"Your team has given me and my children a new life, and I am the luckiest thing to meet you!" Recently, Zhu En (pseudonym), who had just given birth to the baby, thanked Ai Wen, director of the Obstetrics Center of Foshan Foshan Zen Cheng Hospital (hereinafter referred to as "Foshan Zen Medicine"). It was the efforts of Evan's team that saved June, who suffered a rare uterine rupture at more than 32 weeks of pregnancy, from the "ghost door".
Pregnant women with difficult pregnancies are on the verge of "late miscarriage"
June is 39 years old and has been married for 12 years without success. She has done IVF many times, as well as hysteroscopy, laparoscopic and other surgeries, and finally successfully became pregnant with IVF in 2021. Since then, she has been immersed in joy, but at 22+5 weeks of pregnancy, she suddenly felt abdominal discomfort and went to the Zen Medical Obstetrics Clinic.
Evan is checking the patient's body.
"At that time, the uterine opening of the pregnant woman was opened three centimeters, and there was a manifestation of a late miscarriage." Evan introduced that it is generally difficult for fetuses with late miscarriage at 22 weeks to survive, and many times doctors will recommend pregnant women to terminate pregnancies. The patient himself and her husband said that no matter how much money was spent, they would keep the child. "Considering that this pregnant woman went through so many difficulties to conceive, we don't want her years of dreams to be ruined, and we also want to help her realize her wish to become a mother." Evan said that the Zen Medicine obstetrics team did its best to implement an emergency cervical ring for the patient to prevent further expansion of the uterine opening. After a series of treatments such as close observation, fetal protection, and anti-infection, the patient improved and was discharged from the hospital.
However, less than a month after being discharged from the hospital, June, who was 27+4 weeks old at the time, was hospitalized again due to abdominal distention and discomfort and followed the doctor's advice for fetal treatment. In order to prevent the baby's accidental premature lung immaturity, the doctor performed pro-fetal lung maturation treatment on June while protecting the fetus. At 32+1 weeks of pregnancy, June found that fetal movement was reduced and his appetite was poor. Song Yuhua, deputy director of the Obstetrics Department of Zen Medicine, conducted a fetal supervision examination, indicating that the response was not good but the fetal heartbeat was normal. Medical care carries out intensive monitoring of patients.
Care for your baby.
Emergency surgery! Doctors repair the rupture of the uterus for the woman
At that time, after finishing the examination work in the outer hospital, Evan did not go home immediately, but went straight to the hospital and came to the ward for the first time to check and understand June's situation. When he learned that the fetal movement had not improved, the attentive Evan found that the patient's stomach was a little more swollen than before. There is no room for any mistake in front of life, so she immediately arranged to personally carry out a B ultrasound examination for pregnant women at the bedside, and found that the mouth of the emergency cervical ring had been loosened, and the uterine opening was opened by 3 centimeters. The fetal heart of the fetus is normal but the limbs and body do not move. According to his many years of work experience, considering the possibility of hypoxia in the fetus, the baby's life is in danger at any time.
Time is life, after obtaining the consent of the patient and his family, Evan immediately arranged for a caesarean section to terminate the pregnancy, and arranged for the director of the neonatology department to go to the operating room to prepare for rescue.
With a loud cry, the baby landed safely. Although the baby was born prematurely, only 1850 grams, his birth response was good, his crying was loud, his limbs were well moved, and his A's score was 10 points
After the intact placenta was stripped, Evan found that the patient had a lot of bleeding in the uterus, and Evan was highly suspicious that the pregnant woman might have a ruptured uterus and needed to undergo uterine exploration. "Because pregnant women have done more surgeries before and there is inflammation that causes extensive adhesions between the large omentum, the intestinal tube and the uterus, which adds a lot of difficulty to the surgical exploration, the anterior wall and the bottom of the uterus are not completely covered by the large omentum and the intestinal tube, and the uterus is completely inactive." Evan recalled that with the close cooperation of anesthesia, surgery and medical care teams, it was finally found that the bottom of the uterus was found to be a 55-centimeter-sized rupture on the right anterior wall of the uterus. After a series of treatments such as local cleaning of blood clots, repair of the fracture, and intermittent suture of the fracture, the patient's uterus stopped bleeding, the operation ended smoothly, and the mother and baby were in good condition.
At present, June and the baby have been transferred to the obstetrics and neonatal departments for observation and treatment, and can be discharged from the hospital soon after.
remind
Women who have undergone uterine-related surgery need to be cautious about pregnancy
"Although the probability of uterine rupture after multiple surgeries is very high, it is still relatively rare to rupture at 32 weeks of pregnancy, and the symptoms of the pregnant woman are not obvious, if there is no careful observation and timely discovery, the rupture will become larger and larger and the bleeding will be more and more, and adults and children will die." Evan reminds that uterine rupture refers to the laceration of the uterine body or lower part of the uterus during childbirth or pregnancy, which is a serious obstetric complication and can seriously threaten the life safety of pregnant women and fetuses.
She said that in order to avoid the occurrence of uterine rupture during pregnancy, expectant mothers must be prepared for pregnancy before pregnancy, pregnant women who have undergone caesarean section surgery or uterine-related surgery must inform the doctor, and get pregnant under the guidance of the doctor, and do a regular obstetric examination. When fetal heart rate fetal movement abnormalities or severe abdominal pain occur, you must see a doctor in time, and the doctor should also carefully check and deal with it in time to avoid serious complications.
[Southern Daily reporter] Li Xiaoli
[Correspondent] Li Ailing
Courtesy of the correspondent
【Author】 Li Xiaoli
【Source】 Southern Press Media Group South + client