![]() I want, I want, I want, I want to break free The easy, fast & fun way to learn how to sing: 30DaySinger. I can't get used to living without, living without Discover more music, concerts, videos, and pictures with the largest catalogue online at Last.fm. This song became an anthem for the ANC in South Africa in the late '80s when Nelson Mandela was still in jail and the white government's apartheid policies were still in place. ![]() ![]() I can't get over the way you love me like you do Listen free to Queen I Want to Break Free (I Want To Break Free (Extended Version), Machines (Or 'Back to Humans')). lyrics artistfacts Songfacts: Queen bass player John Deacon wrote this from the male perspective of the women's liberation movement. God knows, God knows I want to break free Even on this very episode they chose as the music video of the week the very pop The Heart of Rock & Roll by Huey Lewis & the News, a head. You're so self satisfied I don't need you more »īecome A Better Singer In Only 30 Days, With Easy Video Lessons! I want to break free The song features on the band's compilation album, Greatest Hits II. It also topped the charts of Austria, Belgium, and the Netherlands. It appears on the album The Works (1984), and was released in three versions: album, single and extended. The single reached only number 45 on the US Billboard Hot 100, but reached number three in the UK and was certified silver with over 200,000 copies sold. Queen About I Want To Break Free 'I Want to Break Free' is a song by the British rock band Queen, written by their bass guitarist John Deacon. After its release in 1984, the song was well received in Europe and South America and is regarded as an anthem of the fight against oppression. Whereas the parody was acclaimed in the United Kingdom where cross-dressing is a popular trope in British comedy, it was considered controversial in the United States. The second part of the video included a composition rehearsed and performed with the Royal Ballet and choreographed by Wayne Eagling. It appears in the album The Works (1984), and was released in three versions: album, single and extended. The song is largely known for its music video for which all the band members dressed in drag, a concept proposed by Roger Taylor, which parodied the long-running ITV soap opera Coronation Street. Listen & Download I Want To Break Free, a synth-pop rock song by the British rock band Queen. ![]() It came to be included in most live concerts by the group, in several videos and in The Freddie Mercury Tribute Concert where it was sung by Lisa Stansfield. "I Want to Break Free" is a song by the British rock band Queen, written by their bass guitarist John Deacon. Queen performance in I Want To Break Free music video, 1984. ![]()
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![]() And then Lightspeed poached Murphy from Northzone. And they haven’t just been looking for startups - they’ve also been looking for people.įirst, Sequoia snatched Luciana Lixandru from Accel to head up its London office. That’s one of the reasons we won that deal.” Hiring that teamĪmerican VCs have been on a shopping spree in Europe these past few years. Case in point: “We signed a deal last week which was very competitive - most European funds were competing on it and a handful of US funds too - but we’d started speaking to them in September, before they were thinking about raising money. When new retailers open or existing retailers move to these new systems from their legacy systems, they’re going to see that Lightspeed’s offering is from the back end with suppliers and operations, and then the front end with marketing and getting traffic.If Murphy’s lucky, that means he’s already got to know a promising founder before they look to raise. “The re-openings are going to mean a totally different way to look at business for retailers. “This has been a transformational year for retail, and it’s accelerated our customers’ use of digital tools,” he said. ![]() He says that the pandemic accelerated omnichannel adoption by three to five years. After blockbuster earnings, Shopify plots its next big moveĭasilva said that, as the pandemic eases and businesses welcome customers back, small businesses will need to integrate their in-store experience with online.Meet a rising Canadian corporate champion that’s showing other companies how it’s done.Canada risks relegation to the second tier of the global tech economy if it doesn’t act now.Article content Recommended from Editorial This advertisement has not loaded yet, but your article continues below. for about US$350-million in cash and stock. In March, it purchased New Zealand retail-management software maker Vend Ltd. which offers similar services - for US$440 million. for US$430 million, and New York’s ShopKeep Inc. In December, Lightspeed purchased Rhode Island-based internet-based restaurant management software maker Upserve Inc. It has also taken steps to broaden its services from its roots as a point-of-sales service provider and the company has been on a global acquisition spree. ![]() It went public in Canada in 2019 before debuting on the New York Stock Exchange in September. “We