(Correspondent Yu Xinyi) "Happy birthday, happy birthday..." On the eve of National Day, bursts of laughter came from the conference room of the Prenatal Diagnosis Center of Wuhan University Zhongnan Hospital. Medical staff clapped and sang songs with their parents, giving the twin boys their unforgettable 4th birthday. "Grandpa, grandma, uncle, aunt, thank you!" Seeing this healthy twin baby, giving each medical staff a happy smile, everyone's faces were filled with happy smiles. No one would have thought that 4 years ago, they needed more than 30 medical staff to live relay when they were born - to cross the "life and death gate" and save the " abdominal cleft " fetus.
Xi's pregnancy twins, and the examination found that one baby had a "congenital abdominal cleft"
In March 2018, 29-year-old Wuhan girl Jianing (pseudonym) Xi's pregnancy twins, but while knowing the good news, another bad news also followed. B ultra- found that one of the fetus had a cleft about 1.3 cm long in the abdomen! The worried Jianing immediately found Professor Zhang Yuanzhen, chief expert of the obstetrics and gynecology department of Wuhan University Central South Hospital for help. Professor Zhang Yuanzhen carefully checked and diagnosed that one of the babies who were born in 11 weeks of pregnancy had abdominal clefts, which was a rare deformity accompanied by congenital abdominal wall defects and internal organs' abdomen from the defects, with an incidence rate of less than 3 in 10,000. Facing the two fetuses in Jianing's womb, genetic abnormalities must be ruled out first.
There are many methods for prenatal diagnosis, and the choice method and timing are very important. After clarifying the abnormality of the fetal structure, Professor Zhang Yuanzhen initiated the prenatal diagnosis process according to the prenatal management standards and arranged for Jianing to complete the fetal chromosome and gene detection in the laboratory cell and molecular genetic laboratory, basically eliminating the abnormality of fetal genetic material. This examination provides important support for subsequent clinical decisions. "According to the existing method examination, no other abnormalities of the two fetuses were found, but as the pregnancy period increased, some unpredictable risks may occur, such as miscarriage, premature birth , etc. If the baby dies prematurely in the abdomen, it will also bring fatal danger to another healthy baby."
stroked the twins in the abdomen with both hands. The Jianing and his wife did not want to give up any child. After repeated consideration and repeated weighing the pros and cons, they finally decided to accept the doctor's advice and complete this life game at the Women and Children's Hospital of Zhongnan Hospital.
multi-disciplinary team worked together to successfully cross the "life and death gate" in 91 minutes
At the end of September 2018, after the efforts of multi-disciplinary teams such as the Antenatal Diagnosis Center, Pediatric Surgery, Obstetrics, Anesthesia and Surgery Department, Ultrasound Imaging Department, Neonatal Department and other multi-disciplinary teams in Wuhan University Zhongnan Hospital, Jianing gave birth to twins safely in the hospital.
Two surgeries started at the same time. Xiaobao, who had an abdominal fissure, was transferred to the next operating room as soon as he was born. At that time, the cleft in the child's abdomen was as long as 3.5 cm long, and the large and small intestines were about 60 cm away from the crack. In order to maximize the survival rate of the child, Professor Zhang Wen of pediatric surgery led the surgical team to race against time, and it took only 91 minutes from the child's delivery to the completion of the operation. After the operation, after careful care from the neonatal department, Xiaobao successfully passed the test one after another and was out of danger on October 1, 2018.
"I finally let go of my heart that has been hanging for several months! We are all proud of you and your child. The success of the operation cannot be separated from the cooperation of every link, and the development of medicine cannot be separated from the understanding and support of patients and families." Before discharge from the hospital, Professor Zhang Yuanzhen and his expert team congratulated Jianing's family.
for four years of warm protection. It is better than relatives. After being discharged from the hospital, the medical staff of the Women and Children Hospital of Zhongnan Hospital have been caring about the growth of the twins. Whenever they encounter difficulties in parenting and health care knowledge, Jianing will actively seek help from them. "In our hearts, they are like family members, and they grow up day by day with their children."
When the baby was 4 months old, Jianing and her husband took him to the Women and Children Hospital of Zhongnan Hospital for a review. The results showed that not only the surgical wounds recovered well, but the physical examination and child growth and development assessment also showed that the baby's physical indicators were good in all aspects.In order to express their feelings, they specially customized three banners to give to the medical team participating in the treatment of babies. Each banner reads: Angel in white, it is you who created the miracle of life and opened the hope of your heart.
"This time we came, we were prepared early, and we also specially made a photo album for the child's four years of growth to our benefactors! It is both gratitude and joy." Twin mother Jianing said that whenever she thinks of this experience 4 years ago, she is very grateful to the medical staff of the Central South Hospital Women and Children's Hospital and the prenatal diagnosis team for their support and escort along the way, and delivering the child safe and healthy to her hands. It is reported that about 200,000 to 300,000 congenital deformities are born every year in my country. In addition to the defects that appear several months and years after birth, the total number of congenital disabled children reaches 800,000 to 1.2 million, accounting for about 4% to 6% of the total birth population each year. Since the three-child policy has been fully liberalized, the proportion of elderly women has increased significantly, and the risk of birth defects in the fetus has also increased.
Experts remind that prenatal screening and prenatal diagnosis are the key lines of defense for intercepting "problematic babies". Pregnant women, especially those with high risk groups, must pay attention to it. "When the doctor asks about your previous pregnancy and birth history, the pregnancy history, or the results of prenatal screening, and clearly informs you that you are a high-risk group after a comprehensive analysis, you should go to a hospital with prenatal diagnosis qualifications as soon as possible to consult and decide whether you need to have prenatal diagnosis in the next step."
