Peace Hospital: Multidisciplinary collaboration helps high-risk mothers and children to be safe

Yellow River News Network Changzhi News: Recently, the Obstetrics Department of peace hospital affiliated to Changzhi Medical College successfully completed the caesarean section of congenital scoliosis and severe humpback maternal caesarean section under the cooperation of 9 departments such as respiratory medicine, cardiovascular medicine, critical care medicine and anesthesia.

Pictured: The scene of the operation

As a "special" pregnant woman, Xiaoli was tormented throughout her pregnancy. As the gestational age increases and the fetus continues to develop, Xiaoli's internal organs are under pressure several times greater than those of normal mothers. In addition, complications such as pregnancy hypertension and gestational diabetes have always accompanied her, and throughout pregnancy, huge risks and hardships have always existed.

On the eve of the Spring Festival, the mother was suddenly hospitalized urgently, and after the doctor's diagnosis, the maternal scoliosis, thoracic deformity, with severe preeclampsia, gestational diabetes, gestational hypertension and other complications, continued pregnancy will aggravate the condition...

In the face of such a "special" mother, obstetric medical staff attach great importance to it, and Liu Junli, director of obstetrics, quickly launched a multidisciplinary consultation of the hospital's critically ill maternal treatment team. Experts from 9 departments, including respiratory medicine, cardiovascular medicine, critical care medicine, anesthesiology, hematology, neonatology, blood transfusion medicine, medical affairs, and regulation department, gathered to conduct a meticulous discussion on Xiaoli's condition. The experts worked together to develop a very meticulous surgical plan for Xiaoli. Considering that Xiaoli is thin and has many complications, the probability of intraoperative bleeding will increase, and the department of blood transfusion medicine is also fully prepared for emergencies. The consultation decided to terminate the pregnancy as soon as possible for Xiao Lixing's caesarean section.

Giving birth to a child is like going through a "ghost gate", and for Xiaoli, there is more than one barrier. Xiaoli's important organs are compressed, the circulation function and regulation function are poor, the position of receiving anesthesia surgery is limited, the anesthesia is extremely difficult and risky, and before and after the fetal removal, it will face huge circulatory fluctuations. In order to ensure the safety and smoothness of anesthesia, the anesthesia team led by Jia Jintai, director of the Department of Anesthesiology, checked Xiaoli's status many times, carefully conducted preoperative assessment, and communicated with her and her family in detail to explain the anesthesia and surgery-related situation.

"Born! Born! It's a boy! After multidisciplinary collaboration, Liu Junli, director of obstetrics, with superb medical technology, the operation was completed in one go. At the same time, the follow-up work is also carried out in a tense and orderly manner, the actual number of weeks of the child is only 28 weeks, the weight is only more than 2 pounds, it is premature, high-risk, very low-weight, and accompanied by mild asphyxia. The neonatal resuscitation team composed of neonatologists and midwives immediately gives professional examination and treatment of neonatal resuscitation, oxygen inhalation, and warmth, and after successful neonatal resuscitation, obstetric midwives and pediatricians jointly escort them to the neonatal intensive care unit. Finally, with strict cooperation, Xiaoli gave birth smoothly and the mother and child were safe. Xiaoli also improved her condition under the meticulous care of obstetric medical staff and was successfully discharged from the hospital.

It is understood that multidisciplinary solutions to difficult and critical diseases are the new concept of obstetrics in Peace Hospital. Recently, the obstetric MDT team has opened a number of MDT expert clinics such as maternal medicine, full pregnancy management, good pregnancy clinic, fetal medicine, childbirth analgesia, covering ultrasound imaging, neonatology, cardiac surgery, pediatric surgery, cardiology, radiology, rheumatology and immunology, traditional Chinese medicine and other more than 20 departments of experts, hoping to let pregnant mothers spend the entire pregnancy period comfortably and with peace of mind through "one-stop" service. (Wang Yuan, Liu Juan, Wu Yuanyuan, Li Guoyan)