Amniotic fluid embolism is known as “the death of obstetrics”. Once it occurs, it only takes a few minutes to take the life of the mother and baby. Recently, the Chunliu Obstetrics and Gynecology Hospital of Dalian Women and Children’s Medical Center (Group) cooperated with multiple disciplines. After more than 5 hours of rescue, a woman who suffered from sudden amniotic fluid embolism was successfully pulled back from the death line.
Thriller: Maternal Smooth Delivery “Obstetric Death” Comes Quietly
July 13 At 8:28, a 36-year-old mother, Ms. Wang, gave birth to a baby boy in a childbirth ward of the Chunliu Maternity Hospital. While everyone was immersed in joy, danger came quietly. 10 minutes after delivery of the placenta, the maternal blood pressure suddenly dropped to 80/38 mmHg. Although the puerpera had no symptoms such as chest tightness, palpitation and discomfort for the time being, the shock-like blood pressure caused all the medical staff present to take a breath.
Chief Physician Zhang Jin immediately organized rescue on the spot, instructed the establishment of venous access, oxygen inhalation, monitoring of vital signs, laboratory tests, blood preparation, and then the mother was quickly transferred to the hospital. operating room. The medical staff immediately started the amniotic fluid embolism rescue plan, and quickly organized multidisciplinary teams such as obstetrics, anesthesiology, operating room, blood transfusion, and laboratory to open green channels for laboratory tests and blood transfusions.
Amniotic fluid embolism may lead to severe coagulation dysfunction. In the case of only a small amount of postpartum hemorrhage, fibrinogen and platelets are progressively reduced, and the oxygen saturation is at least 83%. . Fortunately, before the maternal coagulation function deteriorated, Director Li Ying of the operating room had contacted the blood bank in advance to infuse coagulation factors and red blood cells to avoid the occurrence of refractory postpartum hemorrhage.
After more than 5 hours of rescue, a total of 5 U of red blood cells, 980 ml of plasma, 20 U of cryostat, and 2 of platelets were transfused. Ms. Wang’s condition stabilized. The coagulation function and blood oxygen condition improved, and finally turned the corner.
Under the careful treatment and care of the medical staff, Ms. Wang recovered and was discharged from the hospital on the 7th day after giving birth. On the day of discharge, a pennant was sent to the medical staff to express gratitude.
Reminder: Amniotic fluid embolism cannot be prevented and pregnant women should go to regular hospitals for regular obstetric examination
It is understood , Amniotic fluid embolism is a serious and fatal obstetric complication, the incidence rate is (1.9~7.7)/100,000, and the mortality rate is 19%~86%. The clinical manifestations of amniotic fluid embolism are cardiopulmonary failure, pulmonary hypertension, coagulation dysfunction and other symptoms. Li Ying reminded that amniotic fluid embolism cannot be prevented or predicted at present, and its high-risk factors include advanced maternal age, history of multiple deliveries (parous women), placenta previa, polyhydramnios, twin pregnancy, membrane rupture, etc. For pregnant women with high-risk factors, medical staff will be more vigilant, closely observe them, strengthen identification and pre-judgment, and do their best to ensure the life safety of pregnant women. It is recommended that pregnant women go to regular hospitals for regular obstetric examinations during pregnancy. In the process of childbirth, if pregnant women experience chest tightness, difficulty breathing, irritability, chills and other discomforts, they must inform the medical staff in time, and professional doctors will assess the risk of childbirth. Du Peng Peninsula Morning News, 39 Degree Video Reporter Huang Fengtong