cough

The mother coughed, and more than 20 people worked hard to rescue her for 6 hours. (Picture/reproduced from Weibo)

A mother who is giving birth suddenly coughs, which is not a big problem in the eyes of many people. However, the medical staff at the Obstetrics Department of the Guanggu Campus of the Hubei Provincial Maternal and Child Health Hospital in mainland China were extra vigilant because of this cough and saved the life of a mother who suffered a sudden “amniotic fluid embolism”. Not long ago, the princess’s water broke naturally when she was 39 weeks pregnant in the delivery room of the hospital. One minute later she suddenly coughed, which alerted the midwife.

According to local media reports, Chen Xiangyi, chief physician of the Obstetrics Department of the Guanggu Campus of Hubei Maternal and Child Health Hospital, said, “Coughing is a prodromal symptom, because normally, if we don’t have a cold, we won’t have a cough.” The midwife immediately thought of it. The possibility of amniotic fluid embolism.

Amniotic fluid embolism is a sudden, rare and fatal obstetric complication. It can lead to rapid failure of maternal heart and lung and other multiple organ functions and systemic coagulation dysfunction. The condition is dangerous and the mortality rate is high. Some people vividly liken it to “the lottery of death”. . Wu Pan, head of the Department of Adult Internal Medicine and ICU of the Guanggu Campus of Hubei Maternal and Child Health Hospital, pointed out, “We need to deliver the fetus quickly, because when the mother develops amniotic fluid embolism, she will suffer from severe hypoxia, and the fetus will also suffer from severe hypoxia at this time. Hypoxia, if the fetus is deprived of oxygen for too long, the fetus cannot be saved.”

The obstetrics department launched an emergency plan within 5 minutes. While injecting anti-allergic drugs, the mother was quickly transferred to the emergency operating room. A hospital-wide multidisciplinary joint treatment was launched. Four minutes later, a 3,320-gram baby boy was delivered successfully. But then, the mother began to develop the classic symptoms of amniotic fluid embolism. Chen Xiangyi revealed, “After we urgently delivered the placenta, we found that the mother’s blood was non-coagulable and she had hematuria, so she had coagulation disorder.”

On the operating table, Chen Xiangyi and Duan Jie, deputy director of the Department of Gynecology, quickly performed various hemostasis methods such as iliac artery ligation and pressure suturing. Under the operating table, doctors from the ICU, anesthesiology department and other departments paid close attention to the mother’s vital signs and adjusted her medication. “We used gauze to pack her to stop the bleeding, apply pressure to stop the bleeding, and reduce her bleeding. We transfused her a total of more than 4,000 ml of blood. , basically the blood has been changed again.”

After a large number of continuous blood transfusions, the mother’s condition began to stabilize, her blood and urine became clear, and everyone couldn’t help but cheer. After nearly 6 hours of rescue by more than 20 medical staff, the mother’s vital signs basically returned to stable. Wu Pan pointed out, “She was extubated within 22 hours.” Chen Xiangyi explained, “The mother’s uterine contractions were not bad, there was not a lot of lochia, and there was milk secretion. Getting out of bed and urinating and defecating were all normal. “

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2024-01-20 09:09:27