think that this is a reason to buy Lightspeed, and a reason to be on the platform that’s considering all the angles of what a modern retail business will want to be.” “The local ad piece is free because we want our platform to be the default for these sophisticated retailers,” Dasilva said. Google’s services will be integrated into Lightspeed’s supplier network, which it launched in January to help small retailers and independent suppliers restock their inventory. A diving equipment retailer and scuba school in the Netherlands posted local ads through the program and saw their online traffic increase 24 per cent in the first month, in-store visitors rose by 48 per cent, and the average revenue by transaction jump 50 per cent, he said. ![]() Google has seen searches for local businesses spike 80 per cent year-over-year, and inquiries on product inventory at nearby small merchants - “who has gym equipment in stock,” for example - have surged by 8,000 per cent, the company said.ĭasilva said that the partnership has been in development for two years as they ran a pilot project to test the offering with small businesses on Lightspeed’s platform. “When you put those three things together, you put the independent retailer on a much more equal footing than much larger stores and brands, and it gives them a real ability to compete with Amazon,” said founder and chief executive Dax Dasilva in a phone interview. ![]() ![]() ![]() ![]() Unlike other species, sea turtles cannot retract their paddle-shaped flippers and head into their shells. The shell is part of a turtle’s spine, evolved from the ribs into an exterior bone covered in tough skin. Sea Turtles Do Not Retract Into Their Shells and Are Thus More Vulnerable You might also like: 12 of the Most Endangered Animals in the World 5. These positive feedback loops and the recycling of nutrients are vital for marine habitats, and due to their migratory lifestyles, sea turtles can transport nitrogen, phosphorus, and potassium from the oceans to the beaches they nest upon. They also provide sustenance for other fish since barnacles, algae, and small organisms can cling to their shells, supporting a robust food web. Some sea turtles also prey upon jellyfish and crustaceans, keeping their population numbers under control. Sea Turtles Play A Crucial Role In Maintaining the Ecosystem of the World’s Oceansīy grazing on seagrass beds and sea sponges within coral reefs, sea turtles prevent overgrowth, which in turn improves current flows and nitrogen production while promoting healthy cultivation of flora and fauna. Other species such as green turtles and olive ridleys prefer to stay close to home and thus cover much shorter migration distances. ![]() Loggerheads have been observed migrating from Japan to Baja, covering a distance of approximately 13,000 kilometers (8,000 miles). The leatherback turtle, for example, can travel some 16,000 kilometres (10,000 miles) or even more across the Pacific Ocean each year. Sea Turtles Migrate Thousands of Miles in their Lifetimesīoth male and female sea turtles migrate long distances from high seas to nesting beaches during their lifetimes. Fluctuations in temperatures during the two-month incubation period typically result in a mix of male and female turtles. Cooler incubation temperatures produce males while warmer sand often results in females. The sand temperature is extremely important as it determines the hatchlings’ sex. Turtles usually lay 100 to 125 eggs at a time, and nest multiple times over several months. The eggs of marine turtles cannot survive underwater they lay their eggs in a nest they dig in the sand with their rear flippers. Sand Temperature Determines the Sex of Sea Turtles Yet, the most consistent estimate shows that some sea turtles can live about 70 or even 80 years. Marine species sometimes take two to three decades to mature and remain actively reproductive for another 10 years. While it is difficult to document the exact age of any species of sea turtles, scientists found that these creatures have similar life spans to humans. 7 Interesting Facts About Sea Turtles 1. In this article, we take a closer look at 7 interesting and mind-blowing facts about sea turtles. Indeed, increasing global temperatures have important implications for sea turtle management and survival. Sea turtles are not only beautiful animals but they also show incredible perseverance and resilience amid a changing world and climates. Earth.Org is powered by over 150 contributing writers ![]() ![]() ![]() There are now two off, 1 in to loop out and 4 isolated DMX outputs. It features two isolated outputs to eliminate hum and buzz from ground loops, along with a third direct output. Model : SARMSS-16x1530 Rack Mountable 16 Channel Splitter Snake Cable 2 Space Send Cable - No Returns XLR / TRS 1/4' Combo Jacks on the box end Length: One 15' and one 30' XLR fantail trunks Weight: 19. The LX-3 makes use of a premium Jensen transformer to leverage the industry's best combination of frequency response, signal level handling, and low distortion, providing the highest possible signal quality. The rack splitter design has changed to be compatible with the ART series dimming system DMX splitters. 