The 31-week pregnant mother L.T.T (HCMC) was in a state of severe preeclampsia and acute miscarriage, a complication that can lead to eclampsia and threaten the lives of both mother and fetus.
The patient was admitted to the hospital with high blood pressure, increased body and liver edema, acute renal failure, progressive hyperkalemia, typical signs of severe preeclampsia with complications of acute kidney damage.
Despite active internal medicine treatment and close monitoring, the patient's condition showed signs of poor response, advanced acute renal failure, signs of blood metastasis and hyperkalemia. The Emergency Resuscitation Team and Internal Medicine doctors closely coordinate with the Department of Obstetrics and Gynecology to closely monitor the fetal heart.
Monitoring results showed that the fetal heart fluctuated, showing signs of acute fetal failure. Realizing that the situation could turn dangerous at any time, Dr. Ta Thi Thanh Thuy - Head of Obstetrics and Gynecology Department, City International Hospital directed an emergency catching operation, coordinating with the team of Anesthesiologist and Neonatologist to ensure maximum safety for mother and baby.
The surgery took place in the context that both mother and baby were showing signs of danger: the mother had signs of respiratory failure, advanced acute pulmonary edema, and severe fetal heart failure. Thanks to the smooth coordination between specialties, the 1,100g baby girl was safely removed from her mother's womb, but was unable to cry, breathe, and had lost muscle tone. After about 1 minute of intensive resuscitation, the child had a breathing and reflex back, was supported with CPAP breathing and transferred to NICU for care.
Here, the baby was pumped to support the lungs, fully nourished with veins through the navel catheter, infection control and close monitoring of clinical symptoms, blood testing, imaging... Currently, the baby has stopped respiratory support, breathed well, excretionated milk well and gained weight regularly. The mother also went through a critical condition, her blood pressure was strictly controlled, her kidney function gradually recovered, she was released from the Intensive Care Unit and avoided serious complications. Currently, the health of both mother and baby is progressing well and is still being monitored.
According to Dr. Ta Thi Thanh Thuy, preeclampsia is one of the most dangerous obstetric complications, can progress quickly and is difficult to predict: Many cases of preeclampsia do not have obvious symptoms until they have become severe. Therefore, regular fetal examination, monitoring of blood pressure, weight and urine testing during pregnancy are extremely important for early detection and timely treatment, helping to ensure the safety of both mother and fetus.
