Even though she was 8 months pregnant, Ms. Luo, a citizen of Changsha, was still enthusiastic about playing mahjong. But this time playing mahjong, but almost into the "ghost gate". After the emergency rescue of the three departments of obstetrics and gynecology of Hunan Provincial People's Hospital, the mother and child turned the crisis into safety. On January 24, Miss Luo and the baby recovered well through the 5-day observation period and were about to be discharged from the hospital.
Ms. Luo, a 31-year-old who lives in Mawangdui, Changsha, was previously in good health, had a healthy 2-year-old boy, and her second child was 37 weeks pregnant. Due to irregular menstruation, Ms. Luo did not find pregnancy until the 5th month of pregnancy, when the abdomen bulged and the fetal movement was obvious, and the relevant obstetric examinations done thereafter did not find obvious abnormalities. Ms. Luo usually likes to play mahjong, even if she is 8 months pregnant, this hobby has not fallen. At about 2 p.m. on January 18, Ms. Luo played mahjong with several friends. At about 5 p.m., she suddenly felt a vague pain in her lower abdomen, and after going to the toilet, she found that the bleeding was incessant and the abdominal pain was aggravated, and she was urgently sent to the Mawangdui Branch of Hunan Provincial People's Hospital for emergency treatment.
At 18:00 on the same day, Dr. Tang Min and Xu Mengjie of the Third Department of Obstetrics and Gynecology, who were preparing to leave work, received Ms. Luo. At this time, Ms. Luo was in a state of hemorrhagic shock, and the fetal heart rate fluctuated at 70 to 80 beats per minute, only half of the normal value. Based on their experience, the two doctors judged ms. Luo to be acute fetal intrauterine distress and that placental abruption may have occurred. This situation must be operated on immediately, otherwise not only the child in the stomach will die, but the adult will also be in danger of life.
After receiving the notice, Liu Qin, director of the third department of obstetrics and gynecology, Chen Chunyan, chief physician, and Zhong Wei, chief nurse, reacted quickly, started the green channel in the hospital, and notified the operating room, anesthesia department, pediatric department, and B ultrasound room to carry out multidisciplinary emergency rescue. During the emergency caesarean section for Ms. Luo, it was found that Ms. Luo was placental abruption grade III., placental uterine stroke, placental peeling area reached more than 1/3, and the blood in the uterine cavity alone had reached 2000 ml. After the medical staff struggled to rescue, Ms. Luo and the severely suffocated, lifeless newborn baby were finally snatched back from the "ghost gate".
"Placental abruption is extremely dangerous and is one of the serious complications of the third trimester." Liu Qin introduced that placental abruption refers to the partial or total stripping of the placenta in a normal position after 20 weeks of pregnancy or during childbirth before the fetus is delivered. Early placental detachment often begins abruptly and progresses rapidly, and serious complications such as disseminated intravascular coagulation (DIC), renal failure, and postpartum haemorrhage occur if diagnosed and managed in a timely manner, which seriously threatens the life of the mother and child. In mainland China, the incidence of the disease is 0.46% to 2.1%, and the perinatal mortality rate is 20% to 35%, which is 15 times higher than that of placenta-free early strippers.
Doctors remind pregnant mothers to develop a good lifestyle, strengthen prenatal examinations, and actively prevent and treat hypertensive diseases during pregnancy; strengthen management of high-risk pregnancies such as hypertension and chronic nephritis; avoid long-term sedentary sitting, sudden changes in uterine pressure and abdominal trauma in the third trimester of pregnancy, which can effectively avoid and prevent the occurrence of placental abruption. Once there is vaginal bleeding, abdominal pain and other discomfort, pregnant women should immediately go to the hospital for treatment to avoid serious consequences.
Reporter: Luo Yanting Correspondent: Tang Min
Source: Changsha TV Political and Legal Channel