From 9:30 to 36:00 on March 20, accompanied by loud cries, the first quintuplet in Tai'an, Shandong Province, was born safely in Tai'an Central Hospital. The gender of the 5 babies is 1 woman and 4 boys, of which Dabao is the sister, and the second, third, fourth, and fifth treasures are younger brothers.
In 2021, 24-year-old Zhuang Jing (pseudonym) successfully became pregnant, and the whole family was very happy.
"Quintuplets are very rare across the country, with a natural chance of conceiving only one in 60 million. Multiple pregnancies are high-risk pregnancies, the most common problem is that the fetus can not get sufficient growth nutrition, prone to premature birth and other issues; at the same time, multiple pregnancies will also lead to pregnant women with pregnancy hypertension disease, fetal membrane premature rupture and other risks. Li Qinwen, director of the Obstetrics and Gynecology Center of Tai'an Central Hospital, said that in order to ensure the safety of pregnant women and fetuses, the Obstetrics and Gynecology Center organized a number of multidisciplinary consultations, on the one hand, to provide scientific nutritional guidance for Zhuang Jing; on the other hand, to set up an emergency plan team and prepare for emergencies.
Under the meticulous care of multidisciplinary experts, Zhuang Jing successfully passed through multiple risk periods. The pregnancy opportunity was precious and rare, and Zhuang Jing was admitted to the intensive obstetric ward of Tai'an Central Hospital "early" when she was about 27 weeks pregnant. Considering the special physical condition of pregnant women, the medical staff specially arranged an independent ward for Zhuang Jing.
However, with the increasing number of pregnancy weeks, the pressure on Zhuang Jing's body is also increasing, not only edema, difficulty falling asleep and other problems, but even symptoms such as hypertension and proteinuria. "The various physical conditions of the pregnant woman show that she can no longer bear the complications of multiple pregnancies and it is difficult to persist until 32 weeks of pregnancy. In order to ensure the safety of the mother and child, caesarean section must be performed as soon as possible. Li Qinwen said that finding the right time to carry out caesarean section surgery can not only ensure the safety of pregnant women's bodies, but also deal with emergencies in the fetus in a timely manner.
In order to ensure the smooth operation after one day, this high-level multidisciplinary consultation brought together the heads and well-known experts of obstetrics and gynecology (intensive obstetrics), neonatology, surgical anesthesiology, intensive care medicine, cardiovascular diseases, blood transfusion and other departments. At the meeting, the experts had a serious and full discussion on various emergencies and formulated corresponding disposal plans.
According to the requirements of the program, in addition to a number of obstetrics and gynecology experts involved in the operation, the department of neonatology and the department of surgical anesthesiology each selected 5 elite soldiers, and divided into 5 teams, each team is responsible for the care of a newborn; considering the adverse effects of multiple pregnancies on the mother, in order to prevent the mother from having an accident, the blood transfusion department prepares plasma in advance in case of emergency; in addition, the participating experts also discussed in detail the anesthesia drugs, disinfection measures, newborn body temperature protection, maternal heart monitoring and other issues.
At about 8:55 on the 20th, two nurses from the operating room came to the intensive obstetric ward to pick up Zhuang Jing. With the assistance of nursing staff in the intensive obstetric ward and nurses in the operating room, the slow-moving Zhuang Jing successfully lay on the flat car and then took the elevator to the operating room.
At about 9:20, the operation officially began. In the operating room, doctors, nurses and midwives from obstetrics, neonatology, surgical anesthesiology, cardiovascular diseases and other departments have organized a huge team of more than 30 people.
At about 9:30 a.m., with a loud cry, the "big sister" of the quintuplets was born. About 2 minutes later, the "big sister" was the first by the medical staff to carry out of the ward. In order to get newborns into the ward as quickly as possible to be cared for, the medical staff almost trotted into the elevator. In the following minutes, three other newborns were also carried out.
At about 9:53 a.m., under the protection of several medical staff, the last newborn was taken out of the operating room and sent to the neonatology department. The whole operation went smoothly, and Zhuang Jing's bleeding during the operation was also very small.
In order to allow babies born "early" to get the most delicate care, during the transfer, the neonatal medical staff specially added a thermal blanket for the babies and provided oxygen to assist breathing for babies who needed oxygen. "Of the five newborns, the largest weighed 1.4 kilograms and the lightest weighed only 1.14 kilograms, all of whom were very low-weight newborns and were currently using ventilators." Yao Guo said that because the 5 newborns are all early premature babies, their organs are not well developed, and they are facing challenges such as respiratory, infection and nutrition. Yao Guo said that the vital signs of the quintuplets are not stable at present, and they need to be further observed and treated.
On the morning of March 21, the father of the quintuplets said he was in the hospital and doctors had just told him that his wife could be transferred out of the care unit tomorrow. But at present, the children are still under surveillance and observation, all of them are using ventilators, and he has not seen it yet.
According to reports, when the wife was more than two months pregnant, it was already found that it was quintuplets. Worried that his wife's body could not bear it, he took her to the Shandong Provincial Hospital in Jinan for examination, and all the indicators were normal, and the doctor suggested continuing to observe. "When the child is small, he can still provide nutrition at home, but after he grows older, he can't provide it." On February 24, the wife was admitted to Tai'an Central Hospital, relied on nutritional injections to maintain the child's nutrition supply, and successfully gave birth to five children by caesarean section on the 20th.
The child's father said he was particularly happy now, but also stressed. He drives a construction car, his wife does not work after she is pregnant, and he has to support a family of seven in the later stages, and he has not yet had time to think about the names of the children.
According to reports, he and his wife are both after 95, and the doctor told him that the chance of natural conception and pregnancy of quintuplets is only one in tens of millions.
According to the doctor, the quintuplets are very low-weight newborns, the organ development is not perfect, and follow-up also needs to pay attention to respiratory problems and nutrient supply.
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