30-year-old pregnant woman, from Yen Bai, suffers from infertility. She is treated for 6 years to become pregnant through in vitro fertilization. By 23 weeks gestation, she ran out of amniotic fluid, the fetus was less moving.
This is her second pregnancy, all thanks to in vitro fertilization (IVF). The first time she was pregnant with twins, miscarried. In May 2020, she became pregnant with twins again, but one fetus was stillborn at 8 weeks. In the 22nd week, the remaining fetus spared less and ran out of amniotic fluid.
The doctor assessed that the amount of amniotic fluid in the mother’s uterus was too small, the baby was at risk of pulmonary dysplasia, umbilical cord compression, limb, stillbirth … The doctor advised her to suspend the pregnancy.
However, thanks to this IVF pregnancy, she has run out of embryos, and her ability to become pregnant in the future is lower.
“I am very worried, if this time it will be the same as the last time, I lost my baby and then later I cannot get pregnant again”, she shared.
Refusing to suspend the pregnancy, she went to Hanoi Obstetrics Hospital hoping to apply fetal intervention techniques. Doctor Nguyen Thi Sim, Deputy Director of the Center for Screening, Antenatal and Neonatal Diagnosis, said that the mother’s uterus has run out of amniotic fluid, the blood in the umbilical artery is reversed, so it is no longer able to feed the fetus.
Doctors decide to perform amniocentesis to support the pregnancy until the time the baby can safely deliver. On October 7, 2020, the pregnant woman was given amniotic fluid, used drugs for treatment, and nutritional supplements in accordance with the pregnancy development in the next two weeks.
At the end of October, she was discharged from the hospital and re-examined once a week. The baby has a stable development, was born on January 5 at 36 weeks of pregnancy, weighing 2.2 kg.
“I have been the mother of a lovely beautiful angel, ending 6 years of strenuous looking for children,” she said.
According to Dr. Sim, the method of amniocentesis is to bring a certain amount of sterile fluid into the mother’s body, creating an environment for the baby to rotate, move and develop safely. If the amniotic fluid in the mother’s uterus returns to normal levels, the reading is above 80 ml, the doctor stops the procedure and monitors the patient, evaluating the condition of the mother and fetus.
Amniocentesis is indicated for 16-32 weeks of pregnancy, lack of amniotic fluid but the amniotic fluid is still intact. It can be performed several times. This procedure is not applicable to pregnancies less than 16 weeks and older than 34 weeks, or mothers with a very short cervix, having uterine contractions threatening premature delivery, premature rupture of membranes or fetuses with acute infectious malformations, and allergic individuals. with analgesics, anesthesia, anesthesia.
The amniocentesis method has been applied at Hanoi Obstetrics and Gynecology Hospital since 2019, so far has helped 20 women with low amniotic fluid keep their babies and have healthy births, even though they previously had the risk of miscarriage and stillbirth. .