16 Channel XLR TRS Combo Splitter Snake Cable - 15'and 30' XLR trunks. Standard units have DMX in, DMX loop out, Terminate On switch and LED, plus additional Power and Data LED's. The device operates from any AC mains voltage ( 85 to 265v ) with a robust 2 amp internal power supply. product description Each unit provides 8 channels of mic level splitting circuitry in a single rack space unit. The Stage Box is rack mountable for convenience and ease of transport.Avolites DMX splitters will buffer, multiply, isolate and protect console DMX outputs. Part number: Custom See Chart The Whirlwind SPC8x series of passive microphone splitters are the ideal, expandable solution for permanent installations. Each stage box is well labeled and constructed from heavy duty steel. You can plug an XLR or a 1/4″ in to the box end of the snake. Go to B&H for amazing prices and service. ![]() The cable ends on the fantails are all male XLR, while the stage box consists of all female XLR and 1/4″ combo jacks. The perfect fit for any rack If you work in pro audio, you need the S8-3WAY This 3-way mic splitter offers eight XLR inputs with three balanced outputs. Buy Audio XLR Splitters & Combiners from top brands like Whirlwind, Radial Engineering, Pro Co Sound and Palmer. 3) Splitting XLR signals between house and monitor mixers. 2) Sending mixed signals to multiple amp racks. This is an ideal, rack-mountable splitter for many applications, including: 1) Splitting XLR signals for taking a recording directly off a house mix. These splitter cables are straight send snakes and do not have any returns. This is the EWI MST-412 4 Channel, 3 way, transformer isolated XLR splitter. These splitter snake cables do not have splitter transformers, ground-lift switches, or multi-pin disconnects. Seismic Audio - SARMSS-32x1010-32 Channel XLR TRS Combo Splitter Snake Cable - Two. Specialties: At CrossFit The Rack, we specialize in small group classes emphasizing short, high-intensity workouts designed to get you in incredible shape and maximize athletic performance. They each have a stage box and two hardwired short trunks with fantails. ![]() These snakes are your basic hardwired Y splitters. Data Stream 8 is a flexible DMX splitter designed to distribute and boost incoming DMX signals from dual inputs into 8 separate outputs via a master 3-position. XLR connectors make this snake cable fit right in with professional power amps and mixing consoles without the need for converters or couplers. With this snake cable, each pair of heavy duty conductors is individually shielded, yielding crystal clear sound while rejecting extraneous noise. Rack Mount 32 Channel XLR TRS Combo Splitter Snake Cable – 5′ and 30′ XLR trunks – Model #: SARMSS-32×530, 4 Space Rack Mountable 32 Channel Splitter Snake Cable, XLR / TRS 1/4″ Combo Jacks on the box end, High quality XLR connectors at fantail ends, Length: One 5′ Cable Trunk & One 30′ Cable Trunk, Send Cable – No Returns, Weight: 29.2 lbs, Condition: NEW, Fantail and stage box are both clearly labeled for quick and easy set up, 100% individually shielded pairs, 22 gauge heavy duty conductors, Rack Mountable Heavy duty steel stage box, High quality XLR connectors at fantail ends, High quality XLR / TRS 1/4″ Combo Jacks at the box end, Simple hardwired Y splits | Stage box with two hardwired short trunks with fantails, One Year Warranty. 7 Reviews Key Features Balanced 1/4' Inputs XLR, 1/4', and RCA Outputs Passive Design See All Details 17500 Reg. ![]() ![]() You can argue that it is overkill, sensor have native resolution(s) and high dpi's (actually cpi) are just "amplified" just like what your ingame sensitivity slider does and same is true for low sens. Side note: Every FPS game I play seems to have an inordinately high default mouse sensitivity, why is that? Many players who don’t research the topic are playing at a significant disadvantage. I wrote this on my lunch break so forgive me if I glossed over something important, feel free to ask me anything about aiming or simply to just clarify something. There’s so much more to having great aim, but the biggest thing you can change is having a mouse sensitivity within a good range. This will tell you your cm/360 for your mouse DPI and in-game sensitivity in Apex Legends in the ‘Output’ area under “Source/Quake, Overwatch - CM per 360:”. Under ‘Inputs’ enter a number next to “Source / Quake Sensitivity:” as Apex is a source game. To get to a number in or near this range i’ll detail some instructions on how to use a sensitivity calculator below. If you want to make a change i’d recommend starting somewhere between 24-40cm/360. If you’re playing on default there’s a good chance your sens is way too high to be consistent and accurate. Depending on your mouse DPI your sensitivity will be different. There’s always going to be outliers but if you’re playing on something under 20~cm/360 chances are your aim is going to be poor.ĭefault mouse sensitivity in Apex Legends is 5. CS:GO is more like 36cm so you get the idea that this rough number is good. I’ll quickly put things into perspective so bear with me.