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Qingyuan, Guangdong,
A woman who is 40 weeks pregnant suddenly has amniotic fluid embolism while waiting to give birth,
Convulsions all over the body, spitting out white bubbles, cardiac arrest.
Medical staff acted quickly,
It took only 7 minutes from the beginning of the rescue to the birth of the child,
It has won valuable time for follow-up rescue.
Mothers and children are safe!
Which woman gives birth to a child,
It's all around the ghost gate!
Amniotic fluid embolism,
It's an obstetric nightmare.
It not only endangers the safety of maternal life,
It is also a challenge for doctors.
Jia Xiaohui, deputy director of the obstetrics department of Zhengzhou People's Hospital, said,
In the eyes of doctors,
Amniotic fluid embolism is known as the "devil's draw",
Because the incidence of this disease is very low,
But once there is a mortality rate, it is extremely high,
Similar to a plane crash.
Once an amniotic fluid embolism occurs,
Even actively rescue,
The mortality rate is still very high,
The maternal mortality rate can be as high as 80 per cent.
The time to die is so fast that it can range from minutes to hours,
About 1/3 of patients die within half an hour of illness,
Another 1/3 die within 1 hour of onset,
Most caused by pulmonary vascular embolism,
The remaining 1/3 die of non-coagulation of the blood or kidney failure.
So what is amniotic fluid embolism?
Amniotic fluid embolism
Refers to the course of childbirth
Amniotic fluid suddenly enters the maternal blood circulation
causes acute pulmonary embolism,
Anaphylactic shock,
disseminated intravascular coagulation,
Serious complications of renal failure or sudden death during childbirth.
The incidence is 4/100,000 to 6/100,000,
Amniotic fluid embolism is due to the contamination of tangible substances in amniotic fluid
(Fetal hair, keratinized epithelium, fetal fat, meconium)
and procoagulant substances into the maternal blood circulation caused.
According to recent studies,
Amniotic fluid embolism is mainly an allergic reaction,
It is after the amniotic fluid enters the maternal circulation,
causes a series of allergic reactions of the mother to the fetal antigen,
Therefore, it is recommended to name it "pregnancy allergic reaction syndrome".
Who are at high risk for amniotic fluid embolism?
During pregnancy,
Amniotic fluid embolism hardly has any precursors,
It is often not until the time of labor that the signs are revealed.
Although the probability of amniotic fluid embolism occurring clinically is very small,
But mothers who have these conditions during pregnancy
Amniotic fluid embolism is more likely,
So mothers must pay attention during pregnancy
Eat a reasonable diet and have regular maternity check-ups.
01
Advanced maternal age
Women older than 35 years are considered elderly and have a higher risk of age.
02
Caesarean section
Natural childbirth may also encounter amniotic fluid embolism, but caesarean section increases this risk many times. Amniotic fluid easily enters the bloodstream from the surgical incision during caesarean section.
03
Abuse of oxytocin
Artificially speeding up the labor process, the contractions are too fast, the pressure is too strong, resulting in amniotic fluid into the bloodstream.
04
Multiple deliveries
Increased number of births leads to loose uterine tissue and increased risk by making amniotic fluid more likely to penetrate the mother through the uterus.
In addition to amniotic fluid embolism,
There are many risks for women to become pregnant and have children,
For example, heavy bleeding, high blood pressure during pregnancy, uterine prolapse, etc.,
Each one is tossing and turning on the brink of life and death.
Expectant mothers must pay attention to the body during pregnancy,
Especially to detect blood pressure and blood sugar,
Reasonable weight control and on-time obstetric examinations
Even if all of the above risk factors are present,
The probability of amniotic fluid embolism
It's still pretty much the same as winning the Jackpot.
Don't panic too much!
What problems should expectant mothers pay attention to during pregnancy?
Jia Xiaohui, deputy director of the Obstetrics Department of Zhengzhou People's Hospital, will answer you one by one!
Prepare before pregnancy
It is recommended to start oral folic acid tablets in the first 3 months of pregnancy, away from tea, alcohol, tobacco, coffee, etc., and adhere to appropriate exercise every day;
At the same time, it is also recommended that husbands exercise together, quit smoking and alcohol, and improve physical fitness to ensure the quality of sperm.
Pregnancy tests
Ultrasonography: can be performed at 8 weeks, 12 weeks, and 20 to 24 weeks, and if necessary. This test can be used to further determine the date of pregnancy and to know if the fetus has developmental abnormalities, such as cleft palate and organ abnormalities.
Down screening: Down screening is performed at 15 to 16 weeks of pregnancy.
Non-invasive DNA testing: a detection of the free DNA of the fetus in the peripheral blood of pregnant women by drawing the peripheral blood of pregnant women, the main diseases it detects are the akploidy of common chromosomes, which is what we call Down syndrome, trisomy 21, trisomy 18 and trisomy 13.
Amniocentesis: This test is not normal for young pregnant women to do. Studies have shown that the older the pregnant woman, the higher the incidence of congenitally stupid and malformed children. Amniocentesis can be done at 18 to 20 weeks of pregnancy to exclude chromosomal abnormalities in the fetus.
As long as the prenatal examination is on time,
Maintain a healthy body,
Pay attention to nutrition and exercise during pregnancy,
With the improvement of the level of health care,
The vast majority of elderly pregnant women will successfully pass the pregnancy and childbirth.
All in all
It should be based on the actual situation of the pregnant woman,
And be sure to listen to the advice of your obstetrician!
Miao Fengtai
Director of obstetrics, Zhengzhou People's Hospital
Chief physician
Engaged in obstetrics and gynecology clinical work for more than 30 years, proficient in the diagnosis and treatment of common diseases in obstetrics and gynecology, especially good at obstetrics, he has expertise in the diagnosis and treatment of high-risk pregnancies such as severe preeclampsia, gestational diabetes, gestational thyroid disease, placental implantation and other diseases. He has participated in the rescue of acute and critical illness in the province for many times and enjoys a high reputation in the province.
Contributed by: Yu Hua, Publicity Department
Editor: Chen Xi
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