Dabao is one and a half years old
It's the time to be very clingy
The second treasure in the stomach is more than five months
Pregnant woman Ah Yan (pseudonym) is very much looking forward to it
The happy life of a family of four in the future
But the accident was so unexpected
Dabao jumped twice in the arms of his pregnant mother
Ah Yan is a young mother who is pregnant with her second child
Dabao usually likes to spoil in her arms
Just at 6:30 a.m. on January 2, 2022
Dabao accidentally kicked her in the abdomen twice when he was snorting
Because Dabao is usually mischievous in his arms, he is used to mischief
Ah Yan did not pay attention
Who expected, 5 minutes later, Ah Yan had abdominal pain, and the pain became more and more severe, and then the vagina also began to bleed, and the family rushed her to the First People's Hospital of Pinghu City.
Placental abruption Life and death rescue
At about 9 a.m., Ah Yan arrived at the emergency obstetrics and gynecology department. At this time, her abdominal pain was significantly aggravated, the amount of vaginal bleeding was also significantly increased, and the ultrasound doctor completed the bedside B ultrasound at the fastest speed, and the critical value alert: the size of the fetus was 5 months pregnant, the placenta was prematurely stripped, the fetal heart was close to disappearing, and the amniotic fluid was not seen.
Placental abruption is one of the most dangerous emergencies in obstetrics, placenta early detachment, will cause fetal oxygen supply and nutrition blockage, resulting in premature fetal birth or fetal death, heavy bleeding will endanger maternal life.
"Placental abruption, caesarean section as soon as possible!"
The situation is critical
The Emergency Obstetrics Department immediately activated the first-level emergency plan!
Combine existing information
The preliminary estimate of maternal bleeding has reached 1000 ml
Emergency preoperative preparation, preoperative conversation with the patient's family, blood drawn for testing, establishment of venous channels, reporting to the perinatal cooperation group, notifying the medical department and hospital leaders, emergency contact blood bank, operating room, obstetric ward, ICU to make corresponding rescue preparations...
Since the results of the new crown nucleic acid test of Ah Yan admitted to the emergency room have not yet been released, she is directly sent from the emergency room to room 3 from the emergency room from the designated channel, and at this time, Ah Yan has entered a state of shock. The medical staff rushed all the way, and a battle with the god of death began in the operating room.
At 09:30, with the cooperation of Chief Physician Tao Yichen and Deputy Chief Physician Cao Minmin, the surgical team worked together to smoothly open the abdominal cavity. At this time, the abdominal cavity is scattered with blood, the maternal uterus has been purple-blue ecchymosis, after entering the uterine cavity, a large number of blood clots and blood gushed out, 5 months of stillbirth is located in the blood pool. The placenta is removed for examination, and the peeling area has reached 2/3.
After the placenta is delivered, the bleeding in the uterus is raging, the catheter acts as a temporary tourniquet to compress the lower part of the uterus placenta peel surface position, blood transfusion, drug stop bleeding, massage the uterus... Various hemostasis measures are multi-pronged. Finally, after 10 minutes, the intrauterine bleeding was significantly reduced, the color of the uterus slowly returned to normal, the operation was smooth, the maternal vital signs tended to be stable, the intraoperative bleeding amount reached 1300ml, plus 1000ml before the operation, and the total blood loss of the patient to the end of the operation reached 2300ml! At 11:05 Ayan was safely sent out of the operating room.
Ah Yan's lover was at the door of the operating room
Seeing my wife nine dead for life come out
Excitedly, he shook the doctor's hand
Repeat "Thank you!" Thank you! ”
After the operation, Ah Yan recovered very well, the indicators were basically normal, and the vital signs were stable. She said that the next pregnancy will definitely pay great attention to protecting her stomach and can't be so careless anymore.
How can pregnant women do a good job in pregnancy health care?
Giving birth is a long and variable process, and once there is a sudden abnormality, it is very likely to endanger the life of the fetus and the mother.
How to do a good job of pregnancy care for pregnant women
How to avoid danger?
Come and listen to the First People's Hospital of Pinghu City
How does Jin Meiping, director of obstetrics and gynecology, say it!
Key points: Placental abruption is a serious complication of the third trimester of pregnancy. It has the characteristics of acute onset and rapid development.
Severe placental abruption will not only cause fetal oxygen supply and nutrition blockage, but also fetal death intrauterine. The mother may also cause coagulation dysfunction and postpartum hemorrhage. In the case of uterine stroke, it can also lead to hysterectomy and even endanger the life of the mother.
Ah Yan's placental abruption and Dabao's kick are inseparable, and there is a history of external forces. Therefore, in the third trimester of pregnancy, we must pay attention to regular obstetric examinations, do appropriate activities, avoid lying on our backs for a long time; avoid traumatic external forces; if there is vaginal bleeding, abdominal pain, abdominal trauma, etc., we must seek medical treatment in time, so that we can diagnose in time, take appropriate treatment in time, and ensure the safety of mothers and babies.
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Source: Pinghu First Hospital
Editor: Lu Jie
Editor-in-charge: Zhang Xueneng
Review: Zhu Junsheng
Original content published by the new media platform affiliated to the Pinghu Media Center shall not be copied, reproduced or excerpted without authorization.
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