Īverage of competitive Overwatch players mouse sensitivities is 33cm/360, or 33cm of mouse movement to perform a 360 degree turn in-game. Long story short your mouse sensitivity is likely too high, especially if you’re on default settings. For many people this isn’t because they’re awful at shooters, it’s because their settings are letting them down. I’ve seen a lot of people on this subreddit saying they can’t hit anything, have no kills etc. ![]() ![]() This will still depend on how you use the device. The Ring Doorbell's battery life typically lasts between 6 to 12 months with normal use. Ring Video Doorbell 2, 3, 3 Plus, and the Peephole Cam are equipped with a quick-release battery pack, so you don't have to remove the whole device to charge it. The first and second-generation Ring Doorbells use a built-in battery, so you'll have to remove the whole device from the mounting bracket to charge it. The battery is charged with a micro USB charger. You can still buy a second battery as a backup power to help maintain the continuous use of your Ring Device when the main battery is charging. Ring Video Doorbells use a rechargeable lithium-ion battery that comes with the purchase of the device. Replace the security screw by rotating it clockwise using the provided screwdriver. Slide the cover back on and push it until you hear a snap. Hold it at a 45-degree angle and make sure the hook faces the hole. Take the faceplate and look for a plastic hook in the inner, upper part of the cover. Once you're done with the Ring Doorbell battery replacement, put the faceplate back on. Try turning on the Ring doorbell to see if you've placed the battery correctly before putting the faceplate back on. Once you have a fully charged battery, simply slide it back into place by pushing it until the black rectangular tab snaps. Plug the USB cable into the battery's USB port like you would a charger into your phone and wait until it is fully charged. There's a USB cable that comes with the Ring Doorbell's original packaging. Slide the battery out using your other index and middle finger. Press this tab using one index finger to quickly release the battery pack. At the top of the battery is a black rectangular tab. Once you've removed the faceplate, you'll see the battery inside the device. ![]() Be careful not to drop the cover as you may end up damaging it. Using your thumb, push the faceplate upwards with the help of your index and middle fingers. To remove the faceplate, put your thumbs on the bottom of the faceplate and the tips of your index and middle fingers on the front plate. The faceplate will remain tightly in place even when you've taken out the screws. Simply insert the screwdriver and turn the screw counterclockwise until it loosens. The specially-shaped head was done for security purposes, so don't try to use a third-party screwdriver like a micro Phillips screwdriver as you might end up damaging the screws. Use the provided screwdriver with a star-shaped end to remove the security screw. There's no battery access from the Ring device's outer shell, so you'll have to remove the front plate to remove the battery. This will depend on how often you activate motion detection and how often you use the two-way audio and video streaming features. The Ring Doorbell is powered by a 6,000mAh rechargeable battery located inside the device.Īccording to its manufacturer, Amazon, its battery life lasts around 6 to 12 months, and recharging would take only a few hours. In this blog, we'll talk about how to change the Ring Video Doorbell battery. We already discussed how to install a Ring Video Doorbell Wired in our previous blog. The Ring Video Doorbell comes in two variants: the wired version and the battery-powered one. It also has a two-way audio communication feature that lets you talk to your visitors even when you're away. The Ring Doorbell has a motion sensor that allows it to send real-time notifications to your smartphone when someone is at your front door. ![]() ![]() The Ring Video Doorbell is a powerful smart security camera that has both the features of a surveillance camera and the convenience of a traditional doorbell. ![]() Ring Stick Up Cam Battery & Ring Spotlight Cam Battery ![]() ![]() ![]() This will further improve your mood, sleep cycles and make you feel positive and full of energy. It will make you a happier individual full of life and joy, due to the dopamine that the brain produces when it is calm and at peace. In conclusion, playing harmonious sounds in the background will make you feel great, refreshed and relaxed. The music therapy successfully lowered the patients’ blood pressure and heart rate. Studies conducted on hospital patients documented that the patients showed a decrease in their heart rate when they were exposed to soft (nonverbal) slow music a couple of times a day. The calming effect of relaxing nature sounds will slow down an overworked heart to a healthy level thanks to the soft sounds. Another great health benefit of relaxation to peaceful healing music is that it can stabilize the heart rate for those with irregular heart beats. ![]() Research have shown that specific areas of the brain light up and provide an interconnection between the both