On the evening of February 15, the Central Obstetrics and Gynecology Hospital received a 35-week-old woman from Nigeria - Ms. U.J.A, in a state of severe abdominal pain. This is her fourth pregnancy, with a history of having had three previous cesarean sections.
Immediately upon admission, doctors quickly examined, gave an ultrasound and diagnosed suspected uterine rupture. Recognizing the urgent situation, the hospital immediately activated the "Red Alert" process and held an emergency consultation. The results showed that the mother had multiple ruptured uterus on the old scar - a dangerous situation that threatened the lives of both mother and child, requiring immediate surgery.
The surgery took place in a stressful situation. When opening the abdomen, the doctors discovered a ruptured uterus at the location of the old surgical scar about 10cm long, causing the amniotic fluid and part of the fetus to overflow. With urgency and precision, the surgical team quickly brought the 2,400g baby girl out safely. Immediately afterwards, the baby was transferred to the Neonatal Care and Treatment Center for special monitoring. At the same time, doctors are trying to preserve the mother's uterus, helping her maintain fertility in the future.
Currently, the mother's health has temporarily stabilized and continues to be closely monitored. The baby is also receiving intensive care at the Neonatal Care and Treatment Center.
Dr. Vu Van Khanh - Deputy Head of the Obstetrics Department, Central Obstetrics and Gynecology Hospital, who directly performed the surgery, said: "The cause of uterine rupture is that the mother had three surgeries, the distance between Pregnations was too close, causing the uterine scar to not recover in time. Fortunately, both mother and child received timely emergency care, not only saving their lives but also preserving the mother's uterus."
Dr. Khanh emphasized that uterine rupture is an extremely dangerous obstetric complication that can be fatal if not detected and treated promptly. In particular, pregnant women who have had multiple cesarean sections need to have their pregnancy closely monitored at specialized medical facilities to detect risk factors early.
"The more you have a cesarean section, the higher the risk of uterine rupture, directly threatening the lives of both mother and child. Therefore, pregnant women with a history of multiple cesarean section should be advised and have a suitable delivery plan to ensure safety" - Dr. Vu Van Khanh recommended.
