Life-saving operation: Caesarean section for high-risk pregnant women in Hanoi!

Life-saving operation: Caesarean section for high-risk pregnant women in Hanoi!

A pregnant woman from Viet Tri, Phu Tho, recently endured a critical birth experience that posed significant challenges for the medical team. The 40-year-old, who is experiencing her fourth pregnancy, has previously had three caesarean sections. Due to the diagnosis of gestational diabetes requiring daily insulin treatments, as well as the complications of placenta previa and placenta accreta, she was classified as a high-risk case. Loud vietnam.vn Doctors at Hanoi Obstetrics and Gynecology Hospital worked closely together to develop an appropriate treatment plan.

The planned cesarean 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 was carried out by Doctor II Luong Thi Ngoc Van. During surgery it was found that the abdominal opening revealed severely adhered tissues of the uterus and bladder, suggesting placenta accreta. While the birth of a healthy boy weighing 3,800 g was successful, the mother's medical situation remained critical.

Complications and risks

Concern about heavy bleeding is particularly pronounced in cases like this. Placenta previa, a leading cause of third trimester bleeding, can have serious consequences for both mother and child, including massive blood loss and increased mortality rates. The risks increase significantly with existing factors such as previous cesarean sections, multiple births and the mother's advanced age, which in pmc.ncbi.nlm.nih.gov is presented in detail.

During surgery, a hysterectomy was performed to stop the bleeding. Both hypogastric arteries were ligated to preserve physiological functions. Overall, the patient received significant transfusions, including 1,700 mL of packed red cells, 300 mL of cryoprecipitate, and 1,000 mL of plasma. The procedure lasted several hours and took place under close supervision in the anesthesia and resuscitation department. After the operation, the mother's condition stabilized.

Research and prevention

The prevalence of placenta previa and its complications is increasing due to increasing cesarean section rates and increasing age of expectant mothers. Early diagnosis is crucial to enable appropriate interventions. Ultrasound examinations are the primary diagnostic tool. It is important that a multidisciplinary team works together to achieve optimal maternal and child health outcomes, especially in cases with complicated birth outcomes.

Overall, this case highlights not only the risks associated with gestational diabetes and placenta accreta, but also the need for close collaboration between different medical disciplines to ensure the greatest safety for the women affected.