hemispheres, this will result in faster and smoother communication among the brain cells (neurons). Your brain’s processing mechanism will improve by regularly hearing wonderful serene sounds from the natural world. Playing for instance soothing ocean waves sounds together with deep breathing exercises before bedtime will improve your chances of falling asleep. Chronic stress also affects our sleep negatively and we all need a good uninterrupted sleep to function normally. A great bonus is that the reduction of the high levels can improve your memory and cognitive thinking. You will see a decrease in high levels of stress by relaxing daily to calming sounds and this may also help you to disconnect from challenging everyday events. ![]() Chronic stress can weaken the immune system and a weak immune defense may lead to decease and infections. Stress is something we all experience from time to time, however under prolonged periods it will negatively affect your mind and body. There are amazing health benefits for those who regularly listen to relaxing nature sounds and gentle ocean music. In addition to this, taking daily long walks in green spaces has shown to be helpful when recovering from stress and mental disorder. ![]() City inhabitants are more likely to suffer from health issues like depression and insomnia compared to people living in the countryside, research suggest that it has to do with the disconnect from nature. They do this to encourage deep relaxation and sleep, and to heal the mind body and spirit. In the wellness business, at spa facilities, yoga and meditation classes and among alternative holistic practitioners, it is quite popular to play serene music and relaxing nature sounds to enhance the yoga, meditative, healing and spa experience. The environmental, new age and wellness movements, which where reactions against the establishment, have positively contributed and awakened our concern for mother nature and ourselves. Today people are more concerned about their overall health and wellbeing than a few decades ago. ‘When people think of relaxing nature sounds, soothing rain, refreshing bamboo water fountain, pouring waterfall and gentle ocean waves sounds comes to mind’ The wonderful sounds of gentle mountain streams and leaves rustling in the wind will clear your head of any disturbing thoughts and an inner calmness will wash over you, leaving you in a complete state of bliss and relaxation. The harmony of the sound conjures beautiful images, painting an idyllic picture in the brain that encourages mind body relaxation. Who doesn’t get positively affected of hearing delightful waterfall sounds, or refreshing ocean waves sounds? You can today begin to relax, meditate, heal and fall asleep to our original nature sounds. When your senses take in incredible landscapes and peaceful sounds it sets off a cascade of physical and psychological benefits. Healing sounds and chanting were used in rituals and ceremonies to heal people and the land from disease and negative energy. In ancient Greece, India, and in native American cultures, music and certain natural forces like rivers where sacred and respected. Relaxing sounds from the natural world and open green spaces have for centuries been associated with wellbeing. ![]() ![]() ![]() PHP version within the HTTP header (e.g., X-Powered-By: PHP/5.3.7). The number of significant digits stored while serializing floating point numbers.Įxposes to the world that PHP is installed on the server, which includes the 1 means that an enhanced algorithm for rounding The number of significant digits displayed in floating point numbers. This directive does not affect the shorthand If you want to use PHP inĬombination with XML, you can disable this option in order toĬan print it with PHP, for example: ' ?>. Prior to PHP 7.1.0, the default value was 17. Language and Misc Configuration Options Name Getting Started Introduction A simple tutorial Language Reference Basic syntax Types Variables Constants Expressions Operators Control Structures Functions Classes and Objects Namespaces Enumerations Errors Exceptions Fibers Generators Attributes References Explained Predefined Variables Predefined Exceptions Predefined Interfaces and Classes Predefined Attributes Context options and parameters Supported Protocols and Wrappers Security Introduction General considerations Installed as CGI binary Installed as an Apache module Session Security Filesystem Security Database Security Error Reporting User Submitted Data Hiding PHP Keeping Current Features HTTP authentication with PHP Cookies Sessions Dealing with XForms Handling file uploads Using remote files Connection handling Persistent Database Connections Command line usage Garbage Collection DTrace Dynamic Tracing Function Reference Affecting PHP's Behaviour Audio Formats Manipulation Authentication Services Command Line Specific Extensions Compression and Archive Extensions Cryptography Extensions Database Extensions Date and Time Related Extensions File System Related Extensions Human Language and Character Encoding Support Image Processing and Generation Mail Related Extensions Mathematical Extensions Non-Text MIME Output Process