Accidents and tomorrow don't know which will come first!Ms. Wu truly experienced this sentence. As a 37-year-old mother, she experienced a safe fetus and prenatal diagnosis during pregnancy, and finally successfully reached term, but ......
On November 29, Ms. Wu came to Xiaolan People's Hospital to prepare for the birth of her baby.
In the early morning of December 3, Ms. Wu suffered from abdominal pain and then entered the delivery room to give birth. At this time, Ms. Wu, who had experience in childbirth, was able to easily chat with her husband ** in the face of contractions.
At 7:40, the doctor checked the uterine mouth and opened 4 fingers, and gave her encouragement, everything was so calm.
However, after just 5 minutes, fetal heart rate monitoring showed a sudden slowdown of the fetal heart rate to 50 beats (normal 110 beats to 160 beats). The midwife who was guarding immediately called the doctor and carried out high-flow oxygen inhalation and opened the venous access, but the fetal heart rate became slower and slower, and Ms. Wu was short of breath and her face was blue. Just two minutes later, Ms. Wu was already out of breath, with low blood oxygen and loss of consciousness. It's an obstetrician's nightmare – amniotic fluid embolism!
It's going to rob people with death, and it's two people!The hospital immediately opened a green channel, and the emergency rescue team composed of obstetrics, medical department, ICU, anesthesiology department, and neonatology department was immediately in place, and at the same time, the laboratory department and blood transfusion department were also ready to cooperate.
In the delivery room, the doctor checked that Ms. Wu's uterine opening was fully open, and immediately used forceps to help the fetus be delivered. With the cooperation of medical staff, the baby boy was successfully delivered, and the baby baby delivered BB had a slow heart rate, bruising all over the body, and weak breathing. The neonatologist on the scene immediately carried out resuscitation, and with a loud cry of "wow, wow", the first half was successfully played.
At this time, Ms. Wu's heart beat slowly to 30-40 minutes, and she suffered the most dangerous cardiac and respiratory arrest. With the tacit cooperation of the strong rescue team of obstetrics, ICU and anesthesiology, Ms. Wu's heartbeat quickly recovered, blood oxygen came up, blood pressure stabilized, and everyone present thought they could breathe a sigh of relief. However, Ms. Wu suffered another massive hemorrhage and was immediately taken to the operating room for hemostasis. After more than 3 hours of multidisciplinary treatment, Ms. Wu was admitted to the ICU for further treatment after the heavy bleeding stopped. On the 3rd day after surgery, Ms. Wu woke up!
After half a month of recovery, Ms. Wu is expected to be discharged from the hospital on December 19.
According to the doctor, Ms. Wu bleed up to 8,000ml, transfused a total of 35 units of red blood cells (equivalent to 7,000ml of blood), 4,100ml of plasma, 8 ** amounts of platelets, and a large amount of coagulation substances, almost changing the blood of the whole body twice. It was her misfortune to encounter amniotic fluid embolism with an incidence of 2 per 100,000, but she was fortunate that the hospital's multidisciplinary rescue team ensured the safety of the mother and child.
Amniotic fluid embolism refers to the amniotic fluid entering the mother's bloodstream, causing the mother to have a similar anaphylactic shock reaction, which also contains some procoagulant substances, which will promote the coagulation of the mother's blood, and cause the function of multiple organs of the mother to be damaged, and in severe cases, it can lead to disability and even death of the mother and child. Because of its rapid onset, dangerous condition, and difficult to **, amniotic fluid embolism is known as the "obstetric death", and the mortality rate is as high as 80-90%. Amniotic fluid embolism** is unknown, currently neither preventable nor specific**.