Nghe An: Urgently clarify the cause of death of mother and child in hospital

On the afternoon of October 20, Mr. Duong Dinh Chinh - Director of Nghe An Department of Health said that after receiving a quick report from Do Luong District General Hospital about the case of postpartum death at the hospital, he also issued a specific directive document.

Accordingly, the Director of the Department of Health requested the Director of Do Luong District General Hospital to urgently establish a Professional Council to review the entire process of receiving, monitoring, diagnosing, and treating the patient, and clarify the cause of death.

In case of determining any violations, the Hospital is required to establish a Disciplinary Council to clarify the responsibilities of the relevant collectives and individuals, and based on current regulations, take appropriate disciplinary action.

At the same time, it is necessary to analyze and evaluate, and make preventive recommendations to avoid future recurrences. Report the implementation results to the Department of Health (Medical Affairs Department) before October 25, 2022.

Do Luong District General Hospital. Photo: Hung Tien

According to a quick report from Do Luong District General Hospital, pregnant woman Tran Thi H. (40 years old, residing in Da Son commune) was admitted to the hospital at 0:05 on October 20. This is her fourth pregnancy, and all previous pregnancies were normal. This time, she is 40 weeks pregnant, and is expected to give birth on October 23.

According to the family's account to the doctors, her husband worked far away, and Ms. H. stayed with her three young children. At around 11 p.m. on October 19, Ms. H. suddenly felt abdominal pain, vaginal discharge, then fell, fainted, and could not see anything, so her family took her to the hospital.

Upon admission, doctors noted that the patient was confused, panicked, very agitated, had difficulty breathing, had purple veins all over his body; had a rapid, weak pulse; blood pressure: 0/0; had a rapid heartbeat at about 120 times/minute; had many moist rales in his lungs; had a continuously stiff abdomen, moderate distension; had a sporadic fetal heart rate of 50-60 times/minute; and had completely ruptured amniotic sacs...

Doctors diagnosed shock, circulatory collapse/uteroplacental hemorrhage/amniotic fluid embolism monitoring/40-week pregnancy, 4th labor/premature rupture of membranes. “The prognosis was very serious, with a risk of death for both mother and baby, so the doctors actively resuscitated the patient and advised the family about the condition. After discussing with the family, determining that there was still life, we consulted with leaders, anesthetized and approved emergency surgery. We planned to reserve blood of the same type for transfusion when necessary,” said Mr. Le Duc Hai - Director of Do Luong District General Hospital.

Also according to the report of Do Luong District General Hospital, at 00:20, the mother was intubated and ventilated and underwent emergency surgery to deliver a baby boy, who was asphyxiated, had his umbilical cord cut and was resuscitated, had a total uterine infarction, and had a mesenteric infarction. During the surgery, the patient had a cardiac arrest, and the emergency doctor performed CPR, and after 2 minutes, the heart returned.

Meanwhile, the doctors resuscitated the newborn baby boy for 30 minutes but it was ineffective so they decided to stop the emergency treatment. As for the mother, after the surgery, she still had to be put on a ventilator and was in critical condition. Although she was transferred to a higher level for further emergency treatment, she did not survive./.