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Multidisciplinary emergency rescue of placental abruption of the mother to ensure the safety of patients in an all-round way

author:Sunshine News Sunshine Network

Sunshine News (reporter Zhang Hua) If childbirth is a "ghost door" for pregnant women, then for obstetricians, it is necessary to have the courage and responsibility to fight against the "god of death". At 5:37 a.m. on January 10, 2022, a special pregnant woman who was transferred from the outer hospital to the Third Hospital of Xi'an City, 30 + 2 weeks pregnant, had a large amount of vaginal bleeding for one and a half hours, checked the pregnant woman's uterine tone, no intermittent, vulvar blood staining, and the outer courtyard ultrasound suggested that placental abruption was possible. The receiving doctor reported to Fan Xiaobin, director of the Obstetrics and Gynecology Department, at the same time, opened the green channel for rescue in the hospital, and notified the operating room, anesthesiology department and neonatology department to carry out multidisciplinary emergency rescue.

Multidisciplinary emergency rescue of placental abruption of the mother to ensure the safety of patients in an all-round way

Patients are urgently transported to a negative pressure operating room for an emergency caesarean section. During the operation, the uterus that should have been pink has changed purple-blue, the uterine cavity coagulation clot is about 600ml, and the placental peeling surface is about 50%, and the medical staff has worked hard to rescue the newborn, successfully delivered a newborn with a weight of 1450g, and transferred to the neonatology department after emergency resuscitation. At present, the mother has recovered and discharged from the hospital, and the child continues to stay in the neonatology department of the hospital for treatment due to premature birth.

It is understood that maternal placental abruption is extremely dangerous, can be described as a step of heaven, a step of hell, this treatment, is the city's three hospitals multidisciplinary team again close cooperation under the epidemic out of the "life super speed". Fan Xiaobin, director of the Department of Obstetrics and Gynecology of the Third Hospital of Xi'an, said that "placental abruption" is one of the serious complications of the third trimester of pregnancy, which means that after 20 weeks of pregnancy, the placenta in the normal position is partially or completely stripped from the uterine wall before the fetus is delivered. If a pregnant woman finds abnormal fetal movements, vaginal bleeding more than the amount of menstruation, or sudden ongoing abdominal pain, low back pain or low back pain, go to a hospital with labor conditions as soon as possible to seek medical treatment in time.

Multidisciplinary emergency rescue of placental abruption of the mother to ensure the safety of patients in an all-round way

During the epidemic period, in order to effectively meet the normal medical needs of the masses, the Xi'an Epidemic Prevention and Control Headquarters has uniformly deployed and arranged designated diagnosis and treatment hospitals, and the Third Hospital of Xi'an City, as one of the comprehensive treatment units for first-class patients, has protected the health and safety of the general public to the greatest extent.

Under the overall arrangement of the hospital leaders and the leadership of Director Fan Xiaobin, the Department of Obstetrics and Gynecology of the Third Hospital of Xi'an City overcame various difficulties, adhered to the frontline, stood by 24 hours a day, and dutifully did a good job in medical security. Through simulation again and again, simplifying the process over and over again, refining and clarifying the division of responsibilities... The department quickly set up a number of diagnosis and treatment areas such as ordinary obstetrics and gynecology outpatient clinics, ordinary night emergency departments, isolation wards, ordinary inpatient wards, control areas, and 24-hour special emergency departments for first-class patients to ensure the safety of patients' lives in an all-round way.

Multidisciplinary emergency rescue of placental abruption of the mother to ensure the safety of patients in an all-round way

Edit: Cheng Ke

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