Public Health News New Hunan Client, June 4 (Correspondent Deng Mandan, Yang Chengying) Recently, in the operating room of Changsha First Hospital, a special cesarean section operation is underway, the obstetrics team "takes the lead", and multidisciplinary experts gather here to fully escort. This is not an ordinary childbirth, but a life-and-death rescue for the pregnant mother and the fetus...
Ms. Hu, 29 years old this year, developed symptoms such as shortness of breath, cyanosis of the lips, fainting and other symptoms at the age of 10, and was diagnosed with "Fallot's triad" (pulmonary stenosis, patent foramen ovale or secondary foramen atrial septal defect, and right ventricular hypertrophy), and underwent cardiovascular correction. After the operation, Ms. Hu's condition has been relatively stable and there has been no heart failure and other conditions, but for the safety of Ms. Hu, the doctor still advised her not to get pregnant.
After marriage, Ms. Hu especially longed to have children of her own. Faced with Ms. Hu's successful pregnancy, not only happy, the family was also very worried and hesitant. Ms. Hu suffers from pulmonary hypertension, which is at high risk of continuing her pregnancy, and she is really reluctant to give up her baby. So, Ms. Hu came to a hospital in Changsha for treatment, and after repeated evaluations by obstetricians, she decided to continue her pregnancy.
"To prevent colds, you must not be tired, you must control your emotions and check regularly." In order to dynamically monitor Ms. Hu's physical condition and prevent the sudden aggravation of heart disease, Yang Jing, chief physician of obstetrics, not only carefully managed Ms. Hu during pregnancy, but also carefully guided Ms. Hu at any time through WeChat, telephone and other means on a daily basis, and Ms. Hu's condition was relatively stable during pregnancy.
On May 29, Ms. Hu, who was 33+6 weeks pregnant, was rushed to Changsha First Hospital due to placenta previa and bleeding symptoms.
After the diagnosis of the multidisciplinary expert association of the whole hospital, based on the fact that she had done cardiovascular correction for complex congenital heart disease (Fallot's triad), accompanied by moderate pulmonary hypertension, and currently placenta previa with bleeding, in order to maximize the safety of the mother and baby, the experts decided to terminate the pregnancy for Ms. Hu and let the baby be born early.
A series of measures such as blood preparation before surgery, promoting fetal lung maturation, reducing pulmonary artery pressure, and preparing for intraoperative intervention to stop bleeding were carried out in an intense and orderly manner.
On June 1, with the concerted efforts of experts from obstetrics, anesthesiology, operating room, intensive care medicine, blood transfusion, vascular surgery, interventional room, cardiovascular medicine, cardiothoracic surgery, neonatology and other departments of Changsha First Hospital, Ms. Hu's cesarean section went smoothly, and with the cry of the baby, a 2.1 kg baby boy ushered in his first Children's Day. During the operation, Ms. Hu was hemodynamically stable, and was treated in the ICU ward for 24 hours after the operation, and was successfully transferred back to the maternity ward.
"Thank you for saving my wife and children, thank you so much..." Ms. Hu's husband cried with joy.
Yang Jing introduced that pulmonary hypertension refers to a group of diseases that cause progressive blockage of pulmonary blood vessels, increased pulmonary artery pressure and eventually lead to right heart failure. Patients with pulmonary hypertension in pregnancy have a mortality rate of up to 30 to 50%, which is the most dangerous condition in pregnancy and heart disease.
Once pregnancy is found to be complicated by pulmonary hypertension, it is necessary to go to the critical maternal treatment center and give multidisciplinary comprehensive treatment, including reducing pulmonary hypertension, preventing thrombosis, improving cardiac load, ensuring acid-base balance, and reducing hemodynamic fluctuations.
According to the symptoms of pregnant women, the causes of pulmonary hypertension, the month of pregnancy, the condition of the fetus, the pressure of the pulmonary artery and the comprehensive factors of right heart function to decide the timing of termination of pregnancy, to avoid serious consequences such as heart failure, cardiac arrest, and even death!