Ms. Tu conceived twins naturally at the age of 29, the whole family was happy, and after giving birth to Dabao at 35 weeks, the doctor said: Xiaobao can not be smooth, do not wait for anesthesia to quickly dissect, the placenta is abnormal.
If you are pregnant with twins, you have to give birth naturally, if it is not carefully observed by the doctor, the second child will definitely not come out, and expectant mothers must be careful.
Ms. Tu is 29 years old this year, very lucky, pregnant with twins, basically unable to see her feet when she was five months old, from the seventh week, Ms. Tu began to do prenatal examinations, until about 30 weeks, the children have been healthy development, Ms. Tu feels that her hard work is also worth it.
Soon came the due date of the twins, the twins are unable to give birth month by month, because the mother can't stand it, just imagine being pregnant with a child of more than a dozen pounds, who can withstand this?
The doctor also advised Ms. Tu to do the dissection quickly, and not to delay it to the back to become more and more troublesome.
But Ms. Tu had a reluctant request.
"Doctor, I want to have a vaginal birth," Ms. Tu said embarrassedly.
The doctor was taken aback and thought to himself, isn't this increasing my work load, he wants to discourage: "The difficulty of vaginal delivery of twins is very high, or caesarean section"?
Ms. Tu gritted her teeth and said firmly: "I want to have a smooth birth, I want to recover faster, and I don't want to be knifed."
The doctor was silent for a while and said: "The requirements for the smooth birth of twins are very high, requiring the mother to meet the requirements of diabetes, high blood pressure, anemia, etc., and also require the pregnant woman's physical strength to be very good, and the fetal position is very important."
Ms. Tu said, "I'm fine."
The doctor saw that Ms. Tu had decided that she could only arrange for the nurse to do the relevant examinations for her, and the final test results turned out to meet the criteria for the smooth delivery of twins, then the doctor had nothing to say, and after informing Ms. Tu of the risks, the doctor prepared Ms. Tu's smooth delivery.
Soon, when it was due date, the doctor injected Ms. Tu with uterotonin, and then quietly waited for Ms. Tu to give birth.
In the delivery room, Ms. Tu's cry tears the heart and lungs, the pain, it is too painful, the pain caused by spontaneous labor is level 12, normal people can not bear it when they reach level 5, but a expectant mother with a smooth birth has to experience level 12 pain.
The first birth went smoothly, and it was immediately carried out by the doctor, and when the second child arrived, the fetal heart rate monitor began to call the police.
The fetal heart rate is less than 60 times left, and the normal should be about 120 beats / minute, which means that the child may have ischemia and hypoxia problems in the uterus, what is the reason? I don't know!
The doctor immediately touched Ms. Tu's abdomen, hard, there was already a peritoneal irritation sign, and there was a bright red fluid flowing out of the vagina all the time, amniotic fluid embolism? Or placental abruption?
Doctors judge placental abruption because the tabular abdomen is the most typical symptom.
So now, the most important thing is a caesarean section! Can't get anesthetics,
The doctor said to Ms. Tu: "Hold on", and then the knife fell with his hand, and it took less than two minutes to take the dying child out, and in Ms. Tu's uterus, the doctor saw that the placenta at the edge was pressed, which was a manifestation of placental abruption.
Fortunately, Ms. Tu didn't have much of a problem, maybe she fainted in pain.
It's just that the child has a little problem, it looks lifeless and a little unresavable, the doctor did not give up, gave the child pediatric cardiopulmonary resuscitation, and five minutes later, with a "wow" sound, the child woke up!
[what] placental abruption is very dangerous
Placental abruption refers to the twenty weeks of pregnancy, the placenta is removed from the uterine wall before the fetus is delivered, the role of the placenta is nutrient exchange, oxygen carbon dioxide exchange, blood exchange....., placental early peeling is equal to the fetus can not breathe, so it will cause the risk of fetal suffocation death.
[what] what is the manifestation?
1. There will be external bleeding, vaginal bleeding, more bleeding, dark color, mild abdominal pain, intermittent contractions, fetal heart rate may decrease.
2. Severe placental abruption will have internal bleeding, persistent abdominal pain, backache, can be accompanied by severe nausea, vomiting, the uterus has been in a state of high tension, if placental abruption exceeds more than half of the placenta, the fetus will die of severe hypoxia.
3. B-ultrasound can see postplacental hematoma, liquid dark area between the placenta and the uterus, and light spot reflex.
4. Laboratory tests can show that the patient is complicated by DIC.
In short, placental abruption is a more dangerous complication during childbirth, I hope everyone should have a certain understanding of this, find that it is wrong to seek medical attention in time, and the doctor recommends an autopsy, the doctor recommends smooth.
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