Information from Tu Du Hospital on August 4 said that a surgical team of 7 people from this hospital went to Cho Ray Hospital to perform a cesarean section for Ms. V., who has a serious heart condition and is 36.4 weeks pregnant.
Ms. V. was pregnant for the second time and had regular prenatal checkups and had all the necessary screening tests for fetal abnormalities. At the end of July, Ms. V. went for a routine prenatal checkup and was diagnosed with high blood pressure and fetal malnutrition in the uterus, so she was hospitalized.
Ms. V. had a cesarean section in 2003 due to cardiovascular disease.
Immediately after admission, Ms. V. underwent a color Doppler ultrasound to assess fetal health, which showed intrauterine growth restriction with reduced middle cerebral artery impedance, and a PCR cerebroplacental index within normal limits. Maternal echocardiography showed stenosis of the funnel and aortic valve.
Tu Du Hospital conducted a consultation with a cardiologist from Cho Ray Hospital to determine that Ms. V.'s condition required termination of pregnancy by cesarean section when the fetus was mature enough.
Doctor monitors the condition of pregnant woman V.
The "brain-wrenching" decision to postpone the cesarean section
Tu Du Hospital planned to perform a surgical procedure for the patient with the support of a cardiologist from Cho Ray Hospital. However, according to the assessment of the Head of the Cardiology Department at Cho Ray Hospital, with Ms. V's cardiovascular condition, the risk of death during and after surgery is very high.
Therefore, the doctors decided to postpone the surgery and transfer the patient to Cho Ray Hospital to perform pulmonary valve dilation first. After 24-48 hours of stabilization, a cesarean section could be performed to reduce the risk of death during the pre-, during- and post-surgery process for Ms. V., accepting the risk that the baby could die in the womb.
Doctor CK2 Tran Ngoc Hai - Director of Tu Du Hospital, also directed the surgical team with the spirit that "the pregnant woman must be operated on at a hospital that is safer, has more adequate intervention equipment, and reduces the risk of death as much as possible".
The surgery was successful beyond expectations.
On July 31, at Cho Ray Hospital, Ms. V. underwent pulmonary valve dilation, but because the pulmonary valve was too low and the valve funnel was narrowed, the results after the procedure did not improve as much as expected. Cho Ray Hospital consulted with Tu Du Hospital and decided to perform a cesarean section for Ms. V. on the morning of August 1.
With the coordination of the anesthesia and resuscitation team, interventional cardiologist of Cho Ray Hospital, and obstetric surgery team of Tu Du Hospital, the surgery was carried out smoothly, all respiratory and circulatory parameters were well controlled.
The baby was born weighing 1.9 kg.
After 10 minutes, the doctor delivered a baby girl, weighing 1.9 kg. The baby was quickly evaluated by the medical team for appropriate intervention and immediately transferred to the Neonatal Department for convenient care.
Three days after the surgery, Ms. V. temporarily overcame the critical stage, her health gradually stabilized, the surgical wound was dry, she had no fever, her blood pressure was within normal limits, and her uterus contracted well. Doctors from the two hospitals continued to coordinate to examine, evaluate, and monitor the condition of the pregnant woman.
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