부산대학교 도서관

Two types of amniotic fluid embolism（AFE）have been described : cardiopulmonary collapse type and disseminated intravascular coagulation（DIC）type, with the latter proposed as uterine type, and both are caused by the inflow of amniotic components into the maternal circulation. We investigated the relationship between Santigen in maternal blood during pregnancy, SCC antigen in amniotic fluid, and the amount of bleeding during delivery, which is one of the main symptom of AFE with uterine type. As a result, there were no significant changes in maternal blood SCC in pregnancy. Maternal blood SCC increased after vaginal delivery compared to cesarean section, and it was expected that the amount of amniotic fluid flowing into the mother was larger in vaginal delivery than cesarean section. It is argued that in vaginal delivery, there is no relationship between the estimated amount of amniotic fluid influx and the amount of bleeding during delivery, and it is expected that the onset of AFE with uterine type has other necessary factors besides the influx of amniotic fluid into maternal blood, such as anaphylactoid reaction.