At noon on February 25, a 95 year old second born mother in Hangzhou was about to go to the hospital when her baby was born in a car near Stadium Road. She was temporarily transferred to the Municipal Hospital of traditional Chinese medicine.
Xing Jingjing, chief nurse of emergency department, said: "at that time, the child was crying, there was blood in the car, the umbilical cord had not been cut, the situation was urgent, the hospital immediately informed the obstetrician and gynaecologist to deal with it."
There were also husbands, eldest sons and grandmothers in the car. They had just taken the mother to the ward. The mother of the mother fainted because of the hot and anxious weather. The eldest son, 3, cried in fear. The doctor rescued her immediately. The nurse was busy appeasing the child.
Fortunately, in the end, the mother and daughter are safe, and grandma is awake. She is not in serious trouble.
Pei Jinxia, head nurse of obstetrics department, told reporters that the expected delivery date of the puerpera is March 11, which is now full term. The puerpera had contractions at 9 o'clock this morning, but she didn't see the red. She wanted to go to the hospital after suffering. The second child was born faster, so she had to go to the hospital as soon as possible. The out of hospital delivery was very dangerous for the puerpera and the child.
During the special period of the epidemic, the pregnant mothers' classes in some hospitals have been changed to online classes, and the expectant mothers should also listen to the classes carefully offline. The contractive abdomen feels hard, the amniotic fluid is broken, and the red is the signal of childbirth. Don't be careless!
Extended reading:
The pregnant mother of the second child is walking, and her baby suddenly falls out on her head! The result was breathtaking
"General anesthesia, scalp puncture, scalp incision, drilling on the skull, silica gel drainage tube into the skull for internal drainage..." You can imagine that this series of appalling operations were carried out on a baby born only five days ago. What happened? A baby born only 5 days ago has to go through this ordeal?
Emergency labor: the baby is born with its head on the ground
Ms. Li (pseudonym), who lives in Jinwan District, Zhuhai, is a mother to be of the second child. After that day's meal, she was walking leisurely in the living room. Suddenly, she had a sharp pain in her stomach. Before Ms. Li could respond to call for help, the anxious little hair (pseudonym) came out of her stomach.
As Ms. Li was standing when Xiaomao was born, there was no soft safety protection measures on the ground, and Xiaomao fell out towards the ground, his head immediately bulged a big bag.
For a new born child, any degree of injury is likely to be fatal. On December 4, on the fifth day after birth, the small hair with swelling head was transferred to Zhuhai integrated traditional Chinese and Western medicine hospital.
Referral: emergency surgery required 5 days after birth
After receiving the referral notice, the brain surgery team of Zhuhai integrated traditional Chinese and Western medicine hospital was on standby.
When the patient arrived at the hospital, CT showed that there had been extradural hematoma, and the hematoma was still increasing. The patient showed fidgety, crying and no strength. It indicated that the patient had entered the inhibition period and had to be operated immediately. The emergency rescue began, and the hospital held an emergency pre-operative meeting.
Since Xiaomao was born only 5 days ago, there is a great risk of brain surgery for him. In order to ensure the smooth operation, Long Fei, the head of brain surgery, invited him to the Department of Anesthesiology, neonatology department and other departments for consultation. In view of various possible accidents, he improved the treatment measures and developed a thorough operation plan.
Breakthrough: new born babies break five hurdles in a row
In this battle, Xiaomao needs to break five hurdles in order to reach safety.
The first level is anesthesia, which is the most critical level. The risk that anesthesiologists need to consider is that the newborn's central nervous system development is not perfect, the heart rate changes easily during anesthesia, the thermoregulatory function is poor, and it is easy to cause the temperature to rise or fall, the amount of anesthetics is too much, and the anesthesia time is too long to affect the later development of the baby. The team of anesthesiology department successfully carried out general anesthesia for Xiaomao, which was the youngest anesthesia operation in the hospital.
The second is surgery. "The anesthesia time of the child should not be too long, and the operation should be carried out in every minute and every second". Director Long Fei quickly located the hematoma through CT, punctured the position with the most obvious swelling of the small hair scalp, sucked out the hematoma under the scalp, then cut the scalp one by one within the hematoma range, drilled a small hole with a power air drill on the skull with a diameter of 4mm, put the silica gel drainage tube to lead out the intracranial hematoma, physiological saline Wash out the air, fix the drainage tube, suture the incision, and compress the local area An hour later, the operation ended smoothly.
The third level is nursing. The team of Neonatology and pediatrics observed the nerve reaction, mind, breath and pulse of the hair carefully. The next day after the operation, director long injected urokinase into the small hair again, liquefying the remaining clot in the brain, and drained it 6 hours later. After the MRI examination, the drainage of the hematoma in the small hair brain was good, and all the hematomas were discharged out of the brain, and the operation was successful.
