Life -saving surgery: Caesarean section for risk of risk in Hanoi!

Life -saving surgery: Caesarean section for risk of risk in Hanoi!

Viet Tri, Phu Tho, Vietnam - A pregnant woman from Viet Tri, Phu Tho, recently experienced a critical birth experience that the medical team presented with considerable challenges. The 40-year-old, who is experiencing her fourth pregnancy, had previously had three Caesarean sections. Due to the diagnosis of pregnancy diabetes that required daily insulin treatments, as well as the impairments by Placenta Praevia and Placenta Accreta, it was classified as a high risk case. Loud vietnam.vn Together to develop a suitable treatment plan.

The planned caesarean section took place in the 36th week of pregnancy. The team was led by Master, Specialist II Doctor Do Khac Huynh and Specialist II Doctor Vuong Duc Hinh, and anesthesia took over Doctor II Luong Thi Ngoc van. During the operation it turned out that the abdominal opening revealed heavily glued tissue of the uterus and bladder, which indicated a placenta accreta. While the birth of a healthy boy was successful with a weight of 3,800 g, the medical situation for the mother was still critical.

complications and risks

concern about heavy bleeding is particularly pronounced in cases like this. Placenta Praevia, one of the main causes of bleeding in the third trimester, can have serious consequences for both the mother and the child, including massive blood losses and an increased mortality rate. The risks increase significantly in existing factors such as previous caesarean sections, multiplares, births and the old age of the mother, which is shown in pmc.nlm.nih.gov is.

A hysterectomy was carried out during the operation to stop bleeding. Both hypogastrial arteries were ligated to preserve the physiological functions. In total, the patient received considerable transfusions, including 1,700 ml of erythrocyte concentrate, 300 ml of cryopitimate and 1,000 ml plasma. The procedure took several hours and took place under close monitoring in the anesthesia and resuscitation department. After the operation, the condition of the mother stabilized.

research and prevention

The prevalence of Placenta Previa and the associated complications increases due to increasing caesarean section and the increasing age. Early diagnosis is crucial to enable adequate interventions. Ultrasound examinations are the primary diagnostic tool. It is important that a multidisciplinary team works together to achieve optimal results regarding the health of mother and child, especially in cases with complicated birth.

Overall, this case not only illustrates the risks associated with pregnancy diabetes and placenta accreta, but also the need for close cooperation between different medical disciplines to ensure the greatest security for the women concerned.