Saving a 35-week pregnant woman with drug-resistant pulmonary tuberculosis

On the morning of July 8, a team of 11 medical staff from the Central Obstetrics Hospital urgently arrived at the Central Lung Hospital to perform an emergency cesarean section for a 30-year-old pregnant woman with severe drug-resistant pulmonary tuberculosis, who was 35 weeks pregnant.

The newborn was kept close to the mother and then taken to the Central Maternity Hospital for care.

This is a particularly dangerous case and requires close, in-depth coordination between two leading hospitals – one providing intensive respiratory treatment, the other being the leading specialist in Obstetrics, Gynecology and Neonatology in the country.

Previously, on July 7, the Central Obstetrics Hospital received a request for emergency support from the Central Lung Hospital. The patient was Ms. LTH (30 years old), 35 weeks pregnant with her first child, and was being treated for recurrent pulmonary tuberculosis resistant to rifampicin - a particularly dangerous form of drug-resistant tuberculosis.

The patient had a history of tuberculosis treatment 3 years ago, this time it relapsed with serious damage to both lungs, especially the left lung almost completely lost function.

As the fetus grows, the pressure on the chest increases, causing the patient to develop respiratory failure. Continuing to wait until the fetus is full term is too risky, and can put both mother and child in danger at any time. The two hospitals urgently consulted and decided to perform a cesarean section right at the Central Lung Hospital.

Doctors perform surgery to deliver a baby for a pregnant woman at the Central Lung Hospital.

Early in the morning of July 8, an outpatient surgical team of 11 medical staff from the Central Maternity Hospital brought full surgical instruments, medicine, and neonatal resuscitation equipment, including an incubator, ready to handle any situation on the spot.

The Central Lung Hospital is responsible for preparing all pre-operative resuscitation, treating tuberculosis and ensuring the best respiratory condition for the mother before surgery. Meanwhile, the Central Obstetrics Hospital is responsible for obstetric surgery and newborn care.

After more than 30 minutes of intense surgery, the 2,200g baby boy was born safely and pink. Midwives and neonatologists quickly examined, kept the baby warm and supported his breathing with a portable incubator.

Before being transferred to the Neonatal Center, Central Maternity Hospital for intensive care, the baby was held close to the mother for the first moment.

Leading the team to coordinate this time, specialist doctor II Nguyen Duy Hung - Deputy Head of the Department of Obstetrics and Infectious Diseases, Central Obstetrics Hospital shared that a pregnant woman being treated for drug-resistant tuberculosis while pregnant is a very difficult problem, because she must ensure the mother's life and protect the fetus.

Thanks to close coordination with colleagues at the Central Lung Hospital, the surgery was successful, the result of many hardships and inter-hospital efforts.

The newborn was taken to the Central Maternity Hospital for care.

During this inter-hospital coordination process, Master, Specialist II Doctor Nguyen Viet Nghia - Head of the Department of Anesthesia and Resuscitation, Central Lung Hospital added that because the pregnant woman was premature and had respiratory failure, the doctors had to plan anesthesia and resuscitation very carefully, and prepare for all emergency situations. The good coordination and professionalism between the two teams was the key to success.

The case of the pregnant woman LTH is not the first case to undergo emergency surgery at the Central Lung Hospital with direct professional support from the Central Obstetrics Hospital. Nearly 10 similar surgeries have been performed in recent years, demonstrating an effective and timely model of inter-hospital professional coordination that is increasingly becoming routine.

THIEN LAM

Source: https://nhandan.vn/cuu-san-phu-mang-thai-35-tuan-mac-lao-phoi-khang-thuoc-post892438.html