Core Viewpoint - The article highlights the advancements and achievements of the Obstetrics and Gynecology Department at Pengpai Memorial Hospital, showcasing their commitment to patient care, innovative surgical techniques, and community health initiatives. Group 1: Department Achievements - Since the establishment of a close-knit medical alliance in August 2022, the hospital has successfully reformed its Obstetrics and Gynecology Department, enhancing technical capabilities and service quality [9][30][11] - The department has seen a 30% year-on-year increase in gynecological surgeries in the first half of 2025, with a total of 744 surgeries performed [20][29] - A notable case involved a rare giant uterine adenomyosis total hysterectomy, resolving a patient's 10-year struggle with severe symptoms [21][24][25] Group 2: Service Quality Improvement - The department has implemented standardized prenatal care, leading to an increase in the natural delivery rate to over 50% and maintaining patient satisfaction above 90% [57][42] - Continuous training and a strong learning atmosphere among staff have contributed to improved service delivery and patient care [38][60] Group 3: Community Health Initiatives - The department actively promotes "two cancer" screenings (breast and cervical cancer), significantly increasing early diagnosis rates and reducing treatment costs for women in the community [68][74][78] - From 2019 to 2022, the hospital conducted an average of 16,632 HPV-DNA tests annually, demonstrating a commitment to preventive healthcare [77]

Core Viewpoint - Amniotic fluid embolism (AFE) is unpredictable and lacks screening methods, making preventive measures difficult. In critical situations, the priority is to save the mother, then the child, and finally consider the uterus [1][4]. Group 1: Medical Understanding of AFE - AFE typically occurs during childbirth when components from the amniotic fluid enter the maternal circulation, causing severe immune reactions that can lead to respiratory and cardiac arrest, massive bleeding, and multi-organ failure within minutes [3][4]. - Approximately 70% of AFE cases occur around the time of delivery, particularly within two hours before or half an hour after the fetus is born [3]. - The decision to perform a hysterectomy during AFE management is complex and often necessary to control life-threatening bleeding, especially in cases of disseminated intravascular coagulation (DIC) [3][4]. Group 2: Emergency Response and Treatment - Effective management of AFE relies not only on technical skills but also on timely blood transfusions and multidisciplinary collaboration among experienced medical professionals [4]. - The decision to perform a hysterectomy is a last resort, only considered when other bleeding control methods fail and life-threatening uterine hemorrhage persists [4]. Group 3: Risk Factors and Considerations - The risk of AFE is slightly higher during cesarean sections due to increased surgical manipulation and exposure of blood vessels to amniotic fluid [5]. - Despite the higher risk associated with cesarean delivery, the overall incidence of AFE remains very low, estimated at several thousandths to tens of thousands of a percent in the general population [6].