Hai PhongWhile trying to give birth, a 24-year-old woman suddenly stopped breathing, her limbs were spasmodic, her fetal heart was very slow, the doctor assessed the risk of maternal and child mortality.
The 39th week pregnant woman, went into labor, was transferred to the Department of Obstetrics 1, Hai Phong International General Hospital. Doctors on 11/12 information, pregnant women enter the delivery room with normal indicators. However, in the process of pushing labor, the woman suddenly had chest tightness, difficulty breathing, spastic limbs, and a deep drop in blood pressure. More dangerous is that the fetal heart rate is very slow, the reading on the machine is 50-60 times per minute, while normally at the time of labor, the fetal heart rate is best at 110-160 beats.
Doctor Doan Thi Thuy Ha assesses pregnant women with amniotic fluid embolism, leading to hypotension, vasomotor and electrolyte disorders, acute fetal failure, and the risk of death of both mother and child is very large. Doctors immediately performed emergency resuscitation, decided to have cesarean surgery, triggered a red alarm.
Pregnant woman stops breathing. Expedited surgery was conducted. In just 30 seconds, the crew successfully removed the 3.5 kg boy from the womb. The baby cried well, transferred to the Children’s Hospital Hai Phong. The team of doctors continued to focus highly on first aid for the mother. Fortunately, the woman’s heart beats steadily, blood pressure gradually stabilizes. However, the next morning, the woman’s consciousness did not fully recover, showing signs of stimulation.
The hospital consulted with Associate Professor, Dr. Nguyen Van Chi – Head of Emergency Department, Bach Mai Hospital. Experts assessed that pregnant women with very severe amniotic fluid, moved urgently to Bach Mai Hospital to treat hypothermia and protect the brain.
At the Emergency Department, Bach Mai Hospital, after 72 hours, the woman was warmed again and fully awake, her injuries recovered quickly. Currently the health of both mother and child is stable.
Associate Professor Chi said: “The emergency case is a miracle. The doctors of Hai Phong International General Hospital have done too well in the first step to preserve the pregnant woman’s life, creating a prerequisite for us. have a chance to successfully treat the next steps “.
Amniocentesis (the syndrome resembling anaphylaxis in pregnant women) is a condition in which amniotic fluid, fetal cells, hair or other debris enters the mother’s bloodstream through the placenta in the uterus, causing a reaction. Allergic-like, causing acute pulmonary heart failure and severe bleeding.
This is a rare obstetric emergency, with the rate of 1 / 8,000 to 1 / 80,000 cases. Medicine considers amniocentesis as an obstetric disaster, occurring suddenly with no warning symptoms at the time of labor, or immediately after birth, signs of sudden difficulty breathing, blue skin reoccurring. out within the first few minutes, rapidly pulling blood pressure, pulmonary edema, shock, confusion, loss of consciousness, convulsions, coma …
Most women with amniotic fluid embolism die in the first hour, and 85% of the surviving women have neurological sequelae. The fetal mortality rate is 21-32% if the fetal heart still occurs at the time of the accident, nearly 70% will survive if the cesarean section is timely. 50% of children that survive have nerve damage.
The doctor said, women of all ages can have amniotic fluid embolism that occurs before, during and immediately after birth. The medical record that women with amniocentesis has several characteristics such as large fetus, overdue pregnancy, panic, anxiety, difficulty breathing and vomiting. In addition, cases of multiple pregnancies and difficult birth damage the cervix, allowing amniotic fluid to enter the mother’s blood vessel system, leading to amniotic fluid embolism.
Amniocentesis is unpredictable, has no prophylaxis, and is an untreated obstetric emergency. Therefore, doctors when monitoring laboring women need to quickly record signs and symptoms, confirm diagnosis for timely positive resuscitation and supportive treatment is a possible prerequisite. Hope to save the life of mother and fetus.