The 17 -week test tube twin stems have one child with one child, and "childbirth" again after 136 days, and was born smoothly.
Author:Red Star News Time:2022.08.13
Late at night on August 5th, a newborn crying sounded in the delivery room of the Sichuan Provincial Maternal and Child Health Hospital. Compared with other newborn, this cry is even more difficult.
The 37 -year -old Wang Li (pseudonym) has been pregnant for many years after marriage. At the end of 2021, she successfully conceived through IVF technology and was a pair of twins. However, when the fetus was more than 4 months, Wang Li broke the water in advance, and one of the fetus was unfortunately aborted, and the other was at stake.
In order to keep the surviving fetus with only 199 grams, the obstetrics team of the Sichuan Maternal and Child Health Hospital made an interrupted and carried out delayed delivery of the fetus. After 136 days, Wang Lishun gave birth to a healthy male baby with a weight of 3070 grams.
▲ Maternal and Hospital Obstetrics Team
Just 17 weeks of test tube twins first signs abortion
Wang Li is 37 years old and lives in a local city around Chengdu. After many years of marriage, she was not pregnant at the end of 2021. Ms. Wang and her husband successfully conceived through IVF. The hard -won children make the couple be very cautious and cherished. But unexpectedly, when Ms. Wang was more than 4 months pregnant, she found that the fetal amniotic fluid broke the water in advance, and she was rushed to the local hospital.
"Because this is too difficult for the twins to parents. The local hospital contacted us and wanted to try whether to try." Gao Yan, director of the Provincial Maternal Medical Department, told Red Star journalists, but the doctor found that although the green channel is the fastest The situation is not optimistic about the situation. One of the fetus has broken water, and the umbilical cord is prolapsed. Soon after admission, the fetus was aborted.
"Under normal circumstances, one fetus is aborted, and the other may be very small." Gao Yan said that considering that the patient's condition is special, he is particularly urgent and desperate for the remaining child to keep. After fully communicating the follow -up risks, parents still insisted on choosing to protect the fetus.
The delayed childbirth and fetal protection of the twin refers to a fetal abortion or after a premature birth (premature birth) in the pregnancy (24-30 weeks of pregnancy). Essence
The twins delaying childbirth to protect the fetus, which requires double velvet and double sheep. The two fetuses have their own placenta and blood supply. The remaining fetal and maternal physical condition is also an important factor to measure whether to delay childbirth.
▲ After the smooth production, Gao Yan took a photo with the mother and the newborn
Difficult "fetal defense war"
But this is not easy.
Gao Yan explained that, first of all, due to the abortion of a child, the cervix was opened, which had changed the environment in the palace and the cervical environment, and the chance of infection greatly increased. At the same time, the remaining fetal weight is only 199 grams, ensuring that the fetus develops normally and safely in the uterus, which is also a very large challenge for medical staff.
On the basis of fully communicating and building trust with their families, Gao Yan adopted a series of comprehensive fetal preservation measures for patients. For example, after the first abortion, an emergency cervical ring was performed, and the contraction suppression was tightly monitored, and the antibacterial drugs were used reasonably. It is proved that it can be used in the treatment of pregnant women. For example, it can be used safely. "Gao Yan said. One week after the operation, Wang Li was discharged.
This is just the first step, the key to the later period is to closely monitor the various indicators of pregnant women and fetuses. "For example, the indicators of infection, and the development of children." Gao Yan said that the frequency of production examinations will be higher than that of ordinary pregnant women. During the consultation, medical staff will pay special attention to more symptoms, such as whether there are bleeding, secretion, and secretion The color of the matter, is there abdominal pain and so on. "We also have medical staff to track the situation of pregnant women through the phone, especially if the check -ups are over time, we will definitely remind the production inspection as soon as possible."
Fortunately, in this "fetal defense war", Wang Li's status has always been very good. The child was successfully kept until 37 weeks, and the child was full.
Born on the second day of admission to the hospital smoothly
A few months ago, Gao Yan reminded patients that it was best to be admitted to the hospital in advance and prepare for production. However, at the critical period of the Chengdu epidemic prevention and control, Wang Li and his family were worried. It was not until August 4 that he was admitted to Chengdu on August 4th, and proposed to be able to cesters the section to avoid risks in the production process. However, Gao Yan integrated the situation of Wang Li and the child. It is recommended to try to give birth first. Li demolished the stitching of the emergency cervical rings and waited for production.
On the second day of admission, on the morning of August 5, Wang Li broke the water. That night, Wang Lishun gave birth to a healthy male baby weighed 3070 grams, and his family named him "Dun Dun". The loud crying pier was lying on her mother, red and soft.
From 17 to 37 weeks, from 199 grams to 3070 grams, the hardships of 136 days, the medical staff re -opened the door of life for the "pier".
Red Star Journalist Yu Zun Subu as the respondent
Edit Chai Chang
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