Emergency caesarean section Hospital Obstetrics and Gynecology Hospital Affiliated to Fudan University Courtesy photo
On the night of April 4, the fourth day of Puxi's sealing control, a pregnant woman (pseudonym) from the Emergency Room of the Huangpu Branch of Fudan University Affiliated Obstetrics and Gynecology Hospital (Shanghai Red House Hospital) came to the emergency room of the Huangpu Branch.
Different from ordinary pregnant women, Yunyun not only suddenly ruptures the membranes, but also accompanied by primary hypertension, overweight, advanced age, etc., in addition, she also has high risk factors for double uterus and double cervix, which is a congenital reproductive tract malformation. Her arrival made zhu Menghan, the receiving doctor, feel nervous.
According to family members, Yunyun has been building a card maternity examination in the Red House Hospital before, and even if her family lives in Minhang District, she still wants to come here to give birth. "At that time, when 120 sent her, the amniotic fluid was broken, but she did not have a nucleic acid report within the effective time, and our emergency doctor quickly helped her take an emergency nucleic acid sample while observing and monitoring her vital signs." Zhu Menghan said.
After the preliminary assessment of Yunyun's situation, Zhu Menghan immediately reported to Xia Xian, the class teacher and deputy chief physician of obstetrics. The green channel was started at the first time, while handling the expedited admission procedures, while preparing the negative pressure operating room and ward, coordinating the rapid arrival of neonatology and anesthesiology experts. After full communication with Yunyun and her family, the doctor decided to urgently initiate the caesarean section.
Considering the presence of hypertension in Yunyun, the above-mentioned doctor said that the maternal oral anticoagulant treatment did not stop and continued until the night before the caesarean section, and at the same time asked her whether she had had hysteroscopic surgery before pregnancy, there was a risk of intraoperative and postoperative bleeding, and the operating room was actively preparing blood at the same time.
Because of the requirements of epidemic prevention and control, the family cannot accompany the pregnant woman for the time being, and the doctors patiently communicate and accompany them all the way, which makes Yunyun relax and calm a lot. After the emergency negative nucleic acid report came out, the team in the negative pressure operating room immediately carried out the operation, and the operation was performed by Xia Xian, deputy chief physician, and Dr. Sun Yi.
Xia Xian introduced that for Yunyun, the biggest risk of caesarean section is heavy bleeding and uterine laceration. In the operation, it is necessary to do sufficient hemostasis measures before the delivery operation can be officially carried out, and finally in the early morning, a baby girl weighing 2420 grams was born smoothly, and the pregnant woman bleeded only 300 ml. Despite being born prematurely, the baby is growing well.
The baby girl was born smoothly in the Obstetrics and Gynecology Hospital Affiliated to Fudan University Courtesy of the picture
At the moment of seeing her daughter, Yunyun, who had experienced transportation, emergency treatment and surgery, revealed the joy of becoming a new mother, and the family members who had been anxiously waiting finally calmed down after receiving the call.
"Such emergency surgery is not uncommon in normal times, but under the epidemic, pregnant women need a skilled team and humanistic care." Xia Xian said. At present, the epidemic prevention and control is still in the stage of attacking the tough, in the face of unpredictable emergencies, in addition to fully ensuring the safety of mothers and babies, medical staff also have the warm waiting of "often comforting and accompanying".