Suffering from a variety of pregnancy complications, 260 pounds of "panda blood" pregnant women gave birth safely

Modern Express News (correspondent Geng Shasha reporter Gu Xiao) weighs 268 pounds, "panda blood", suffers from gestational hypertension, gestational diabetes ... Recently, Yue Yue (pseudonym), a "heavyweight" mother-to-be in Baoying County, Yangzhou City, under the meticulous treatment and care of all medical staff in the obstetric department of Baoying County Maternal and Child Health Hospital, successfully gave birth to a cute and healthy baby girl, and the mother and daughter were safe.

△ Courtesy of the correspondent

The first time I went to the hospital for a maternity examination, many indicators of Yue Yue's body really frightened us. Height 168 cm, weight 240 pounds, BMI up to 42.5! According to Fan Chengling, director of the obstetrics department and chief physician of Baoying County Maternal and Child Health Hospital, the normal range of body mass index is 18.5-23.9, and Yueyue's body mass index is nearly twice. Not only that, Yueyue's blood type is RH-negative blood, commonly known as "panda blood."" RH-negative blood is a relatively rare blood type in China, and once there is heavy bleeding after childbirth in the process of childbirth, the blood source is difficult to be guaranteed. "

As Yue Yue's pregnancy months increased, she developed new symptoms such as gestational hypertension and gestational diabetes. In order to allow Yue Yue to be able to wait for delivery smoothly, perinatal health care doctors and dietitians provide personalized guidance, control blood pressure, and "tailor-made" diet guidance and exercise treatment for them, hoping to ensure the safety of mothers and babies while extending the gestational age as much as possible.

However, when Yue Yue was close to 37 weeks pregnant, Yue Yue suddenly gained a sharp weight, gaining 12 pounds in just one week. This indicates that the pregnant woman's condition is worsening, and continued pregnancy has a multi-organ function damage that endangers the life of the mother and the baby, and the pregnancy must be terminated as soon as possible!" Fan Chengling introduced.

However, if the caesarean section is elected, the mother's weight of 268 pounds at this time is a big challenge for both the surgeon and the anesthesiologist. The abdominal fat of the mother is too thick, it is difficult to enter the abdomen, it is difficult to take the child during the operation, and it is difficult to heal the postoperative incision. In addition, the fat on the back is too thick, and the difficulty of puncture of spinal canal anesthesia increases.

To this end, the hospital immediately convened obstetrics, anesthesiology, neonatology, laboratory, and obstetrics and operating room medical staff to conduct multidisciplinary discussions. In the end, everyone discussed and decided to let the mother have a normal trial delivery, and made contingency plans for possible problems such as transit caesarean section and postpartum bleeding. In order to ensure the use of blood, Fan Chengling tried her best to urgently transfer 1500 ml of "panda blood" with the same blood type as the mother.

Everything was ready, and at 3 a.m. on December 2, under the influence of the drug, Yue Yue had regular contractions. At 6 a.m., spinal canal anesthesia puncture was successfully performed and labor analgesia was performed. At 4:25 p.m., with the "Wow Wow Wow..." With a crisp and loud cry, a cute and healthy baby girl was born smoothly.

According to Dr. Fan Chengling, with the improvement of people's living standards, more and more pregnant women are obese during pregnancy, and a considerable number of expectant mothers suffer from many complications due to poor weight control during pregnancy. Pregnant women who are overly obese are prone to hypertensive diseases, diabetes, and macrosomia during pregnancy, which make it difficult to give birth smoothly. It is recommended that expectant mothers must control their weight within a reasonable range before pregnancy and safely pass the delivery period.