Use of Thromboelastography in Early Detection of Coagulopathy in Amniotic Fluid Embolism

Introduction: Amniotic fluid embolism (AFE) is a rare and life-threatening obstetrics emergency which relies on clinical diagnosis. In this case report, we have used thromboelastography in early detection of AFE and subsequent guidance for primary post-partum hemorrhage secondary to coagulopathy with successful outcome. Case Presentation: In September 2021, a patient at 39 weeks of gestation presented with sudden cardiovascular collapse and cardiac arrest underwent emergency cesarean section. The case was complicated with primary postpartum hemorrhage. Thromboelastography was used as an early detection of coagulopathy in high suspicion of AFE. Patient was successfully resuscitated under TEG guidance and was discharged on post-operative day 11. Conclusion: TEG is a useful tool in early detection for coagulopathy associated with AFE and serve as a guidance for intra-operative blood management, thereby reducing high morbidity and mortality associated with AFE.