Using more than 5 liters of blood to save the life of a postpartum woman with hemorrhage

On the morning of February 23, at the 38th week of pregnancy, pregnant woman TTPT (41 years old, residing in Ben Thuy ward, Vinh city) had a phenomenon of reincarnation so she went to the hospital.Nghe An Obstetrics and Pediatrics Hospitalexamination. After a specialist examination, it was determined that Ms. T had signs of labor and was assigned to be hospitalized for monitoring to give birth for the third time.

After checking and finding no abnormalities in the test results or general condition, the doctor allowed the patient to be monitored in the delivery room to control the labor process.

But during the monitoring process, the doctors discovered abnormal signs in the pregnant woman: The fetal heart rate through the Monitor was lower than the normal limit... The doctors quickly consulted and ordered an emergency cesarean section.

The mother was immediately taken to the operating room. At 4:20 p.m. the same day, the baby boy weighing 3,000 grams was safely delivered. However, immediately after the successful delivery, the mother suddenly showed signs of non-clotting bleeding in the entire surgical area and from the uterus.

With the help of doctors, TTPT mother and child were "safe and sound". Photo: Hoang Yen

The surgical team took blood for emergency testing and the results showed that all blood clotting indicators were severely disturbed, while the red blood cell count and hemoglobin (an indicator of blood loss) were all within normal limits. The mother began to show signs of increased heart rate and low blood pressure.

Recognizing that this was a rare case of blood clotting disorder in a pregnant woman that could threaten the patient's life, the emergency team held an interdisciplinary consultation with the hospital's leaders.Hospitalto have appropriate and positive handling.

“At this time, the anesthesiologists quickly performed emergency treatment: placed a central venous catheter, established and measured invasive arterial blood pressure, administered fluid replacement, used cardiac support drugs to increase blood pressure, and 4 units of 0 (Rh+) blood were urgently transfused to the pregnant woman T.

At the same time, the surgeon performed a partial hysterectomy. After 1 hour of surgery, the mother's hemorrhage was controlled, there was hope of being saved and she was transferred to the Surgical Intensive Care Unit for continued close monitoring." - Dr. Tran Minh Long - Head of the Department of Anesthesia and Resuscitation commented.

During the entire resuscitation process during and after surgery, more than 5,000 ml of blood and blood products were transfused to the mother to control and control the blood clotting disorder. The result of many efforts, urgent treatment, and racing against time to save the patient by the doctors and nurses was that the mother and baby were able to meet each other after 5 days of resuscitation in unspeakable happiness.

Pregnancy and childbirth are the happiness of women, but that also means that to become a mother, women have to face many dangers, sometimes paying with their lives. Hemorrhage occurring for extremely unexpected reasons is one of the most dangerous obstetric complications, also a nightmare for pregnant women and obstetricians.

If the pregnant woman is in the risk group, she needs to be strictly managed during pregnancy and closely monitored during and after birth by an experienced obstetrician to receive emergency care and timely treatment when unusual situations arise./.