At 29 weeks of pregnancy, the placenta was peeled early, causing the fetus to die!This kind of pregnancy disease is worthy of vigilance

As a severe obstetrician at Yiyang Central Hospital, my mood is complicated -the nervousness of rescue patients, the joy of rescue patients after success, and some regrets.

Because through regular production checks, most of the obstetrics can be prevented. So I want to record it in the form of a story, hoping to benefit some people.

A dangerous pregnant woman who took a few days ago made me feel mixed in my heart.

This is a 31 -year -old expectant mother who has high blood pressure at 17 weeks of pregnancy and is 136/93mmHg. After that, blood pressure has not been monitored.

The blood pressure at 25 weeks is 154/101mmHg. Diagnosis during the diagnosis of gestational during the same period, no antihypertensive treatment, and no strict diabetic diet and monitoring blood pressure and blood sugar.

At 29 weeks of pregnancy, the maternal illness suddenly occurred in the abdominal pain. When she was a doctor at the local maternal and child health hospital, her blood pressure was as high as 165/95mmHg. Considering the critical condition, it was sent to Yiyang Central Hospital by 120 after preliminary treatment.

After arriving at the hospital's obstetric ward, the pulse 100 times/minute, blood pressure 148/99mmHg, weight index of 32.04kg/cm2, tight abdominal muscles, uterine contractions that can be stabbed and toughened, no fetal heart sound is heard. For death, B -ultrasound confirmed this diagnosis.

The medical team immediately performed preparation preparation while performing drug treatment for the mother, and a cesarean section was performed. During the operation, the placenta was discovered. After the placenta, the hematoma was 750 grams, the uterine placenta was died, and the fetus had died.

Fortunately, the operation was smooth. Anti -inflammatory, antispasmids, antihypertensive, anticoagulant and other treatment after surgery.

On the second day after surgery, the patient had a decrease in blood oxygen saturation, mild chest tightness, and the CTA of the lungs prompted pulmonary embolism, transferred to the Department of Respiratory Medicine for specialty treatment, treated for nine days, and reviewed the lung CTA to indicate that the thrombus was basically absorbed and the condition was discharged stable.

This pregnant woman has hypertension, and the pre -pregnancy weight index of pregnancy diabetes is 28.04kg/cm2 (pre -obesity). It is a high -risk pregnancy. It is not standardized during pregnancy, which leads to bad pregnancy ending.

"Si -medical treatment is not sick." In order to avoid the re -incidence of tragedy, we have the responsibility to give some popular science knowledge.

The placental placental placenta after 20 weeks of pregnancy is before the fetal delivery, part or all from the uterine wall, which is severe complications in the late pregnancy, and the disease develops rapidly.

Hypertension during pregnancy is one of the factors that cause premature placental peeling.

Hypertension during pregnancy is a group of diseases that coexist with hypertension, which seriously affects the health of maternal and infant health. It is the main reason for the increase in mortality rates of pregnant women and siege.

Hypertension during pregnancy has a adverse effect on mothers. Causes a series of complications such as maternal cardiovascular and cerebrovascular accidents, eclampsia twitching, coma, placental peeling, HELLP syndrome and other series of complications; can cause limited growth and development of fetus, hypoxia in the fetus, or even in the palace.

Patients with hypertension before pregnancy should seek medical treatment in a timely manner before pregnancy to determine the severity of hypertension and whether there are important organs damage.

Doctors evaluate that once they are not pregnant, once they are pregnant, the mother and child are in danger and should be contraceptive.

Those who can pregnancy can strictly control blood pressure under the monitoring of internal medicine doctors before pregnancy. During the entire pregnancy period, pregnancy is used under the co -monitoring of internal medicine doctors and obstetricians to reduce the risk of maternal children.

If you only find hypertension during pregnancy, it should also be evaluated and monitored at the doctor's guidance.

Through the treatment of antihypertensive treatment, oral antihypertensive drugs control blood pressure under the guidance of a doctor. Such pregnant women must ensure sufficient sleep, protein and calorie intake.

Regardless of the type of hypertension, the ending of most mothers is good under the condition of good blood pressure control throughout pregnancy.

It should also be emphasized that some antihypertensive drugs for pregnant women have no effect on the fetus. Under the guidance of a professional doctor, they should not stop the medicine easily if the doctor recommends it.

After giving birth to mothers with hypertension during pregnancy, blood pressure monitoring and antihypertensive treatment is equally important. 42 days after giving birth should go to the obstetrics in time to monitor blood pressure to evaluate whether the blood pressure is normal and whether follow -up monitoring and treatment.

Obstetrics and medical staff are called the patron saint of mother and baby safety. As one of them, I hope that every pregnancy has a good ending -mother and child health and peace!

(Edit Rainbow. Picture source network, invading deletion)

Hunan Medical Chat Special Author: Liu Jianzheng, Yiyang Central Hospital

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