A woman delivers vaginally. After placental delivery, she suddenly develops dyspnea, hypotension, and convulsions. She then develops heavy vaginal bleeding with oozing from venipuncture sites. The most likely diagnosis is:

• A Eclampsia
• B Pulmonary thromboembolism
• C Uterine rupture
• D Amniotic fluid embolism ✓

Explanation

Amniotic fluid embolism classically presents with sudden cardiovascular collapse, respiratory distress, and DIC causing bleeding from multiple sites. Eclampsia causes convulsions but not coagulopathy. Uterine rupture causes intra-abdominal bleeding without DIC. Pulmonary embolism causes dyspnea and hypoxia without coagulopathy.

Reference: Williams Obstetrics, 26th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.