Jimu news reporter Liu Xun
Correspondent Wang Chen
A pregnant woman in Suizhou was 36 weeks pregnant, and during the obstetric examination, she found that the fetal heartbeat was slow, the amniotic fluid was small, the situation was very critical, and the fetus in the abdomen could suffocate at any time. On February 13, the mother was urgently transferred to Wuhan City, and the experts immediately started the rescue process, from the outpatient clinic to the completion of the operation, the whole process was only 12 minutes, and a small life that was about to lose the fetal heart was successfully delivered, and the on-site cardiopulmonary resuscitation was life-saving. At present, the baby is still undergoing further treatment.
The amniotic fluid is almost depleted, and the baby can suffocate and die at any time
Pregnant woman Ms. Li lives in rural Suizhou, on the morning of February 13, 36 weeks pregnant, she recently always felt that the baby was a little "lazy", and the fetal movement was reduced a lot, so she rushed to the town health center for pregnancy testing. After the ultrasound examination, the doctor immediately reminded her that the baby had less fetal movement and less amniotic fluid, and rushed to Wuhan University Hospital to see.
Ms. Li and her family were frightened when they heard it, and quickly rushed from the town to the county, and then transferred to Wuhan. In the obstetric outpatient clinic of Wuhan Maternal and Child Health Hospital, Dr. Fu Ping received Ms. Li, saw the B ultrasound report of the town hospital, And Fu Ping immediately realized that the pregnant woman was in a critical condition and immediately took her to the B ultrasound room for review. The results suggested that the fetal fetal heart rate was only 80-90 beats per minute, while the normal fetal fetal heart was between 110 and 160, and the amniotic fluid index was only 4.4 mm, which was almost exhausted.
"The situation is very critical and fetal stillbirth can occur in the womb at any time." Fu Ping cried out in her heart. At 17:29, she quickly called the obstetric ward to report, immediately started the caesarean section emergency procedure, obstetrics, anesthesia, operating room, neonatal internal medicine, obstetric surgeons and nurses quickly arrived.
The whole journey lasted 12 minutes, and the baby's life was rescued in a thrilling way
The pregnant woman was quickly transported from the outpatient ultrasound room to the inpatient operating room, by which time the medical team was in place. Because the preoperative examination of the mother was not yet perfect, in just a few minutes, the medical staff urgently drew blood, and completed the preoperative conversation and preoperative preparation, and everything was in order.
In the following 1 minute, the anesthesiologist let the mother smoothly enter the anesthesia state, the obstetrician "took the baton" for the caesarean section, and the neonatal physician stood by, ready to be on standby, and as soon as the baby suffocated, the newborn suffocation was immediately resuscitated.
At 5:41 p.m., the baby was born, but the condition was very poor, only to see the umbilical cord wrapped him into a "rice dumpling", around the neck for 4 weeks, around the foot for 3 weeks, the whole body is pale, the heartbeat is weak, the response to the outside world is very poor, the instep is straight, the Ashi score is only 2 points, which is a severe asphyxiation of newborns.
The neonatal physician quickly intubated and resuscitated, and transferred to the ward for continued treatment after the child eased up. "It's really fortunate that there is almost no amniotic fluid in the womb, and if you come out a little later, the child may be gone, and coming out a second early means differently to the child." Director Zhou Jieqiong of the obstetric department who organized the rescue sighed.
As soon as the "secret code" made a move, it immediately launched a rapid rescue
"It was not easy to recover the suffocating baby in only 12 minutes this time." On February 14, Zhou Jieqiong, director of the obstetrics department of Wuhan Maternal and Child Health Hospital, said that this was thanks to the hospital's caesarean section emergency procedure, which was specifically for the special situation of critical situation and needed caesarean section.
Director Zhou Jieqiong introduced that there are many obstetric emergency departments, some pregnant women, fetus conditions are very critical, treatment must race against the clock, obstetrics, anesthesia, neonatal internal medicine, delivery room to quickly put in place to rescue, there is no time to talk too much, as long as the mention of this code, immediately start the procedure, quickly enter the rescue state. It is reported that the emergency caesarean section time stipulated by the state is within half an hour, and the hospital has formulated a set of emergency treatment procedures for critically ill pregnant women through continuous optimization. After repeated drills, from reception, transfer, anesthesia, blood collection, surgery, rescue, conversation and other links, we have continuously improved the efficiency of collaboration, compressed the medical process, and hoped to shorten the delivery time of pregnant women from outpatient discovery of critical conditions to newborn delivery to less than 8 minutes, or even 5 minutes, so as to win more rescue time for mothers and newborns. Since last November, this emergency rescue process has been activated three times, saving three suffocating babies.
The third trimester is the "eventful autumn", Zhou Jieqiong reminded pregnant mothers that the third trimester must be regular obstetric examinations, once the fetal movement is reduced, pregnant mothers should not be easily optimistic, it is recommended to be hospitalized for monitoring to avoid dangerous situations.