April 4, 2022 13:01 (GMT+7)
BSCK II Le Cong Duoc, Director of the Bac Giang Hospital for Obstetrics and Gynecology, said that the hospital’s doctors had just saved the life of a woman who was critically ill as a result of a self-induced abortion.
The patient is Ms. D.NA (32 years old, from Luc Nam, Bac Giang) has 3 children, the youngest is only 2 years old. Recently, seeing her growing belly, Mrs. A was advised by her family to take a pregnancy test. At first she thought her big belly was due to weight gain, not pregnancy as her previous 3 pregnancies all had morning sickness while this time there were no other signs. However, she still took a pregnancy test to please her relatives.
Unexpectedly, after that the test strip went up 2 lines. Thinking that she had just gotten pregnant, she had no signs of morning sickness, so Mother A went to buy abortion pills to take.
Doctors perform surgery to save the patient’s life.
After taking the medicine, Mrs. A developed abnormal symptoms and was taken to the Obstetrics Emergency Unit and Children’s Hospital on March 8 with blue skin, pale mucous membranes, intermittent abdominal pain and vaginal bleeding. Through examination and ultrasound, the doctor determined that the patient was 22 weeks pregnant with a threat of miscarriage, rapid and strong uterine contractions, and blood clots coming out of the vagina.
The same night, the 22 week fetus was expelled, after the pregnancy was completed, the blood also flowed out profusely, although the doctor removed the placenta to stop the bleeding, but there was a part of the placenta attached. Definitely not that hard to get rid of. After all the vegetables were removed, there was still a lot of blood coming out, the patient was ultrasound right on the delivery table, through ultrasound images, found a lot of free fluid in the stomach.
Currently patient A is in shock, blood pressure drops to 60/40 mmHg, in critical condition… The team in charge consulted and agreed to diagnose patient A with severe hemorrhagic shock due to rupture of uterine scar tissue. (previous). history of 3 cesarean sections), hemorrhagic miscarriage and placenta accreta, the patient was immediately transferred to the Anesthesia and Resuscitation Department for emergency surgery, while warning the entire hospital to be vigilant to save the patient. critical.
Doctor Le Cong Tuoc, Director of the Hospital who also directly carried out this operation, said this case was very complicated, because the patient had a history of 3 caesarean sections, the uterus was tightly attached to the uterus. (especially the bladder and ureters), so it is very difficult to remove the adhesions to bypass the apex of the uterus and stop the bleeding without damaging the surrounding organs.
In addition, because the patient is bleeding profusely which causes blood clotting disorders, it also causes a lot of difficulties for the surgical team. After 7 hours of trying in the operating room, patient A was out of harm’s way and stopped bleeding safely. The total blood transfused to the patient was 4,850 ml of red blood cells and 2,200 ml of plasma.
In the following days, the patient was closely monitored in the postoperative recovery room, because of his severe condition, he still had to maintain invasive mechanical ventilation via an endotracheal tube for 14 hours and then switch to oxygen. After nearly 20 days of being admitted to the hospital, patient A is healthy and eligible to be discharged home in the arms of his family.
In order to save the patient’s life, medical staff must perform emergency blood donations on the spot to obtain enough blood for transfusion.
Arbitrary abortion is very dangerous
Through the case above, Doctor Le Cong Tuoc said that self-abortion in any way is very dangerous and can threaten the mother’s life if complications occur.
Doctor Tuoc said, usually drug abortion is indicated when the fetus is less than 07 weeks old, the pregnancy ultrasound must be implanted in the uterus and the mother does not have diseases such as heart disease or other blood diseases…
This medicine will not be effective if an ectopic pregnancy occurs. The medical abortion method (medical abortion) is considered safe and effective, but with the prerequisites that it must be carried out under the direction and strict supervision of an obstetrician in a medical facility.
Pregnant women should not carelessly buy abortion pills at home because it is very easy for hemorrhagic accidents to occur, serious infections that threaten their health and life. After the abortion, it is also necessary to have adequate rest, supplement with adequate nutrition for the body to recover quickly, and at the same time, you should undergo follow-up examinations under the guidance of your doctor to avoid complications. affect your future reproductive health.
at Blogtuan.info – Source: Eva.vn – Read the original article here
