The obstetric doctors who have worked for more than 30 years also met for the first time: this pair of couplet babies were born in a hug posture

"Very smooth, it's so good!"

In the operating room, all the medical care present was joyful for the new life in front of him.

Although most of them have witnessed the birth of countless lives and even participated in many rescue of life and death in person, the babies in front of them still sighed sincerely: not easy.

The twins who have just been born showed a posture of embracing each other -they are sisters of hands and feet, and a pair of couplet babies.

Young mothers look forward to

One paper diagnosis of sunny thunderbolt

At the end of June 2022, a 25 -year -old Xiao Yi (pseudonym) was still immersed in the joy of being a mother. This is the first time I am young and likes the child's first pregnancy. I learned in the regular checkup that I had two babies in my stomach. The doctor who gave her a four -dimensional ultrasound also said happily: "Two babies are very loving, lying face to face, like holding together, really intimate." However, after a long B -ultrasound examination, the doctor found that there is still worrying thing behind "love":

"The doctor told me that the abdomen part of the two fetuses was connected together, and a baby had more serious heart malformations." When hearing the news, Xiaoyi was pregnant for 22 weeks. This rare disease -Lianlian Double biblona -for Xiaoyi and their family, it is simply a thunderbolt.

The doctors in the local hospital and the surrounding friends advised Xiaoyi to give up the child, but the baby had stayed in his stomach for so long. The local hospital suggested that Xiaoyi went to a more authoritative specialist hospital to take a look.

With a line of hope, Xiaoyi found deputy chief physician Wen Hong, an expert in Zhejiang University Women's Hospital. Although the road was unclear, Xiaoyi still wanted to fight for his baby at this time.

After learning about the situation of Xiaoyi, Deputy Chief Physician Wen Hong attached great importance to it, and immediately contacted the B -ultrasound expert team to review the B -ultrasound before delivery. Zhou's abdominal courses.

Considering the rareness of the disease and the strong willingness to continue pregnancy, in order to comprehensively evaluate the condition, Dr. Wen Hong suggested that Xiaoyi will perform the fetal MRI (magnetic resonance examination), further clarify the fetal condition, and check the fetal chromosome by amniotic fluid puncture.

Liu Diaoya's hope of rewinding

Doctors and patients persist for love for love

The test results came out. What is slightly gratifying is that the range of the two babies is relatively small, about 2 cm, and at the same time, it is not found that the important substantial organs shared -this is relatively safe for couplet babies.

"Democratic Terring" is an extremely rare disease, with an incidence of about 100,000. It refers to two fetuses in the single pill -membrane single amniotic sac. Can't be separated.

The bodies are divided into symmetrical and asymmetric, and are classified according to the native site, including head courses.

The most common type is chest courses (40-60%), because the twins may share the heart and have the highest mortality rate of the chest courses. The two babies belong to the abdomen.

The results of these inspections can be described as a ray of flames in the snow and snow for the Xiaoyi couple and her family. Based on the results of the inspection, combined with the strong willingness of Xiaoyi and his family, Dr. Wen Hong decided to try his best to win the best results for Xiaoyi.

He quickly convened the prenatal diagnosis/fetal medical team of the Zhejiang University Maternal Hospital, and combined with the Surgical/Cardiac Surgery Team of the Zhejiang University Pediatric Institute for the first multi -disciplinary discussion. Although the counters are very rare and extremely challenging, it is not completely unspeakable to look at experts with rich abdominal surgery and cardiac surgery experience; more importantly, more importantly. The experience of separation of tires can be used as a reference for Xiaoyi and her baby.

Considering that Xiaoyi is also very hard with her twin, so after that, Xiaoyi performed an ultrasonic examination at the local hospital every week and retracted it every two weeks of the Zhejiang University Hospital. The monitoring content includes the growth of two babies: amniotic fluid A quantity, heart function, ultrasonic Doppler (umbilical arteries, mid -cerebral arteries, and venous ducts) to confirm development.

Time soon came in September. When Xiaoyi lived in the Seventh Department of Zhejiang Women's Hospital, it was about 32 weeks of pregnancy. "The childbirth time of the bodies is generally 34 weeks of pregnancy to 34 weeks, so we arranged for hospitalization at this time, and at the same time completed the maturity of tire lungs. If necessary, we are also preparing for cesarean section at any time. "

The difficulty of surgery increases

Expert Famous Doctor Federation Clinic

This cesarean section surgery is different from any time before. The chief physician Yang Xiaofu is an obstetrician who has more than 30 years of rich experience, but she is also the first time she has given birth to the two -year -old nativebody.

