Amniotic fluid embolism is a rare and unpredictable complication of childbirth.with about fifteen cases per year in France, but very serious with maternal mortality that can vary from 20 to 60% , associating severe cardiovascular collapse, acute respiratory distress syndrome and hemorrhage with disseminated intravascular coagulation (DIC). As soon as the diagnosis is mentioned, management must be multidisciplinary and intensive. Amniotic embolism is responsible for such significant neonatal mortality. Over the past ten years, the maternal-fetal prognosis seems to have improved thanks to progress in standardized multidisciplinary care at the delivery site. We report a case of amniotic fluid embolism which occurred during fetal extraction during caesarean section.