Yellow River News Network Changzhi News: Recently, the Changzhi Maternal and Child Health Hospital cooperated with multidisciplinary tacit cooperation to successfully help a super-elderly pregnant mother to give birth smoothly, giving birth to a baby boy weighing 2700 grams, and the mother and child were safe.
Pictured: The scene of the operation
The patient, Ms. Yuan, was pregnant at the age of 45 and was a very old pregnant woman. Because the functions of the body are far less than in the past, the risks faced in production have increased, so Ms. Yuan and her family have repeatedly discussed and decided to go to an authoritative and professional hospital for obstetric examination and delivery - Changzhi Maternal and Child Health Hospital. During the consultation, the experts of the obstetrics clinic of the hospital conducted a detailed understanding of Ms. Yuan's situation and did a full physical examination for her, measuring blood pressure, blood sugar, liver and kidney function, heart ultrasound... Ms. Yuan's physical condition was comprehensively assessed, and the possible risks were fully foreseen, and the pregnancy management was done.
"Ms. Yuan is an ultra-old pregnant woman, and the risk and probability of complications during pregnancy are relatively high, such as fetal chromosomal abnormalities, gestational diabetes, hypertension, thrombotic diseases and other complications, and it is a severe test for cardiopulmonary function and various organs of the entire body in the third trimester and during childbirth." Shi Xianhong, director of the Department of Maternal Health, said.
In the subsequent examination, Ms. Yuan's mid-term Down screened out 21-trisomy high risk, once anxious, after consulting the medical genetics department of the hospital, giving him amniocentesis for prenatal diagnosis, found that there were mutations in multiple genes, by the medical genetics department of gene pool analysis and MDT multidisciplinary consultation, considering that there was basically no impact on the fetus, Ms. Yuan's hanging heart was put down. At the same time, in order to reduce the occurrence of complications, during each obstetric examination, the obstetric outpatient experts and their team will also formulate professional obstetric examination packages and personalized nutrition guidance for Ms. Yuan, control diet, strictly control weight gain, and appropriate pregnancy exercise... In these processes, Ms. Yuan actively cooperated, the whole pregnancy period was very smooth, the elderly pregnant women may have complications such as hypertension, diabetes, anemia, etc., Ms. Yuan did not touch any of them, and spent the pregnancy safely.
Unfortunate things happened, Ms. Yuan suddenly "broke the water" one day, and then stayed in the obstetrics department. Due to her age, Ms. Yuan is very entangled in the way of delivery, hoping to reduce physical damage in natural delivery, but also worried that the transit caesarean section will affect the health of the fetus. After understanding Ms. Yuan's concerns, Li Yan, director of the Obstetrics Department, made a comprehensive assessment of her and introduced in detail the hospital's measures to promote natural childbirth, such as analgesia in childbirth, delivery room guidance, family delivery, etc. In the end, Ms. Yuan chose natural delivery.
Pictured: Ms. Yuan successfully gave birth to a baby boy
Due to the early rupture of membranes into the delivery room, the induction of labor static oxytocin was initiated, the delivery room doctors and midwives paid special attention to Ms. Yuan, the maternal and fetal monitor monitored the whole process, and made an emergency plan to prevent postpartum hemorrhage. After the contractions gradually strengthened, Ms. Yuan could not tolerate the pain after giving birth, and after choosing drugs for analgesia, the pain was quickly relieved. In order to have enough physical strength during childbirth, the attentive midwife gave water to replenish energy, encouraged guidance at the side, and soon the uterine opening was complete. However, after many contractions, Ms. Yuan held her breath and exerted herself when the fetal head was delayed, the examination was in the posterior position of the pillow, the experienced doctor rotated the fetal head to the front of the occipital position with bare hands, and after several periods of contractions, Ms. Yuan safely gave birth to a 2700-gram baby boy. On examination, all indications for neonatal evaluation were normal. (Niu Lili, Guo Xiaoli)