For Xiaoyi, the difficulty of surgery is much greater than ordinary pregnant women. On the one hand, her baby is equivalent to two babies as large, the surgical incision is larger, and the incision route is very critical; on the other hand, the two babies must give birth at the same time, and the connection is very fragile. If the force control is not good, it will cause the baby to cause the baby The damage or even the connection is broken, and the consequences are unimaginable.

In addition, Xiaoyi is still the front wall placenta. If the cesarean section incision encounters the placenta during the operation, the risk of its cutting is also increased accordingly. Once cut into the placenta, it may lead to major bleeding and endanger the safety of mothers and babies. In order to give birth to both children safely, Dr. Yang Xiaofu widely read the literature of related courses at home and abroad, combined with previous mature surgical experience, and specifically confirmed with the radiologist to confirm the diameter of the couplet, the placenta position, etc. , Determine the specific location and length of the cesarean section incision.

After Xiaoyi was hospitalized, Zhejiang University's Women's Hospital once again organized MDT Multi -disciplinary Multi -Hospital Federation. Zhejiang University Women's House ultrasound, radiology, neonatal, pharmaceuticals, anesthesiology, medical department, operating room and other experts discussed together; at the same time, Dr. Jinfa Dr. Jinfa and newborn transspoints were invited to the Chief of Pediatric Surgery of Zhejiang University.

The consultation focuses on the setting of small arts, surgery risks and emergency plans. Dr. Jinfa, Dr. Jinfa and Newborn Transfer and Anesthesiology Team of the Chiefs and Surgery of Zhejiang University of Zhejiang University, while discussed the accidents that may occur after childbirth, response measures, after childbirth, and even meticulously measured the transshipment vehicle. The size of the newborn radiation bed to confirm the rescue and transfer of the bodies.

Finally, the operation time is here.

Full preparation and organized method

Life miracle warm people's heart

Xiaoyi in the waiting room does not have much nervousness and anxiety, more of the trust of the surgical team and the rescue team. For a long time, Xiaoyi's peace and firmness have supported doctors. Today, the long -distance running of this life is finally ushered in this important node.

The surgery was jointly completed by the chief physician Yang Xiaofu and Deputy Chief Physician Wen Hong. The anesthesia was completed by Deputy Chief Physician Chen Hong. Considering that the amount of surgical bleeding may be large, it is also ready for autologous blood loss.

This is also the first biological cesarean section of Zhejiang University Women's Hospital.

At the beginning of the surgery, according to the surgical plan pre -operative, Dr. Yang Xiaofu carefully cut the front wall of the uterus. In order to avoid Xiaoyi's front wall placenta, she rely on the feel of the obstetrician for many years, and touched the knife: touch the fetus: touch the fetus Where there is no placenta, you can be careful when you have no placenta.

The surgery team is calm and calm, walking on the edge of the placenta -getting closer to success! Dr. Yang Xiaofu and Dr. Wen Hong cooperated tacitly, each pulled a baby's leg, and at the same time gave birth to the baby to avoid pulling away the connection part of the babies.

Babies' abdomen and heads also delivered smoothly. The loud crying in the operating room, the two babies appeared in a hug, warmed every heart of medical care.

Two main doctors entrusted the couplet together and handed them safely to the hands of the newborn doctor. A pair of sisters of 1950G and 1410G! 5 minutes after surgery, the babies scored 10 points.

The entire cesarean section surgery is fast and accurate, and the amount of bleeding is within the expected range. The situation of the two babies surprised everyone: they did not have a custody, and only lost a little oxygen. After a preliminary newborn recovery, the pediatricians of Zhejiang University Pediatrics were transferred to Zhejiang University Pediatrics.

The rapid cesarean section surgery and postoperative treatment have laid a good foundation for the treatment of the babies.

And this pair of joint sisters seems to be using the vigorous vitality to leave their parents, to express their gratitude to the medical staff who are guarded by the whole process.

Three days after the operation, Xiaoyi's recovery was good and could be discharged smoothly. "On the day of discharge, Xiaoyi's mother talked about the scene and mood of the first diagnosis of the couplet. "Xiaoyi next to it has officially become a mother now. Although she misses her baby, her young face is more peaceful and optimistic.

The separation surgery of the courses will also be carried out after evaluation. Considering that the conditions of Xiaoyi are more difficult, the cost of this operation is even worse for Xiaoyi artists. Therefore, Deputy Chief Physician Wen Hong also took the initiative to consult relevant public welfare funds to apply for subsidies for Xiaoyi. Zhejiang University Echo must be donated for her after learning about Xiaoyi.

There is still an unknown challenge in front. I hope that love can always guard Xiaoyi and babies, all the way to welcomes all the way.

Thanks to the Zhejiang University Women's Hospital Li Xiaoqing for helping this article

Supervision: Sun Meiyan

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