The fourth is infection. The neonatology department used appropriate antibiotics for the hair, carefully observed the flow rate and dressing, director Li Shen observed the flow rate accurately to ml, observed the change of the color of wound dressing, timely replaced the dressing, and ensured that every detail was appropriate to avoid secondary infection.
The fifth is nutrition. In the neonatology department, the hair of the tracheal intubation can be removed and eaten by itself. After the ventilator is removed, 20 ml milk can be drunk for one meal. After 12 days in hospital, Xiaomao was discharged smoothly.
Fortunately, all teams of the hospital helped xiaomaodu to pass the difficulty and recover well without any neurological sequelae.
Reminder: what should be done in case of emergency production?
Most moms need to struggle to meet their babies, but Xiaomao's eager way of meeting gave her mother Ms. Li an accident and made her experience such a catastrophe.
In obstetrics, Ms. Li's condition is typical of "emergency labor": less than three hours from the onset of stomachache to the delivery of the child. The incidence of emergency delivery was 2%. Emergency labor will not only cause harm to the mother, but also bring danger to the baby.
For the parturient, the rapid expansion of the birth canal, the strong contractility and the rapid delivery of the fetus lead to the lack of follow-up contractions, which are easy to cause the laceration of the birth canal and increase the risk of postpartum hemorrhage and infection.
For the baby, the uterine contraction speed is too fast, the placenta blood circulation is affected, and it is easy to cause fetal distress in utero or neonatal asphyxia; the birth canal is not fully squeezed, and the baby is prone to intracranial hemorrhage or clavicular fracture, aspiration of amniotic fluid and neonatal pneumonia. However, it is relatively rare for Xiaomao to have intracranial hemorrhage caused by direct head landing at birth.
So what should expectant mothers do to avoid the harm of emergency labor?
Director Weng bifen of Obstetrics Department reminded that the puerpera must carry out antenatal examination regularly, take part in pregnancy education class, learn obstetric knowledge, do not go out for activities or engage in physical labor two weeks before the expected date of delivery, and timely go to the hospital in case of signs of labor.
If a pregnant woman is known to have an emergency delivery, she can start planning the delivery after full term. In case of emergency labor, be calm. First of all, lie down to prevent the child from landing on the ground at birth; the mother should not hold her breath, but open her mouth to breathe, try to relax, call 120, and the obstetrician will be on site.
When the baby's head is exposed, hold the head with both hands, and pay attention not to pull or twist. When the baby's shoulders are exposed, hold the head and body with both hands and slowly lift out. Wait for the placenta to come out naturally. Wrap the baby to keep warm.
Wipe the amniotic fluid in the baby's mouth and nose with a clean and soft cloth. Do not cut the cord and place the placenta above or at the same height as the baby. Send the mother and baby to the hospital as soon as possible, or wait for the help of 120 obstetricians.
Emergency babies don't cry 120 phone call to help themselves
"Come on, my wife has given birth to the baby. Please help me quickly!" In September 2019, a man in Yichun city called 120 emergency calls for help.
At about 7:00 in the morning, Xiaohe, the dispatcher of Yichun 120 dispatch and command center, received a call for help. The man at the other end of the call was very flustered and said that his wife had given birth to the child at home. He didn't know how to deal with it. He just kept saying, "hurry up, send a car quickly.". Xiaohe asked the man's address, contact information and site situation in detail, and immediately contacted the nearest ambulance for help.
Xiaohe learned by phone that the mother had delivered the baby, but could not hear the cry. So Xiaohe hurriedly called to guide his family members to clean the liquid in the baby's mouth and nose, and then gently tap the baby's foot to stimulate the baby. Soon, the cry of the baby came from the other end of the phone. Xiaohe was relieved to let his family members keep warm and wait for the ambulance. Five minutes later, Yichun 120 ambulance arrived at the scene. After physical examination, the baby's complexion is ruddy, the thigh tension is good, everything is normal, the puerpera is also safe. The emergency doctor immediately gave the baby such emergency measures as breaking the umbilical cord, monitoring vital signs, opening the venous access, oxygen inhalation, etc., and quickly sent the mother and child to the hospital. After a return visit, the mother and son were admitted to the hospital in time, without major hindrance, and received further treatment in the hospital.
Emergency doctors remind: near the expected delivery period, pregnant women must be ready for labor under the guidance of obstetricians. If at home has appeared irregular abdominal pain, red and other prenatal symptoms, do not be too nervous, can call 120 first-aid call for help.
Source: North evening new vision comprehensive West Lake voice Guangzhou Daily Yichun daily
Process editor: tf021