Order EMCO to save pregnant women with twins

HanoiPregnant woman with twin pregnancy of 29 weeks, critically ill with Covid-19, had to undergo ECMO intervention on the spot, recovered after nearly a month of treatment.

34-year-old woman, treated at Facility 2, Hanoi Obstetrics and Gynecology Hospital. Upon admission, the patient received comprehensive care from medical staff, taking symptomatic medications, anticoagulants, and antibiotics. On the 7th day, the pregnant woman started to have a high fever over 39 degrees. Doctor Nguyen Cong Dinh – Team leader said that pregnant women have not shown any symptoms of shortness of breath, but pregnant with twins, high fever continuously for 3 days, especially not having been vaccinated against Covid-19 are prognostic factors that can change. rapid weight. The team immediately took X-ray films, used lung maturation drugs for the fetus to prepare for the worst case, having to give birth to two babies early to save the pregnant woman.

On the night of December 17, the patient began to have difficulty breathing, was taken to the emergency room to breathe oxygen 5 liters / min. At 8:30 a.m. the next morning, the pregnant woman was more tired, had non-invasive mechanical ventilation but did not respond, and had to switch to mechanical ventilation through an endotracheal tube. Patients with acute respiratory failure cause fetal failure, fetal heart rate drops to 80-90 times / minute (normally about 140 times / minute), the doctor said.

In a critical situation, Doctor Nguyen Duy Anh, Director of Hanoi Obstetrics and Gynecology Hospital, consulted with Doctor Nguyen Trung Trung, Deputy Director of the Central Hospital for Tropical Diseases, and decided to have an emergency cesarean section. Two girls were born, one weighing 1.5 kg, the other 1.6 kg. Because the mother was born prematurely at 30 weeks of gestation, the mother again had a severe form of Covid-19, and the two children needed monitoring and mechanical ventilation. The mother had to have a hysterectomy due to the severe prognosis and the risk of bleeding.

Doctor Pham Van Phuc, Deputy Head of the Department of Resuscitation, Central Hospital for Tropical Diseases, went to the maternity hospital to support and decided to intervene ECMO on the spot to save the patient’s life. On the afternoon of December 18, the patient was transferred to the Central Hospital for Tropical Diseases, Kim Chung facility.

The team of doctors is performing emergency surgery to deliver a pregnancy for a pregnant woman with Covid-19 in critical condition. Photo: Hospital provides

On December 30, the patient was safe and discharged home. Two girls after 10 days of intensive treatment at the Covid-19 Treatment Facility were able to breathe on their own and are in stable health.

Thuy An


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