The baby sends a distress signal in the uterus, and the pregnant mother senses abdominal pain an

Mondo Parenting Updated on 2024-02-21

Ms. Liu is 36 weeks pregnant, one day at 3:00 in the morning, after she got up to go to the toilet, she suddenly felt severe abdominal pain, Ms. Liu immediately remembered the advice of Huang Jing, director of the obstetrics department of Hunan Want Want Hospital: "You have chronic hypertension, you should be especially vigilant about placental abruption during pregnancy, if severe abdominal pain occurs, or if you find **bleeding, you must immediately go to the hospital to see an emergency, don't delay!" ”

Ms. Liu quickly woke up her family and drove to Hunan Want Want Hospital, on the way she called the obstetric emergency ** and told the doctor about her general situation. 15 minutes later, when Ms. Liu arrived at the emergency department, the two doctors from the emergency department** and the obstetrics department were ready to receive the treatment, and the medical staff immediately carried out fetal heart rate monitoring for Ms. Liu, and simultaneously improved the preoperative examinations such as blood collection, blood preparation, and electrocardiogram.

Based on Ms. Liu's medical history, symptoms, signs and fetal heart rate monitoring patterns, the doctor believed that she was very likely to have a placental abruption and needed to have an emergency cesarean section immediately. Ms. Liu was immediately sent to the operating room, and at the same time, members of the rapid response team composed of anesthesiology, operating room, neonatology, and obstetrics have all arrived at the operating room and are preparing for emergency rescue in an orderly manner.

Soon, the baby was born, bloody amniotic fluid, poor muscle tone, neonatologists immediately gave resuscitation and rescue, 1 minute, 2 minutes, 3 minutes, with the vital signs up to the standard, the newborn finally let out the first cry, the medical staff present finally breathed a sigh of relief. During the operation, she was diagnosed with placental abruption, and due to the timely rescue, Ms. Liu's operation went smoothly without serious complications such as postpartum hemorrhage.

From Ms. Liu's arrival at the hospital's emergency department to the delivery of the newborn, the entire rescue process took 15 minutes. After the operation, the mother and baby were discharged from the hospital as scheduled under the careful care of the obstetrics and neonatology medical teams. When she was discharged from the hospital, Ms. Liu and her family expressed their deep gratitude to the medical team of Want Want Hospital!

Popular science knowledge: Placental abruption refers to the separation of the placenta in a normal position from the uterine wall before the fetus is delivered after 20 weeks of pregnancy, with an incidence of about 1%. Placental abruption will lead to intrauterine ischemia and hypoxia of the fetus, if not treated in time, it will lead to intrauterine fetal death, severe coagulation dysfunction of the mother, and massive bleeding endangering the life of the mother and child, which is a serious complication in the third trimester of pregnancy.

1. What are the risk factors for placental abruption?

1.Have severe preeclampsia, chronic hypertension, chronic kidney disease, or other systemic vascular disease.

2.External blows to the abdomen during pregnancy usually occur within 24 hours of trauma.

3.Premature rupture of membranes occurs before term, especially in mothers with polyhydramnios, because of the sudden decrease in intrauterine pressure.

4.Pregnant mothers with bad habits, such as smoking, drug abuse, etc.

5.Other factors, such as advanced age and prolific age, a history of placental abruption, assisted reproductive technology (ART) fertility, intrauterine infection, or a pregnant woman at risk of developing blood clots.

6.Placental abruption has also been found in pregnant women with no obvious risk factors when there is a sudden change of body position.

2. How to quickly identify placental abruption during pregnancy, and how to deal with it urgently once it is suspicious?

1.Pregnant mothers who are at high risk of placental abruption need to pay close attention to their own conditions, such as ** bleeding, severe and continuous abdominal pain, accompanied by nausea, vomiting, sweating, pale complexion and other manifestations need to be paid attention to.

2.If discomfort occurs after abdominal trauma, placental abruption is even more alarming.

3.If placental abruption is suspected, urgent medical attention is required to terminate the pregnancy immediately.

3. In order to avoid placental abruption, how can pregnant mothers take preventive and health care measures?

1.For pregnant women with gestational hypertension, chronic hypertension, and kidney disease, follow the doctor's instructions for timely prenatal examination, actively cooperate, and do a good job of self-blood pressure monitoring.

2.Develop good living habits, prohibit smoking, prohibit drugs, and refuse to smoke second-hand smoke from family members.

3.Pay attention to your own safety in life and avoid abdominal trauma.

4.In the third trimester of pregnancy, you should be moderately active, avoid lying on your back for long periods of time, move slowly when changing positions, and avoid strenuous exercise.

Hunan Medical Chat Special Author: Zhuo Hongmei, Department of Obstetrics, Hunan Want Want Hospital, Figure Wang Yijin Follow @Hunan Medical Chat to get more health science information!

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