Qianjiang Evening News·Hours News Reporter Zhang Bingqing Correspondent Sun Meiyan
Ms. Wu (pseudonym) with her bag always contains a handmade peace bag with a cute smiling face on it, and her tender brushstrokes say "Safe all the way", and there are already some creases on the surface.
The safe bag made by her daughter for her own hands
This is a small gift from the eldest daughter who forced her into to give birth to before she gave birth. At that time, the whole family did not expect that she would encounter serious pregnancy complications during delivery - amniotic fluid embolization .
"Later, thinking about it, in addition to the doctor's superb medical skills, there may be this safe bag who is silently blessing me!" After getting out of danger, this mascot full of love and blessing never left her side again.
The second child mother "leaks urine" after giving birth
is actually a serious heavy bleeding
Ms. Wu welcomed her second baby in her forties. When she gave birth to her eldest daughter 9 years ago, everything went smoothly. She felt more familiar with this baby. "Just carry a bag to the hospital for giving birth!"
It is 40 weeks old, and the baby who has exceeded the due date has not moved yet. She and her husband are preparing to pack up and enter the Zhejiang University Women's Hospital. The delivery bag should be as simple as possible. The eldest daughter gave her a safety bag she made herself, and she almost put it at home, but her daughter still secretly stuffed it in while she was not paying attention.
A few days after being hospitalized, the fetus finally started. The delivery process was quite smooth. She gave birth to a baby girl weighing 3,690 grams at noon on April 26. However, the doctor evaluated that the baby's breathing was a little uncomfortable, so he was sent to the NICU.
Ms. Wu, who was staying in the delivery room to observe, was a little tired. She felt something liquid flowing out of her lower body in a daze. "I thought it was leaking in the first two times, so I didn't mention it."
After a while, another heat flow came out, and it was obvious that the amount was larger. At this time, the nurse happened to come to her to patrol and check. found that the list under her had been stained with blood. She immediately ran out and called the rescue team.
Deputy Director Luo Qiong and Deputy Chief Physician Shu Shujuan of the Department of III of the Labor Department led the team members to the delivery room as soon as possible, and while stopping the bleeding according to the symptoms, the blood was drawn and tested. The results of blood routine suggested diffuse intravascular coagulation, and amniotic fluid embolism was considered.
Amniotic fluid embolism refers to serious complications caused by the entry of tangible substances and procoagulant substances in amniotic fluid into the maternal blood circulation during delivery, which may cause acute pulmonary embolism, allergic shock, disseminated intravascular coagulation, renal failure and even sudden death. The incidence rate is about 19/100,000 to 7.7/100,000.
The belated symptoms gradually appeared. Due to excessive blood loss, Ms. Wu began to feel dry lips and tongue. The nurse thoughtfully fed her brown sugar water with the right temperature, but she immediately vomited it out after drinking it. At the same time, the continuous contractions made her feel unbearable pain.
Ms. Wu realized that she would face a tough battle.
The big team of experts treated promptly
Save life and keep the uterus
At this time, the gentleman waiting outside the delivery room first received the news of his youngest daughter's birth. Before he had time to report the good news in the family group, the doctor came to him and asked him to sign an informed consent form and a critical illness notice .
His mood fell instantly from the highest point of the roller coaster, but he still insisted on staying calm and calm.
"Amniotic fluid embolism is a very dangerous complication, and the uterus may be removed during the operation."
"As long as your life is saved, you need to work hard with good medicine, don't say much, hurry up and save the person!"
Luo Qiong's team first carried out supportive treatments such as increasing oxygenation, respiratory support, maintaining hemodynamics stability, correcting coagulation dysfunction, and anti-allergicity, and continued blood transfusions. During the entire treatment, Ms. Wu bleed a total of 4,000 ml of bleeding, which is equivalent to the total blood volume of an adult. She inputted 18 units of red blood cells, and 20 units of cold precipitation coagulation factor. When
and others were sent to the operating room, her condition had improved, her bleeding volume was significantly reduced, and her vital signs were stabilized.Shu Shujuan said that in principle, mothers with amniotic fluid embolization generally need to remove their uterus, but considering that she is in good condition in all aspects and is not old, she finally decided to bind and fill uterus and to try to retain the uterus.
