Pregnant woman had to have 2 cesarean sections before the baby could come out of her womb

Tu Du Hospital (HCMC) said that doctors here have actively supported lower-level hospitals to save the lives of mother and child Ms. HTD (33 years old) due to placenta accreta.

Thai phụ phải mổ 2 lần, em bé mới chui ra khỏi bụng mẹ - Ảnh 1.

The baby was born healthy after the mother had two cesarean sections. (Photo: Provided by the hospital)

Previously, Ms. D. had 2 cesarean sections and 1 normal birth. This was her 4th unplanned pregnancy.

Although she went for a local prenatal check-up, no abnormalities were found in the mother or baby. When the pregnancy was 39 weeks and 2 days, Ms. D. felt a slight cramping in her abdomen, so she went to Binh Duong General Hospital for a check-up. After the examination, she was admitted to the hospital and scheduled for a cesarean section because the baby was in breech position.

However, when the surgery was performed, the doctor noted that the anterior surface of the uterus to the bladder had many blood vessels that were suspected of having placenta accreta. Therefore, the doctors consulted with Tu Du Hospital to find the best solution for the patient.

Thai phụ phải mổ 2 lần, em bé mới chui ra khỏi bụng mẹ - Ảnh 2.

Doctors at Tu Du Hospital congratulated Ms. H.'s family on the day of discharge. (Photo: Provided by the hospital)

"At first, Tu Du Hospital planned to send the surgical team to Binh Duong General Hospital for support. However, this was a difficult and risky case. We were afraid that the equipment here was not enough, and the anesthesia and resuscitation team - newborns were not strong enough to save the mother and child, so in the end, the doctors decided to close the abdomen and transfer both mother and child to Tu Du Hospital for emergency treatment" - Tu Du Hospital shared.

Here, the patient continued to undergo a second surgery. When the doctor explored the abdomen, he saw that the omentum was attached to the abdominal wall, the front of the body and lower part of the uterus had many blood vessels, and the bladder was pulled up. The doctors carefully peeled the bladder little by little to limit blood loss and avoid damaging the bladder.

After nearly 4 hours of dissection, the doctor decided to cut along the uterine muscle to deliver a baby boy weighing 3.2 kg and transferred him to the intensive care unit.

Because the placenta invaded the bladder serosa, the two pelvic walls and the cervix, the entire lower part of the uterus was hypervascular with no muscle layer, so the doctors decided to perform a cesarean section and completely remove the uterus, leaving the two ovaries. After 7 hours of surgery, the patient lost 1,400 ml of blood and 2 units of packed red blood cells, 350 ml.

Ms. D's health is stable, no fever, dry surgical wound, normal urination and eating.

Doctors recommend that multiple pregnancies, especially those with a history of cesarean section, are high-risk pregnancies. Therefore, women should pay attention to complete prenatal checkups at highly specialized medical facilities to detect accompanying abnormalities, thereby predicting and preparing appropriate and safe treatment methods in advance.

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