On October 13, the team of Liu Xiaowei, director of the Third Department of Obstetrics of Beijing Obstetrics and Gynecology Hospital, together with the medical staff of the intensive care unit, ultrasound, radiology, anesthesia, neonatology and other departments, successfully treated a placenta implanted pregnant woman.
Placental implantation occurs in the first trimester of pregnancy, refers to the placental villi penetrating part of the uterine wall muscle layer, the placenta is like a large tree with roots, intricately dispersed and deeply rooted in the uterine muscle wall, is one of the serious complications of obstetrics, can lead to maternal hemorrhage, shock, uterine perforation, secondary infection and even death.
Sun Han (pseudonym), a 32-year-old from Gu'an County, Hebei Province, has multiple miscarriages accompanied by moderate anemia and depression. Since the two children born before were caesarean sections, the pregnancy process was not smooth, so she decided to come to Beijing Maternity Hospital for re-pregnancy this time.
From the filing to the pre-obstetric examination is still relatively smooth, but to the gestational age of 5 months, the most worried results still appear, due to multiple caesarean sections and re-pregnancy, ultrasonography shows placenta implantation, pelvic abdominal adhesions are serious, once the cesarean section rushed into the abdominal cavity, it is likely to lead to serious peripheral organ damage, which means that the probability of fatal postpartum bleeding occurring at often thousands of milliliters or even tens of thousands of milliliters is very large, resulting in hysterectomy, and even endangering the life of pregnant women and fetuses.
Hearing this result, for Sun Han, who was already worried, her heart was traumatized again, and a series of uneasy emotions such as anxiety, fear, and irritability instantly hit her heart, and the only thing that made her confident was the trust and expectation given to her by the medical staff. "Director Liu Xiaowei is very responsible for the patient, once the obstetric examination I just did the examination, the lover received a call from Director Xiaowei personally, asked me why I did not come to see her outpatient clinic, only the director personally saw, asked before I was assured to let me go home, at that time I felt very moved." Sun Han said. In order to ensure the safety of mothers and babies, the team of Liu Xiaowei, director of the third department of obstetrics, must go all out.
Treatment
Placental implantation in pregnant women
On October 10, Sun Han was admitted to the ninth ward of the obstetrics department, due to the seriousness of the condition, Liu Xiaowei once again invited Wang Li, deputy director of the ultrasound department, to conduct an ultrasound assessment of the patient, and invited the relevant personnel of the anesthesia department and the intensive care unit to discuss the patient's situation before the operation, and made a detailed surgical plan and sufficient preoperative preparations. During this period, Liu Xiaowei's team paid great attention to Sun Han's psychological aspects, coupled with the patient's depression, Director Liu had to come to her bedside to take a look and ask questions to alleviate the patient's psychological pressure, and the ward nurse also took more care of Sun Han's daily life. After a series of clinical treatments and internal counseling, on October 13, Sun Han was 36 weeks pregnant and decided to undergo a cesarean section.
Director Liu Xiaowei, Dr. Liu Jing, Dr. Song Wei and medical staff of anesthesiology, ultrasound, neonatology and other related departments work together and cooperate with each other medical staff, in the process of opening the abdomen, and the preoperative examination results are consistent, the pelvic abdominal adhesion is serious, the performance of placental implantation is very typical, the lower part of the uterus has a relatively large multi-heterogeneity vessel, and at the same time sees a very thin local muscle tissue, which is translucent, and it is easy to have damage to the uterus and surrounding tissues in the separation process, so in the process of surgical separation, it is necessary to be very careful. Time passes minute by minute, accompanied by the baby's loud crying, the first step of fetal delivery is successfully completed, followed by the stripping of the placenta, the weak part of the lower uterus is repaired, the bleeding blood vessels are sutured, the operation process requires rich experience and fine skills, even if fully prepared, the amount of anemia of Sun Han's bleeding has reached 1800 ml, and there are dangers at any time. After more than 1 hour of hard work, the operation was successful, Sun Han turned the crisis into safety, and the mother and daughter were safe.
After the operation, Sun Han was treated in the intensive care unit for three days. When recalling this period, Sun Han said: "During the operation, I was particularly nervous, so I looked at the shadowless lamp on the roof and my heart was blank. But when I think of Director Liu's encouragement to me, and seeing so many medical staff around me helping me and protecting me, I am particularly down-to-earth. They all said that the intensive care unit was terrible, but I felt very warm, because the doctors and nurses here were very thoughtful, although the postoperative wound was very painful, and I had to take uterine shrinkage, but it was because of their care and encouragement that I recovered quickly. ”
October 19 was the day Sun Han was discharged from the hospital, and when we met her in the ward, she was packing her things. As soon as she saw us, the young face was suddenly filled with a happy smile, and it was completely impossible to see that she was already the mother of three babies.
Insisting on protecting the health of women and children with love and responsibility is the original intention and mission of women and young women, and we will inherit the spirit and wisdom left by the first president, Mr. Lin Qiaozhi, and constantly give play to the characteristics and technical advantages of obstetrics and gynecology, so as to benefit more female patients and maternal mothers, and make greater contributions to promoting the healthy development of women and children.
Beijing Obstetrics and Gynecology Hospital
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