"At that time, I found out that it was Dr. Luo who was the chief surgeon and Dr. Shu was the assistant. I thought that with such a staffing configuration, the operation would definitely be very difficult!" Ms. Wu recalled. But it was also the escort of the big-name team that made her go to the operating table with confidence.
Luo Qiong's team's surgery was very smooth during the operation. Luo Qiong's team successfully stopped her from bleeding and kept her uterus. After the operation, she was sent to the intensive care unit (ICU) for further observation.
When living in ICU, Ms. Wu's hand was always itchy when she was injected. She was embarrassed to bother the nurse, so she could only scratch it carefully, for fear of making too loud noises. But late at night, the nurse on duty heard the news and immediately came to ask with a flashlight. She found that it was allergic to the skin, so she immediately transferred anti-allergic drugs.
has undergone labor and surgery one after another. It is the time when a woman is most physically and mentally vulnerable. These little bits of care silently nourish her wounds, allowing the weak mother to rejuvenate her little by little. When
was discharged from the hospital, Ms. Wu had recovered well. However, the gentleman who had changed clothes and shaving in a hurry had messy hair and unshaven beard. "He was like a savage! But he no longer cared about these things, as long as we mother and daughter were safe."
suddenly had a high fever late at night after being discharged from the hospital
The hospital opened a green channel for her
After Ms. Wu returned home, her youngest daughter was also discharged from NICU, and the family was finally reunited. When the eldest daughter heard about her mother's experience of giving birth to her sister, she felt distressed and scared, but she did not forget to joke, "Thanks to my peace package!"
Luo Qiong's team was still paying attention to her situation at all times, and added her on WeChat, asking her care and concern every now and then. Shortly after being discharged from the hospital, her temperature was often high, and one day she had a fever of 40 degrees. After learning about it, the doctor urged her to come to the hospital for a review immediately.
But because the incident happened suddenly, she didn't have time to do nucleic acid test . "They told me not to have any worries, and then opened a green channel for me, and soon got nucleic acid and was hospitalized."
It was midnight when she was admitted to the hospital that day, but many familiar doctors still came to check the rounds. Although Ms. Wu couldn't call out the name of every doctor and couldn't see her face clearly, her familiar and friendly eyes were enough to make her feel at ease.
The next day, the hospital invited experts from the infectious disease department to come for consultation, ruled out the possibility of infection, and finally gave her a symptomatic treatment to reduce fever.
Shu Shujuan said that amniotic fluid embolism is the most dangerous type of complications for mothers. High-risk factors include primary delivery at an age, cervical laceration of the mothers, uterine rupture of the , excessive amniotic fluid , multiple pregnancy, excessive uterine contraction, acute delivery, premature rupture of the membrane, placenta previa , cesarean section and curettage, etc.
The incidence of amniotic fluid embolism in Zhejiang University Women's Hospital in the past 10 years is about two-tenth, and the mortality rate is zero. She said that although modern medicine has a complete set of standardized treatments for amniotic fluid embolism, women should try to avoid high-risk factors and reduce the risk of production.
"Many pregnant women hope to realize their desire to have two or three children at one time through assisted reproduction. In fact, multiple pregnancy is the inducing factor of amniotic fluid embolism. Reducing non-medical cesarean sections can also reduce the occurrence of amniotic fluid embolism. In addition, women who are willing to give birth should also put birth on the agenda while busy with their careers. Primary births at an advanced age are also an important cause of amniotic fluid embolism."
In recent years, Zhejiang University Women's Hospital, as a high-risk maternal management center and a critically ill maternal treatment center in the province, has continuously reduced the mortality rate of pregnant women and perinatals in the province through jurisdiction management. The province's maternal and perinatal health service indicators are above 95%, and the maternal and infant safety level is at the forefront of the country. The intelligent management cloud system for high-risk pregnancy and childbirth independently developed and promoted by Zhejiang University Women's Hospital can achieve hierarchical management through accurate pregnancy risk assessment and monitor the core indicators of pregnancy risk in real time, further promoting the level of maternal and infant safety services.
This article is an original work of Qianjiang Evening News. Reproduction, copying, excerpting, rewriting, and online dissemination are prohibited without permission. Otherwise, this newspaper will pursue legal liability for the infringer through judicial channels.
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-