Amniotic fluid embolism (AFE), an exceptional, disastrous, complication of pregnancy may occur in association with aspiration of gastric contents, one of its clinical mimics. Histologic confirmation of particulate components of amniotic fluid such as fetal squamous cells, lanugo hair, mucin and debris in pulmonary microvasculature is the foundation of diagnosis and presence of partially digested vegetative material with acute inflammatory changes in terminal bronchioles is a telltale sign of aspiration of particulate gastric content. We report a case of amniotic fluid embolism with aspiration of gastric contents in a 32 year preeclamptic, anemic patient that occurred after induction and augmentation of labor with a vaginal administration of misoprostol and artificial rupture of fetal membranes respectively. These episodes culminated in death of mother and female fetus during labor.

Keywords: Amniotic Fluid Embolism; Maternal Mortality; Aspiration; Gastric Contents.