Pregnant woman Minh had a history of being hospitalized to maintain her pregnancy at the A4 Obstetrics Department when she was 28 weeks pregnant. After being treated and stabilized, the patient was discharged from the hospital.
According to the instructions of Master, Doctor, and Associate Professor Truong Minh Phuong - Deputy Head of Department of Obstetrics and Gynecology A4, pregnant woman H.M was hospitalized for a cesarean section at 36 weeks of pregnancy.
When admitted to the hospital, the pregnant woman weighed 128 kg, with a BMI of 47 kg/m2, and her pre-pregnancy weight was 107 kg. This is a case of severe obesity, with a very high risk of anesthesia and resuscitation, leading to many anesthesia challenges, so appropriate strategies and contingency plans are needed to ensure the safety of the surgery.
Dr. Tran Van Cuong - Head of the Department of Anesthesia and Resuscitation - examined and evaluated the anesthesia method for the patient. Due to obesity, the spinal needle could not reach the subarachnoid space to cause spinal anesthesia, so the patient was prescribed endotracheal anesthesia. Assessing the risk of difficult intubation and hyposaturation during anesthesia, the team prepared backup plans in case of failed intubation. Finally, the patient was successfully intubated.
The team of Dr. Truong Minh Phuong - Deputy Head of Obstetrics and Gynecology Department A4 - performed the surgery to deliver two babies weighing 2,500g and 2,300g.
The entire surgery was stressful for the entire team. At the end of the surgery, the patient was safely extubated. After the surgery, the mother continued to be resuscitated in the post-operative room.
