Recently, the emergency department of Songjiang District Central Hospital came to a twin pregnant woman who was 30 weeks pregnant, and the pregnant mother had abdominal pain for 4 hours before coming to the hospital, accompanied by her husband to the emergency department. After receiving the consultation, Dr. Cui Min, deputy director of the obstetrics department, found that the pregnant woman's uterine opening had been fully opened and she would soon give birth. "The situation is urgent, it is too late to wait for the results of the nucleic acid test!" After cui min reported the situation to the medical department, she quickly coordinated the activation of the green channel to transfer the pregnant woman to the delivery room, and the medical staff nervously and methodically prepared for various protections and preparations for the delivery of pregnant women.
The woman is 30 years old, the first child is born smoothly, the second child is delivered by caesarean section, and the prenatal examination is a scarred uterus. Everyone is more worried about this third child, and the risk of natural delivery after the cesarean section is likely to occur such as uterine rupture and heavy bleeding, which requires strict grasp of the indications. But in the face of the pregnant mother in front of her, the uterine opening has been fully opened, the fetal head position of Dabao is very low, and the cesarean section is too late.
The attending doctor on duty, Hu Rong, and the midwife immediately made a decision, took the stage to deliver the baby, and contacted the neonatology department and the anesthesiology department to be present immediately, do a good job of rescue and corresponding preparations for premature babies, and be ready to start emergency surgery and blood transfusion rescue emergency plans at any time.
In the delivery room during the special period, medical staff wear a full set of protective equipment to "go on stage", which is safe for mothers and babies
As Dabao cried, everyone's hanging hearts let go a little. However, Xiao Bao is still in the belly! Hu Rong found that Xiaobao's fetal position was transverse, touching one of Xiaobao's hands and part of the fetal head, considering the head and hand compound first exposed difficult delivery, and could not be delivered vaginally for a short time, the doctor communicated with the pregnant mother and family members, and recommended immediate caesarean section.
In the process of preoperative preparation, the pregnant mother's regular and powerful contractions made Xiaobao change from the horizontal position to the head position on her own, and the medical care present immediately made a decision, delivered the baby on the spot in the operating room, and successfully delivered xiaobao for the pregnant woman.
After the younger brother delivered 30 minutes, the mother's placenta still did not deliver on its own, dr. Hu Rong found that the mother's placenta was adhesion and not peeled off when she examined her, so she took the placenta by hand for the mother. After 2 hours of emergency treatment, the twin mother gave birth smoothly, and no complications such as uterine rupture and postpartum hemorrhage occurred. However, the two babies' gestational week is too small, the brother weighs 1350g, the younger brother weighs 1750g, which is smaller than the singleton baby of the same gestational age, the pediatrician immediately contacted the pediatric hospital, and the brothers were quickly transferred to the higher specialist hospital for observation and treatment.
This is not the only emergency maternal presence at the hospital recently. Just at 3:00 a.m. on March 16, Ms. Luo, who was 37 weeks pregnant, suddenly felt paroxysmal pain in her lower abdomen in her sleep, and she rushed to the maternity hospital, but because there was no recent nucleic acid report, Ms. Luo could not enter the ward, and when she was anxious, she called "120" for help, and Dr. Cui Min, who was arranging the list of nucleic acid sampling team members, received an emergency call from the Maternity Security Office, "People will be sent to the central hospital immediately!" ”
In the special period of epidemic prevention and control, the Medical Affairs Department and the Hospital Infection Department of Songjiang District Central Hospital immediately launched the relevant emergency plans under the command and deployment of the hospital leaders, and Ms. Luo was sent to the isolation operating room through the green channel after urgently improving the relevant preoperative examinations.
Obstetrics, anesthesiology, neonatology, operating room and other medical personnel quickly assembled in the operating room after doing a strict three-level protection to prepare for emergency caesarean section. Considering that Ms. Luo's pregnancy was complicated by uterine scarring and pregnancy with uterine diverticulum, the operation was assisted by Cui Min of the obstetrics department and Yang Jie, and Shi Yanyan served as the anesthesiologist of the operation.
During the operation, the team of doctors saw that ms. Luo's lower uterus was as thin as a cicada wing, and saw about 4 cm of muscle layer loss, amniotic fluid ii degree. Through the tacit cooperation of medical care, a healthy baby boy was successfully delivered to Ms. Luo. In order to avoid poor healing of the hysterectom after Ms. Luo's surgery, Cui Min performed a difficult uterine diverticulum repair for her.
After 40 minutes, the operation was successfully completed. After the end of the tense rescue, the medical team can not let down their vigilance, during the special period, the special channel for transporting patients and children should be comprehensively eliminated in a timely manner, and the operating room and surgical instruments should also be strictly disinfected until the mother's nucleic acid report and chest CT examination results are negative, and all medical care is relaxed and normal diagnosis and treatment work is resumed.
Doctors remind that now the two-child, three-child policy is open, pregnant women such as scarring the uterus, once the uterus rupture occurs during childbirth, heavy bleeding, need blood transfusion rescue, the situation is urgent, even need to remove the uterus, leaving irreversible damage and sequelae to the pregnant mother, and even pay for their own and the child's life. Therefore, during pregnancy, pregnant mothers should not hold a fluke mentality, in addition to understanding pregnancy knowledge through formal channels, once there is discomfort, they need to go to the doctor immediately, and do not delay the timing of treatment.
Source: Wenhui App
Correspondent: Wei Min
Editor: Jiayi Han