetrics and gynecology. 2019; 11: 5-12. (In Russian).
https://dx.doi.org/10.18565/aig.2019.11.5-12

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