Tu Du Hospital (Ho Chi Minh City) said that the doctors here have actively supported the lower level to save the lives of mother and daughter, HTD (2 years old) because the placenta is attached to the comb.
The baby was born healthy after the mother operated twice. (Photo: provided by the hospital)
Before that, Ms. D. gave birth by caesarean section twice, giving birth normally once. This is the 2th time she is pregnant because she missed the plan.
Although she went to the local antenatal clinic, she did not notice any abnormalities of the mother and the baby. When she was 39 weeks and 2 days pregnant, Ms. D. found her stomach slightly distended, so she went to Binh Duong Provincial General Hospital for examination. After the examination, she was admitted to the hospital and indicated for a cesarean section because of the breech pregnancy.
However, when the surgery was performed, the doctor noted that the anterior muscle to the bladder increased many blood vessels, suspected of having a percreta type placenta. Therefore, the doctors consulted with Tu Du Hospital to find the best solution for the patient.
Doctors of Tu Du Hospital congratulated Ms. H.'s family on her discharge day. (Photo: provided by the hospital)
“At first, Tu Du Hospital planned to send the surgical team to Binh Duong Provincial General Hospital for support. However, this is a difficult and risky case, fearing that the facilities and equipment here are not enough, the anesthesia and resuscitation team - the newborn is not strong enough to save the mother and child's life, so the doctors finally decided to do so. decided to close the abdomen and transfer both mother and child to Tu Du Hospital for emergency "- Tu Du Hospital shared.
Here, the patient continued to undergo surgery for the second time. When the doctor examined the abdomen, he found that the omentum was attached to the abdominal wall, the front of the body and the lower part of the uterus had proliferating blood vessels, the bladder pulled high. Doctors meticulously dissected the bladder little by little to limit blood loss and avoid damaging the bladder.
After nearly 4 hours of dissection, the doctor decided to do a longitudinal surgery of the uterine muscle to capture a baby boy weighing 1 kg and transfer him to resuscitation.
Due to the invasion of the serosa of the bladder, 2 pelvic walls and to the cervix, the entire lower uterine segment is proliferative blood vessels without muscle layer, so the doctors decided to cesarean section and completely remove it. uterus with 2 ovaries. After 7 hours of surgery, the patient lost 1.400ml of blood and 2 units of 350ml erythrocytes.
Ms. D.'s health is stable, no fever, dry incision, urination, eating normally.
Doctors recommend repeated pregnancies, especially those with a history of cesarean section, as high-risk pregnancies. Therefore, women should pay attention to full antenatal check-ups at highly specialized medical facilities to detect accompanying abnormalities, thereby predicting and preparing appropriate and safe treatment methods in advance. .
