The reporter learned from the Second Affiliated Hospital of Nanjing Medical University that the obstetrics department of the hospital recently received two high-risk mothers in a row. Under the escort of medical staff, the two mothers gave birth to triplets and were discharged from the hospital safely. Obstetric experts pointed out that due to factors such as late marriage and late childbearing, there is a trend of increasing number of high-risk pregnant women, and it is recommended that women should undergo formal prenatal examination once they are pregnant and do pregnancy risk screening in time.
She successfully delivered triplets after cervical cerclage.
Ms. Ning (pseudonym) from Shanxi Province traveled thousands of miles to Nanjing for medical treatment because of cervical insufficiency a year ago, and found Chief Physician Ying Xiaoyan from the Department of Obstetrics and Gynecology of the Second Affiliated Hospital of Nanjing Medical University.
After evaluation, Ms. Ning underwent preconception prophylactic laparoscopic cervical cerclage. Shortly after the operation, he returned to the local area for IVF and successfully implanted. This was a happy thing, but what made Ms. Ning embarrassed was that this pregnancy turned out to be triplets. Due to the small size of the pregnant woman, the volume of the uterine cavity will also decrease after cervical cerclage, and pregnancy complications will increase, and the local doctor recommends that the fetus be reduced. However, the haze of the failure of the last fetal reduction has not yet dissipated, and Ms. Ning has to face a difficult choice again. After much thought, Ms. Ning decided not to reduce the fetus. Because she was full of trust in the Second Affiliated Hospital of Nanjing Medical University, she contacted the team of Director Ying Xiaoyan who gave her cerclusion, and after assessing her condition, she once again embarked on the "thousand-mile pregnancy journey" to Nanjing.
Three-child pregnancy is a high-risk pregnancy, especially in the case of recurrent miscarriage, cervical cerclage, and precious birth, and the incidence of re-miscarriage, preterm birth, and various maternal and child complications are greatly increased. Without fetal reduction, this decision is very risky for both the fetus and the pregnant woman. From preparing for pregnancy to welcoming a new life, the road is destined to be a road full of thorns for Ms. Ning. Ms. Ning spent almost the entire middle and late trimesters in the obstetrics department of the Second Affiliated Hospital for fetal protection**. Under the careful care of Zheng Jiangli, director of the obstetrics department, and the professional strength of all the medical staff, she has overcome many difficulties, including recurrent contractions, compression symptoms after the third trimester of the belly becomes larger, and blood pressure rises to poor postpartum uterine contractions.
In the end, due to severe preeclampsia, a complication during pregnancy, Ms. Ning underwent cesarean section to terminate her pregnancy at 33+2 weeks of pregnancy, and successfully delivered two lovely daughters and a son, weighing 1760g, 1600g and 1780g respectively. Because the development of various organs of premature infants may be immature, especially fetal lung dysplasia, the neonatology department will escort the whole process during delivery. All three babies were transferred to the neonatal department for inpatient observation** and were soon discharged healthily.
She bleed 2500ml after giving birth to triplets
Ms. Zhang (pseudonym) is also a mother of three children who successfully protected her baby in the Department of Obstetrics and Gynecology of the Second Affiliated Hospital. Her triplets came into the world safely under the escort of the obstetrics and neonatology departments, and Ms. Zhang received a series of ** such as rehydration, anti-infection, and oxytocin after surgery, and was discharged from the hospital in good health after recovery. On the eighth day after giving birth, Ms. Zhang, who was recuperating at home, suddenly felt that the amount of lochia discharged was abnormally high and continuous, which really frightened Ms. Zhang and her husband, and Ms. Zhang's husband was not at ease and immediately contacted Zheng Jiangli, director of the obstetrics department of the Second Affiliated Hospital.
With years of clinical experience, Director Zheng quickly diagnosed "advanced postpartum hemorrhage" and asked her family to take Ms. Zhang to the hospital for treatment as soon as possible. In the process of waiting for Ms. Zhang to come to the hospital, Director Zheng opened the hospital's emergency fast treatment channel for her in order not to delay the treatment time, and contacted various departments to make rescue preparations.
After Ms. Zhang arrived, everyone immediately took first aid measures for her, and carried out blood drawing, laboratory tests, rehydration, blood transfusion, and uterine contractions**. Director He Yiming and other doctors have been carefully and closely observing the condition, and are ready to adjust the doctor's order according to the patient's condition at any time. **Elders and midwives do a good job of nursing and rescue. Obstetric medical staff also cooperate with anesthesiology, blood bank, laboratory department, interventional department and other departments to actively carry out rescue. This time, Ms. Zhang had a total of about 2,500ml of bleeding, and the amount of blood in the human body was about 4,000ml to 5,000ml. After everyone's concerted efforts, Ms. Zhang's heavy bleeding was finally controlled, and her condition gradually recovered to stability.
The number of high-risk pregnant women has increased, and they are not suitable to seek medical attention in time.
Director Zheng Jiangli introduced that various factors such as late marriage and late childbearing have led to an increase in high-risk pregnant women, which is a test for obstetrics and gynecology and pediatrics. According to reports, one-third of the pregnant women hospitalized in the obstetrics department of the Second Affiliated Hospital are high-risk mothers. The risk of multiple pregnancies is greater in high-risk pregnancies. For women with multiple births, the incidence of complications such as miscarriage, gestational hypertension, impaired glucose tolerance during pregnancy, anemia, uterine atony during delivery, placental abruption, polyhydramnios, amniotic fluid embolism, and postpartum hemorrhage is increasedFor fetuses, the incidence of complications such as preterm birth, low body weight, intrauterine growth retardation, intrauterine fetal death, neonatal asphyxia, fetal malformations, abnormal fetal presentation, cerebral palsy, and abnormal development of the central nervous system is increased. Therefore, multiple pregnancies pose a double risk to the development of both the mother and the baby in the womb. Director Zheng Jiangli reminded high-risk pregnant women that once they are found to be unwell, they need to go to the hospital for treatment in time.
Correspondent: Gu Yifei, Yangtze Evening News, Purple Cow News reporter, Yu Dandan.
Proofreading by Sheng Yuanyuan.