A 42-year-old woman from Co Tu (Quang Nam province) was infertile, had been expecting a child for 4 years, and became pregnant with her first child using in vitro fertilization (IVF). The pregnant woman was monitored from the beginning of pregnancy at Hospital 199. Pre-embryo transfer screening and first trimester screening were normal.
At 12 weeks, the patient showed severe fatigue, blood pressure 140/90mmHg, bilateral uterine artery Doppler pathology, high-risk preeclampsia test, and was treated prophylactically with Aspirine. The patient had another ultrasound at 20-22 and 26 weeks of gestation, the uterine artery was abnormal, and was advised to continue maintaining Aspirine until the end of 34 weeks.
Notably, at 28 weeks, doctors discovered that the pregnant woman had an amniotic deficiency, fetal growth restriction, preeclampsia, and the patient was hospitalized and had lung maturation injections. And at 32 weeks pregnant, the patient went to another medical facility with a similar diagnosis and was advised to terminate the pregnancy.
Putting her trust in the team of doctors at Hospital 199, the pregnant woman returned for a follow-up examination and was diagnosed by the doctor: 32 weeks of preterm pregnancy, oligohydramnios, preeclampsia, slow fetal growth, amniotic index. AFI= 4cm. After consideration and consultation, expert, Doctor II Truong Quoc Viet prescribed amniotic transfusion for the patient.
After infusing 650 ml of Ringer Lactate into the amniotic chamber, the amniotic index measured on SA was AFI= 15 cm (before infusion it was 4 cm), the amniotic cavity was spacious, the fetus moved more easily. No maternal or fetal abnormalities were recorded after 3 days of monitoring in the postoperative room.
At 37 weeks, the patient's membranes ruptured spontaneously, emergency surgery was performed with the diagnosis: Premature fetus at 37 weeks premature rupture of membranes, in vitro fertilization, transverse position, elderly mother, preeclampsia, delayed pregnancy develop. Doctors took out a baby boy, with uterine fibroid removed from the front, weighing 2,300 grams, umbilical cord and small placenta. The baby's health is rosy, breastfeeding well, has an anus, and has no deformities.
One day earlier, doctors at the Obstetrics and Pediatrics Unit of Hospital 199 also successfully performed an amniocentesis for a 29-year-old woman, 17 weeks pregnant with a baby, tested for Down syndrome, and thick nuchal translucency. 3.5 mm.
It can be said that thanks to the amniotic transfusion technique, pregnant women can prolong their pregnancy and help their babies improve their breathing. Amniocentesis not only helps detect genetic abnormalities and chromosomal problems in the fetus early, but also provides detailed information about the baby's health status.
Doctor II Truong Quoc Viet said that amniocentesis and amniocentesis are both difficult techniques, requiring high levels of expertise. This is the first amniotic transfusion successfully performed in Da Nang in particular and the Central region in general. Currently, this is still a new technique, not yet widely deployed in hospitals in the Central region. Hopefully in the future, with the attention of hospital leaders at all levels, these techniques will be applied more widely to contribute to ensuring the comprehensive development of the fetus.
