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The hospital side said that the 36 weeks pregnant woman admitted to the hospital was healthy, but then progressed very fast, the doctor did everything possible but could not save him.
The Hanoi Health Department said it had received a report from the Chuong My General Hospital in Hanoi about the case of a pregnant woman At Thi V., 36, who died with her fetus in hospital.
At 8:46 p.m. on 9/26, pregnant V. was admitted to the hospital for hospital treatment with a third pregnancy diagnosis, 36 weeks pregnant and strikers. Upon admission to the hospital, the pregnant woman was awake, had good contact, and there was no edema. Subsequently, the pregnant woman undergoes basic tests and is monitored in the hospital.
At 2:30 am on October 1, woman V. was awake, her lower abdomen, the contraction of the uterus was slight. About 1 hour later, the pregnant woman had a lower abdomen, soft abdomen, uterine contractions, the doctors explained to the family and followed up.
At 4:10 am on the same day, the woman feels the amniotic fluid rupture, the person feels uncomfortable, has shortness of breath, chest tightness and fatigue. On examination, the doctor found that the pregnant woman’s abdomen was soft, her heart was fragmented, and the amniotic fluid was ruptured.
Chuong My District General Hospital where the incident took place
Immediate diagnosis of pregnant women with embolism should immediately resuscitate active rescue. However, after 35 minutes there is still no result, discrete fetal heart rate.
Doctors met with family members to explain and consult with hospital leaders about an emergency surgery to carry the pregnancy, in hopes of saving the fetus, the family also agreed. A 2.6 kg girl was born. However, at that moment the baby was cyanotic, without a pulse, not breathing on its own.
The newborn baby continued to be resuscitated for 1 hour, but to no avail.
The hospital leaders explained that it was an unexpected obstetric accident, the pregnant woman progressed very fast, the doctors did everything possible but could not save him.
After the death of the pregnant woman, the hospital invited the police to join the police for the evaluation, but the family did not agree with the autopsy. After that, the hospital established a professional council, concluded that the original cause of death was embolism of amniotic fluid.
The hospital representatives were also present to share and encourage the family after the unfortunate incident.
It is known that Ms. V. is a preschool teacher in Quang Be Commune, Chuong My District. Before that, she and her husband had 2 children, of which the oldest son is 11 years old, the second daughter is 6 years old.
Amniocentesis is one of the rare but extremely dangerous obstetric complications, the maternal mortality rate can reach 90% and that of the fetus 20-60%.
This complication usually occurs during childbirth (represents 70%) or caesarean section, spontaneous abortion, abdominal injury, amniocentesis, postpartum …
Amniocentesis occurs suddenly, progresses extremely quickly, with no warning signs. There is currently no effective treatment.
From the experience of emergency amniocentesis in important diseases like Tu Du, Hung Vuong, Gia Dinh People … The HCMC Health Department has issued an emergency procedure for amniocentesis.
In particular, as soon as the woman suddenly exhibits at least one of the three signs: cyanosis, shortness of breath, apnea, the oxygen in the machine drops below 90%; cardiac arrest, fast and slight pulse, drop in blood pressure; Bleeding without a blood clot requires immediate emergency resuscitation, while alerting you to inpatient or interhospital redness.
The process also clearly establishes, in parallel with the process of oxygen breathing, resuscitation, stop of circulation, laying of transmission lines, vasomotor, electric shocks … for pregnant women who need resuscitation for immediate delivery. If the hospital has an operating room, it is necessary to have an emergency cesarean section.
Then continue to control bleeding for pregnant women with many measures, uterus can be removed to stop bleeding. In the end, hospitals can apply plasmapheresis, hypothermia control, dialysis …
Thuy Hanh
Two mothers and children in Hanoi died suddenly while awaiting delivery
On the afternoon of October 1, speaking with VietNamNet, Mr. Dang Tran Chien, Director of Chuong My General Hospital (Hanoi) confirmed the information about the obstetric accident that caused the death of both the mother and the fetus.
