Ms. N.T.T.T, born in 1986, temporarily residing in Ho Chi Minh City, just gave birth to her third child 20 months ago, and was once advised by doctors not to continue to get pregnant due to difficulty in giving birth and damaged uterus. However, not knowing that she was pregnant again, Ms. T. suddenly suffered a severe pain in the lower abdomen. Because she had no fever or diarrhea, she thought it was just a normal pain, so she bought painkillers to take at home but it didn't help. When the pain increased, Ms. T. was taken by her family to a medical facility near her home for emergency care. Doctors here suspected that she was shocked by a digestive infection, and that the 12-week fetus was combined, immediately transferring her to Gia Dinh People's Hospital for intensive treatment.
When admitted, Ms. T. was in a state of drowsiness, low blood pressure, pale skin, bloating, and shock and blood loss. The ultrasound results showed that her abdomen had many fluids, and the fetus was 12 weeks pregnant with a fetal heart. Based on clinical signs and ultrasound images, combined with the unlikely preeclampsia of uterine damage at previous birth, the doctors quickly diagnosed her with suspected endogenous shock due to uterine rupture, and decided to perform emergency surgery to stop the bleeding and save the patient's life.
The surgery was stressful and lasted more than 1 hour. Obstetricians have focused on treatment, treated quickly and accurately to stop the bleeding, in parallel with blood transfusion right at the time of surgery, saving Ms. T.'s life. After surgery, Ms. T. was transferred to resuscitation and is currently recovering well, preparing to be discharged from the hospital.
Dr. Nguyen Thi Minh Huyen - Deputy Head of the Obstetrics and Gynecology Department, who directly treated Ms. T., shared: This is an extremely dangerous case due to unclear clinical manifestations, easily confused with digestive disease. If not detected early and treated promptly, it can endanger the patient's life".
moved after the surgery, Ms. T. said: "I didn't think I was close to the death anniversary. Without timely treatment from doctors, I would not have been able to return to my family. I am truly grateful to have been saved. I didn't expect to get pregnant again because I thought there was nothing unusual for a long time. I hope you women do not be subjective about your health, especially after giving birth. When you feel unusual abdominal pain or delayed menstruation, you should see a doctor early, do not buy medicine to take like me.
Uterine fracture is a serious obstetric complication that can be fatal if treatment is delayed. Uterine rupture is common in mothers who have undergone multiple surgeries, give birth with uterine damage, multiple miscarriages or if the fetus is stuck to the corners of the uterus. In case of rupture, blood can flow massively into the abdomen, causing severe blood loss, requiring immediate surgery. Absolutely do not be subjective with unusual signs, because sometimes just a few minutes of delay can be exchanged for unpredictable consequences.
Dr. Nguyen Thi Minh Huyen recommends that women of reproductive age, especially those who have had multiple cesarean sections, have a history of difficulty giving birth or being pregnant outside the uterus, need to be careful.
