Hai Duong Obstetrics Hospital saves mother and child in critical condition

On July 8, Dr. Nguyen Xuan Huy, Director of Hai Duong Obstetrics and Gynecology Hospital, said that after 2 days of emergency care and intensive treatment at Hai Duong Obstetrics and Gynecology Hospital and Bach Mai Hospital (Hanoi), the health of the pregnant woman Pham Thi L. has basically stabilized, she is alert, has good communication and can eat a little porridge. The health of the newborn baby (Ms. L's child) has also progressed well.

Previously, on the afternoon of July 5, Ms. L. went to Hai Duong Obstetrics Hospital when she was 39 weeks pregnant and went into labor. The mother had a healthy history, had a normal delivery during her first pregnancy, and this time the doctor also ordered her to wait for delivery.

At around 5am on July 6, right when she was about to give birth, Ms. L. suddenly had a seizure, her body was struggling, she turned purple, her blood pressure dropped, and her blood oxygen saturation decreased. Doctors determined that Ms. L. had an amniotic embolism, which posed a high risk of death for both mother and child.

In the face of the above urgent situation, Ms. L. was immediately consulted, prescribed oxygen, resuscitation and transferred straight to the operating room. Here, she was intubated, put on a ventilator, and given intensive resuscitation to increase blood pressure and maintain respiratory and cardiovascular support.

Along with active resuscitation, Dr. Nguyen Xuan Huy directly directed the surgical team to quickly perform a cesarean section, while maintaining active resuscitation measures for the mother.

Ms. L.'s son was born weighing 3,400 grams, but his heart rate and breathing were weak, so he received intensive neonatal resuscitation and his condition gradually improved. The baby was then transferred to Hai Duong Children's Hospital for monitoring, care and further treatment. However, during the cesarean section, Ms. L.'s uterus became paralyzed and could not contract due to the progression of the disease. Doctors were forced to remove the uterus to stop the bleeding; at the same time, 10 units of blood and plasma from the hospital's reserves and donated by some medical staff and the patient's family members were transfused to save this mother.

After surgery, Ms. L. continued to be actively resuscitated, closely monitored, and given vasopressors to maintain blood pressure, blood oxygen saturation, vital signs, circulation, and respiration. About 2 hours later, the mother's blood oxygen saturation increased to 96-98%, heart rate, and blood pressure gradually stabilized. The patient was out of danger, but to prevent complicated developments and the risk of prolonged blood clotting disorders that could occur, on the same day, Hai Duong Obstetrics and Gynecology Hospital transferred Ms. L. to Bach Mai Hospital for continued treatment and care. Her son was also transferred to the National Children's Hospital for continued treatment.

The quickness and precision in the expertise of the leaders and medical staff of Hai Duong Maternity Hospital helped Ms. L. and her child escape the "doors of death", earning the admiration and love of the family.