On the morning of February 3, in the obstetrics department of Xuzhou Central Hospital, the "four golden flowers" of Feng County fell to the ground under the ardent expectations of their parents. This is the third case of "quadruplets" ushered in by Xuzhou Central Hospital, because it was premature, and the four children were immediately sent to the pediatric intensive care unit for further monitoring and treatment after birth. At present, the mother is recovering well and the quadruplets are still under intensive care.
Gestational diabetes,
Quadruplet production risks are stacked
Xiao Cheng, a pregnant woman in Feng County, is 30 years old this year, and because she suffers from polycystic ovary syndrome, the road to pregnancy is very difficult. Unexpectedly, after successful pregnancy, it was found that it was quadruplets. The risk of quadruplets giving birth made Xiaocheng start to pay attention and find out which hospital gave birth well? After some comparison, Xuzhou Central Hospital became the best choice for Xiaocheng's family. When she was 26 weeks pregnant, Xiao Cheng came to the obstetrics clinic of the central hospital for treatment, and Yin Fengling, chief physician of the obstetrics and gynecology department, received the treatment.
In the second trimester, XiaoCheng was diagnosed with "gestational diabetes". She thought that she could avoid this risk as long as she followed the doctor's instructions and checked on time, but she did not expect to check out "intrahepatic cholestasis during pregnancy" when she came to the hospital for normal obstetric examination at 30 weeks of pregnancy. According to Yin Fengling, intrahepatic cholestasis during pregnancy can lead to abnormal maternal coagulation function and postpartum hemorrhage; fetal distress, premature birth, amniotic fluid placenta meconium contamination and other risks.
The caesarean section plan and surgical plan were put on the agenda, and Yin Fengling led the team to start formulating an emergency plan for xiaocheng's situation. At the same time, symptomatic treatment is carried out and close observation is carried out. After a period of treatment, the blood glucose of the small course was basically controlled within the normal range, and the symptoms of intrahepatic cholestasis during pregnancy did not worsen, and the condition slowly stabilized. At this time, the outbreak of pneumonia infected with the new coronary virus virus broke out. To be on the safe side, Xiao Cheng decided to go home and recuperate. He was discharged on 31 January.
multidisciplinary collaboration,
Four thousand gold was born safely
On the morning of January 31, he was discharged from the hospital, and in the afternoon, he developed symptoms: his stomach was tight, he felt a strong feeling of falling, and there was a little bleeding. Under the guidance of Yin Fengling's team, Xiao Cheng immediately returned to the hospital accompanied by his family. The team launched an emergency plan and conducted a series of comprehensive assessments for Xiaocheng, believing that although the other indicators were normal, the pregnant woman suffered from intrahepatic cholestasis during pregnancy, and the cholestasis tended to worsen, and if the pregnancy continued, both the fetus and the mother would be at risk. So even though the child is not yet full-term, it must be delivered early. Xiao Cheng himself and his family said that regardless of the current situation, they agreed to immediate surgery.
On February 3, two days after the implementation of fetal protection and maturation treatment, Xuzhou Central Hospital performed a caesarean section for quadruplets in a multi-disciplinary collaboration, at which time the small-stage pregnancy was 32 weeks + 3 days. During the special period, the cesarean section of quadruplets became a major event and an important thing. While filing and reporting to the leaders in charge and the competent departments, the obstetrics Yin Fengling medical team, Li Jie nursing team, pediatric Zhou Bin, Liu Xiao, Zhang Jing medical team, anesthesia Department Zhou Hai team and other related positions perform their duties, unity and cooperation.
On the day of the operation, multidisciplinary strict implementation of the requirements of the hospital's epidemic prevention and control work, from the obstetric ward to the special elevator for surgery, from the special elevator to the operating room, from the entrance to the operating room door to the buffer room, from the buffer room to the operating room, the medical staff accompanied the whole process. Xiao Cheng standardizes the wearing of masks and hats, checks and confirms the temperature again when he goes to the door of the operating room, and enters the operating room after the buffer room is disinfected again to confirm. After the success of anesthesia, Yin Fengling was the main surgeon, assisted by Dr. Zheng Jianhua and Meng Qi, and escorted by all members, and at 9:16 a.m., the operation officially began. During the operation, Yin Fengling accidentally found that the eldest and the second had experienced amniotic fluid pollution, of which the elder amniotic fluid pollution was iii. degree, which was severe. Everyone lamented that if the timing of the operation is postponed, the fetus will be stillborn in the womb. The operation was smooth, the four children quickly left the mother one by one, the weight of the lightest 1260 grams, the heaviest 1550 grams, all "thousand gold", the four children were initially recovered after birth, they were quickly rejuvenated, but due to premature lung development immature, shortness of breath.
Subsequently, four "thousand gold" premature babies were sent to the child care unit for further supervision and treatment; the mother returned to the ward for rehabilitation in a small way.
The medical staff called four thousand gold:
Bloom, Yiyi, Xinxin, Xinxin
As soon as the quadruplets entered the neonatal intensive care unit, the nursing staff took on the burden of rescuing the four children. Monitoring of various vital signs, non-invasive positive pressure ventilation, endotracheal intubation with pulmonary surfactants, prevention and treatment of infections, intravenous nutritional support...
"Treating premature babies is like walking a tightrope, not daring to be careless for a moment." We're going to spend dozens of days and nights raising our hearts to the throat, especially now that the pandemic is ongoing. Liu Xiao, deputy director of pediatrics and director of pediatric intensive care units, although he said that he was a little worried, he was more confident and responsible.
Since the establishment of the Children's Diagnosis and Treatment Center of Xuzhou Central Hospital, the medical team of the Pediatric Intensive Care Unit has successfully diagnosed and treated two cases of quadruplets, which is the third case. "We have successfully treated the lowest birth weight ultra-low birth weight quadruplets in the country, as well as many ultra-premature babies with a gestational age of 26 or 7 weeks, and have excellent teams, advanced equipment and rich experience in the treatment of premature babies, this case of gestational weeks and birth weight are larger than the previous two cases, and there is strength and confidence in the successful treatment of this quadruplet."
"However, the differences in genetics, differences in congenital development and other individual differences bring a lot of uncertainty to the treatment, and the prognosis cannot be judged only by gestational age and birth weight." No matter what, our team will do our best to save and strive for the best outcome with the best efforts. "Respiratory pass, jaundice off, feeding off, infection off, maturation off of the development of large organs ... There are countless gates waiting for children, and I hope that the four sisters can successfully pass through the barriers with the help of medical staff and reunite with their fathers and mothers as soon as possible!
In the neonatal intensive care unit of Xuzhou Central Hospital, medical parents called four thousand gold: Bloom, Yi, Xinxin, Xinxin. We have never respected and looked forward to the new students so much as this spring! Let's cheer together!
Special correspondent: Sun Haiqin Han Yueyuan
Editor-in-chief Li Xu
Producer Zhou Jingfei
Director Zhu Handong