Control Extensions Other Basic Extensions Other Services Search Engine Extensions Server Specific Extensions Session Extensions Text Processing Variable and Type Related Extensions Web Services Windows Only Extensions XML Manipulation GUI Extensions Keyboard Shortcuts ? This help j Next menu item k Previous menu item g p Previous man page g n Next man page G Scroll to bottom g g Scroll to top g h Goto homepage g s Goto search ![]() ![]() A reasonable goal is to do moderate-intensity exercise for at least 20-30 minutes per day on most or all days of the week. Pregnant women who regularly engage in a vigorous-intensity aerobic activity (i.e., the equivalent of running or jogging), or who are highly active “can continue physical activity during pregnancy and the postpartum period provided that they remain healthy and discuss with their health care provider how and when activity should be adjusted over time”. Guidelines recommend at least 150 minutes per week of moderate-intensity aerobic activity (i.e., equivalent to brisk walking), for healthy pregnant and postpartum women. ![]() Regular physical activity during pregnancy improves or maintains physical fitness, helps with weight management, reduces the risk of gestational diabetes in obese women, and enhances psychological well-being. Women with uncomplicated pregnancies are encouraged to engage in aerobic and strength training exercises before, during, and after pregnancy. This is a good time to visualize the baby’s anatomy which cannot be completely seen at earlier dates Can I exercise? We will do a screening ultrasound between 18-22 weeks. (Your estimated due date is calculated as 40 weeks). The estimated due date is indeed just an estimate, as “term” is considered to be from 37 to 42 weeks. ![]() An ultrasound to confirm your due date will be scheduled at one of your first appointments. Due Dates are calculated from the first day of the last menstrual period. ![]() ![]() ![]() Amniotic fluid embolism (AFE) is a rare obstetric emergency in which it is postulated that amniotic fluid, fetal cells, hair, or other debris enter the maternal circulation, causing cardiorespiratory collapse.Obstetricians should be alert to the symptoms ofĪFE and strive for prompt and aggressive treatment.Patient who has sudden onset of respiratoryĭistress, cardiac collapse, seizures, unexplained Suspect AFE when confronted with any pregnant.Associated with high rates of mortality and.It has a complex pathogenesis and serious.AFE is a sudden and unexpected rare but life.The variance in these numbers is explained by dissimilarĬase definitions and possibly improvements in intensive.Ranging from 26% to as high as 86% have been reported. For women diagnosed as having AFE, mortality rates.Or (3) initial survival with death due to acute respiratoryĭistress syndrome (ARDS) and multiple organ failure Sudden cardiac arrest, (2) hemorrhage due to coagulopathy, Maternal death usually occurs in one of three ways: (1).Ventricular filling pressure may be helpful Indicated monitoring central venous pressure or left Wedge pressure, and BP during infusion prior to infusion,Ĭorrect hypovolemia with either whole blood or plasma, as Precautions: Monitor urine flow, cardiac output, pulmonary. ![]() ![]() Contraindications: ventricular fibrillation, hypovolemia,.DOSE: 2-5 mcg/kg/min IV titrate to BP and cardiac output.Vasculature, increasing renal blood flow and GFR. Dopamine increases myocardial contractility and systolic BP.Mg/dL, and transfuse platelets for platelet counts Treat coagulopathy with FFP for a prolonged aPTT,Ĭryoprecipitate for a fibrinogen level less than 100.Most patients will have hypofibrinogenemia,Ībnormal PT and aPTT and low Platelet counts.The fibrinolytic system is activated as well. DIC results in the depletion of fibrinogen, platelets,Īnd coagulation factors, especially factors V, VIII,Īnd XIII.Nevertheless, these and other frequently cited risk factorsĪre not consistently observed and at the present timeĮxperts agree that this condition is not preventable.Other causes of hemodynamic instability should not be neglected.Īmniotic Fluid Embolism Approach to Management The diagnosis is essentially one of exclusion based on clinical presentation. The diagnosis of AFE has traditionally been made at autopsy when fetal squamous cells are found in the maternal pulmonary circulation however, fetal squamous cells are commonly found in the circulation of laboring patients who do not develop the syndrome. Data from the National Amniotic Fluid Embolus Registry (USA) suggest that the process is more similar to anaphylaxis than to embolism, and the term anaphylactoid syndrome of pregnancy has been suggested because fetal tissue or amniotic fluid components are not universally found in women who present with signs and symptoms attributable to AFE. Steiner and Luschbaugh first described AFE in 1941, after they found fetal debris in the pulmonary circulation of women who died during labor. Amniotic fluid embolism (AFE) is a life threatening obstetric emergency characterized by sudden cardiorespiratory collapse and disseminated intravascular coagulation. ![]() |
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