Our Research
One of the primary objectives of the AFE Foundation is to advance the research of AFE. This can help us better understand what causes an AFE.
We hope to establish:
- more effective treatments
- devise a mechanism to predict
- establish a gold standard diagnosis
- save the lives of mothers and their babies
In 2012, the AFE Foundation joined with Baylor College of Medicine in Houston, Texas to establish our registry. The registry is a secure database of medical information. It also contains family history and other related information from records and interviews. This information assists in the study of cases of AFE and allows researchers to look at the efficacy of treatments. It can also look at the long-term health of survivors of AFE and serves as a basis for clinical research.
In 2019, Wayne State University and the Perinatology Research Branch of the NIH joined our research efforts. We established a biorepository where samples of blood, tissue, cells, DNA, RNA, and protein from cases of AFE are studied.
Our research efforts have gained international recognition. Our registry is the largest database of AFE cases and has resulted in 11 abstracts and publications. These publications have been cited in over 150 other research papers spanning over 10 countries.
One of our successes was to establish diagnostic criteria to be used for research publications. The intent is to focus efforts where all the included cases meet the classic definition of AFE. This includes the presence of hemodynamic and respiratory compromise accompanied by DIC. Limiting research reports to women who meet these criteria will enhance the validity of data. It will help in the verification of risk factors, effective treatments, and useful biomarkers.
Published Abstracts and Articles:
Proposed diagnostic criteria for the case definition of amniotic fluid embolism in research studies
Clark SL, Romero R, Dildy GA, Callaghan WM, Smiley RM, Bracey AW, Hankins GD, D’Alton ME, Foley M, Pacheco LD, Vadhera RB, Herlihy JP, Berkowitz RL, Belfort MA. Am J Obstet Gynecol. 2016 Oct;215(4):408-12. doi: 10.1016/j.ajog.2016.06.037. Epub 2016 Jun 29.
Analysis of the United States International Registry
IA Stafford, GA Dildy, Miranda Klassen, et al. (2020) Amniotic fluid embolism syndrome: American Journal of Obstetrics & Gynecology MFM .
Differences in clinical presentation and outcomes between women with typical versus atypical amniotic fluid embolism
Stafford, I., Clark, S., Klassen, M., et al. (2020) American Journal of Obstetrics & Gynecology , Volume 221, Issue 1 , S223-S224 (331)
Amniotic fluid embolism: principles of early clinical management
Pacheco, Luis D, Clark, SL, Klassen, M., Hankins, G. (2020) American Journal of Obstetrics & Gynecology.
The prevalence of placenta previa in pregnancies complicated by amniotic fluid embolism
Berra, Alexandra L., Klassen, M., Stafford, IA. et al (2019) American Journal of Obstetrics & Gynecology , Volume 220 , Issue 1 , S101 – S102 (130)
Evaluation of proposed criteria for research reporting of amniotic fluid embolism
Stafford, IA, Amirhossein M., Dildy, G., Klassen, M., Belfort, MA., Romero, R., Clark, SL. (2019) American Journal of Obstetrics & Gynecology , Volume 220, Issue 3, 285-287
Diagnostic precision of proposed criteria for research reporting of amniotic fluid embolism.
Stafford, IA, Klassen, M. (2018) American Journal of Obstetrics & Gynecology , Volume 218 , Issue 1 , S122 – S123 (180)
The misdiagnosis of amniotic fluid embolism. [abstract]
Stafford, IA, Klassen, M. (2018) American Journal of Obstetrics & Gynecology , Volume 218 , Issue 1 , S122 (179)
The risk of amniotic fluid embolism recurrence in subsequent pregnancy. [abstract]
Stafford, IA, Klassen, M. (2018) American Journal of Obstetrics & Gynecology, Volume 218 , Issue 1 , S121 (177)
Reproductive decisions after the diagnosis of amniotic fluid embolism.
Amirhossein Moaddab, Miranda Klassen, Steven L. Clark, Gary A. Dildy European Journal of Obstetrics & Gynecology and Reproductive Biology 211 33–36, 2017
Reproductive decision after the diagnosis of amniotic fluid embolism. [abstract]
G. Dildy, A. Moaddab, M. Klassen.Society Maternal Fetal Medicine 36 th Annual Pregnancy Meeting. Feb 1-5, Atlanta, GA AJOG; 2016 (812)
Other Notable Articles Mentioning Our Organization and Foundation
ARE YOU A CLINICIAN?
Each case of AFE holds vital information that can help solve the mystery of this devastating birth complication. If you or someone you know has been affected by AFE, please participate.