Nghe An Obstetrics and Pediatrics Hospital provided emergency care, saving the lives of a mother and her baby suffering from severe placental abruption.
Recently, Nghe An Obstetrics and Pediatrics Hospital provided emergency treatment to a pregnant woman suffering from severe placental abruption—an extremely dangerous obstetric complication that can claim a life in an instant.
At 3:22 PM on June 19th, Ms. NTT (28 years old, pregnant for the first time - 36 weeks pregnant, residing in Do Luong district) suddenly experienced severe abdominal pain accompanied by vaginal bleeding. Immediately, her family took her to the hospital.Nghe An Obstetrics and Pediatrics HospitalTo check.
Through examination and ultrasound, doctors discovered typical signs of severe placental abruption: a large hematoma behind the placenta, a mixed echogenic structure behind the placenta measuring 100x56 mm, fetal heart rate of only 60 beats/minute (compared to the normal 120–160 beats/minute), increased uterine tone, and dark red, non-clotting vaginal bleeding.
This is a warning sign of acute fetal distress due to placental abruption – a critical obstetric emergency that can lead to fetal death within minutes if not treated promptly.
Recognizing the critical situation, the Center for Prenatal and Neonatal Screening and Diagnosis immediately issued a red alert, mobilizing the participation of the Obstetrics and Gynecology Department, the Neonatal Intensive Care Unit, the Surgical Intensive Care Unit, and the Anesthesia and Resuscitation Department.
The doctors immediately decided to transfer the patient straight to the operating room for an emergency cesarean section, fighting to save the lives of both mother and child. While the operating room was being prepared urgently, the doctors simultaneously estimated the amount of blood needed for transfusion during the surgery.
In less than 30 minutes after admission, the surgery was urgently performed in an extremely tense atmosphere. At exactly 3:50 PM, the baby boy, weighing 2,400 grams, was delivered from his mother's womb in a cyanotic state, unable to breathe on his own, with a slow and weak heartbeat.
Without a moment's hesitation, the Neonatal Intensive Care Unit (NICU) doctors immediately entered the "battle" to save the baby's life. Right in the operating room, the NICU doctors inserted an endotracheal tube and performed intensive resuscitation procedures on the spot to save the baby. After initial stabilization, the baby was transferred to the Neonatal Intensive Care Unit for continued intensive care.
At the same time, the obstetrics and gynecology team worked hard to preserve the mother's uterus. During the placental removal procedure, approximately 400 grams of dark red blood clots were observed. The surgery was completed urgently and tensely, but the result exceeded expectations: both mother and child were saved...
The mother, Ms. T., has been transferred to the Surgical Intensive Care Unit for post-operative monitoring and her health is now stable. The newborn is now breathing and feeding on her own and is expected to be discharged in the next few days.
DoctorsNghe An Obstetrics and Pediatrics HospitalIt is known that placental abruption is a rare complication, accounting for about 1% of pregnancies, but it has a very high rate of complications for the mother and especially the baby. When the placenta detaches prematurely from the uterine wall, the blood and nutrient supply to the fetus is immediately cut off, which can cause rapid fetal distress, blood clotting disorders, and directly threaten the mother's life.
In the case of pregnant woman T, without accurate diagnosis and timely intervention, the consequences could have been irreversible. Saving the baby's life and preserving the mother's uterus is a miracle resulting from the urgent, precise, and professional coordination between the hospital's various specialties.
Therefore, doctors advise that placental abruption is unpredictable and can occur suddenly, even in pregnancies without clear risk factors. Pregnant women should adhere to their regular prenatal check-up schedule and seek immediate medical attention if they experience any unusual symptoms such as severe abdominal pain, vaginal bleeding, or weak fetal movements.
This successful emergency case not only demonstrates the solid professional competence and the urgent, dedicated spirit of the medical team at Nghe An Obstetrics and Pediatrics Hospital, but also affirms the crucial role of early detection, accurate diagnosis, and effective coordination between obstetrics and pediatrics in comprehensive obstetric emergency care, fighting for the lives of both mother and baby.
