Evidence map›Paper›PMID 40551930›Full record

ArticleCureus2025

Amniotic Fluid Embolism in Donor Egg Twin Pregnancy: A Clinical Challenge in Critical Care.

Ahmed Owies, Ahmed Attia, Harrie Toms John, Reena Gajjar, Madiha Abbas

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Ahmed OwiesIntensive Care Unit, Epsom and St. Helier University Hospitals NHS Trust, London, GBR.
Ahmed AttiaCritical Care Medicine, Epsom and St. Helier University Hospitals NHS Trust, London, GBR.
Harrie Toms JohnCritical Care Medicine, Epsom and St. Helier University Hospitals NHS Trust, London, GBR.
Reena GajjarCritical Care Medicine, Epsom and St. Helier University Hospitals NHS Trust, London, GBR.
Madiha AbbasCritical Care Medicine, Epsom and St. Helier University Hospitals NHS Trust, London, GBR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Amniotic fluid embolism (AFE) is a rare but life-threatening obstetric emergency marked by respiratory distress, severe hypotension, and coagulopathy with haemorrhage. This case involves a 45-year-old nulliparous woman with a dichorionic diamniotic twin pregnancy via in vitro fertilisation (IVF) with a donor egg. At 36 weeks' gestation, the patient developed sudden respiratory distress following the detection of persistent maternal tachycardia. Cardiotocography (CTG) revealed foetal distress, necessitating an emergency caesarean section, which resulted in the delivery of two live neonates. Her postpartum course was complicated by haemorrhage managed with a vaginal balloon and a second episode of respiratory distress with hypoxia. Admitted to the intensive care unit (ICU) for supportive care, she recovered well. Further investigations excluded pulmonary embolism and infection. Whilst peripartum cardiomyopathy (PPCM) was considered, the presence of massive haemorrhage and disseminated intravascular coagulation (DIC) strongly suggested AFE. This case highlights AFE's rare occurrence in an IVF pregnancy and supports the emerging hypothesis that conception through donor eggs may pose a significant, under-recognised immunologic risk for AFE.

Indexed as

amniotic fluid embolism (afe)donor eggdonor oocyte pregnancyimmune-mediated reactionsobstetric emergenciesperipartum complicationspostpartum cardiomyopathy

Identifiers

PMID40551930
PMCPMC12183532

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.