The pregnant woman D.T.N is 31 weeks pregnant and has a history of crab shrimp allergy. About an hour after lunch, she had itchy, red skin all over her body and difficulty breathing. When taken to the hospital, the mother fell into a critical condition: her pulse could not be caught, her blood pressure could not be measured due to a deep drop, and her wheezing due to airway edema. The diagnosis is determined to be grade 3 anaphylaxis - the most serious level according to the classification of the Ministry of Health.
The hospital-wide red alert system was immediately activated. Doctors performed emergency resuscitation with a high dose of Adrenalin, but the mother's condition did not improve. Meanwhile, the fetus is also at risk of death because the mother's blood pressure drops, causing the blood to not provide enough oxygen. For a 31-week fetus, doctors only have about 10 minutes to intervene before the risk of brain damage or death occurs. The fetal heart rate at this time is only 50-60 beats/minute (normally about 140 beats/minute), a sign of severe miscarriage due to lack of oxygen.
Recognizing the critical situation, the doctors decided to perform an immediate cesarean section, in parallel with the mother's resuscitation process.
Less than 5 minutes after entering the operating room, the surgery was successfully performed. The boy weighed 1,800g and suffocated due to lack of oxygen, but thanks to the timely intervention of the newborn doctors, the boy was given emergency care right after birth. Meanwhile, on the operating table, the mother was still in critical condition, requiring mechanical ventilation and using a high-dose vasopressor to maintain blood pressure.
The battle to save the mother's life lasted for 10 hours. With close coordination between departments and effective treatment regimens, the mother gradually escapes anaphylactic shock, can withdraw the endotracheal tube and recover. After 5 days of treatment, she was safely discharged from the hospital. 3 weeks later, the healthy boy returned to his family.
Doctors recommend that people with a history of allergies should be cautious when eating and always report their allergy to their doctor before using new medication or food to prevent dangerous events.
