[Xiangtan a lying-in woman died of massive hemorrhage after caesarean section, and doctors and nurses disappeared], this news can be said to be the hottest today. Who is right and who is wrong with doctors and patients? What is the truth? How to ease the doctor-patient relationship? Sorry, I am not the news media, I will not talk about these issues. This article just wants to talk about amniotic fluid embolism in the news. Everyone can read it as a news background, and it is good to learn more. After reading it, it is really not easy for a woman to have children. It is even better to go back and show filial piety to her mother and love her wife.
As the title says, amniotic fluid embolism is recognized as death in obstetrics. Why do you say that? The main reason is that the mortality rate of amniotic fluid embolism is high, unpredictable and difficult to rescue.
Xu Yunyun, Doctor of Clinical Medicine, I once said a case on Weibo: [Amniotic fluid embolism, Concorde Hospital rescued one case, At 2:00 in the middle of the night, several chief officers were in the operating room. The blood transfusion alone lost more than 10,000. In the end, the child and uterus were not saved]. This is in Concorde. In beijing, there are the best medical conditions and the most sufficient blood station resources, replaced by news Xiangtan County Maternal and Child Health Hospital, the first time can mobilize so much blood is a problem. Therefore, amniotic fluid embolism is the real obstetric death, and human medicine has not been conquered so far. What is more terrible than uncontrolled death?
Is what amniotic fluid embolism?
According to the “home medication” App disease content search, amniotic fluid embolism refers to the acute pulmonary embolism, anaphylactic shock, disseminated intravascular coagulation (DIC), renal failure or sudden death caused by amniotic fluid suddenly entering the maternal blood circulation during delivery. Now there are also studies that believe it is a serious allergic reaction.
It sounds very round the mouth, to put it more bluntly: during childbirth, amniotic fluid enters the mother’s blood through the uterine wound. Is there what in amniotic fluid? Fetal fat, meconium, fur and other impurities are all in it, and some of them promote coagulation. These things enter the mother’s blood, which will cause very serious complications, massive hemorrhage of the whole body, and large-scale acute infection of the whole body, which are all likely to cause death. Even normal people, impurities in the blood, do you think it will be okay?
What is more terrible is that with the current medical technology, there is no method to find out the precursor of amniotic fluid embolism in prenatal examination, so sufficient preventive measures have not been developed. After the rupture of fetal membranes, the patient attacks very quickly and often has no time to rescue.
All these reasons have caused the maternal mortality rate of amniotic fluid embolism to reach more than 80%.
The only good news is that amniotic fluid embolism is still very rare. According to human health textbooks, the incidence rate is between 40,000 and 6/100,000. Although this rate is low, once it occurs, it is a tragedy that no family can bear.
See also some people question the reported hysterectomy, once amniotic fluid embolism occurs, must the uterus be removed?
The key to successful rescue of amniotic fluid embolism lies in early diagnosis and treatment. Timely obstetric treatment is extremely important for the success of rescue.
If amniotic fluid embolism occurs in the first stage of labor, cesarean section should be carried out to terminate pregnancy and remove the cause of the disease. If it occurs in the second stage of labor, vaginal midwifery should be carried out to end delivery. If postpartum hemorrhage occurs, after active treatment still cannot stop bleeding, it should be decided immediately and hysterectomy should be carried out. The use of uterine contraction agents is not consistent and needs to be used cautiously.
News of the parturient postpartum hemorrhage, diagnosis of amniotic fluid embolism, so the doctor suggested hysterectomy, there is no what inappropriate. This time transfer is too late, because to have a second child refused to operate to sign, really regardless of the maternal life. It is no wonder that some people sigh with emotion, after giving birth to children must be the presence of the bride’s family.
Amniotic fluid embolism is so terrible that we can only watch death come? In fact, we can also do some prevention work.
1, regular prenatal examination, in addition to amniotic fluid embolism, there are some other serious complications, such as pregnancy hypertension, early detection, early treatment.
2. Elderly parturients, premature or overdue delivery and menstrual parturients, especially pregnant mothers with premature rupture of membranes, uterine body or cervical dysplasia, are prone to amniotic fluid embolism and should actively cooperate with doctors to deal with them.
3, in the process of delivery, if there is chest tightness, dysphoria, chills and other uncomfortable feelings, to tell the doctor in time, so that the doctor can find out as soon as possible.
4. Use oxytocin rationally and observe closely.
5. Choose a credible hospital and trust doctors after choosing.
According to the World Health Organization (WHO), About 800 women worldwide die every day from complications related to pregnancy or childbirth. In 2013, 289,000 women died during and after pregnancy and childbirth. The four main causes of maternal death are: severe haemorrhage (mostly postpartum haemorrhage), infection (mostly septicemia), pregnancy-induced hypertension (usually eclampsia) and dystocia.
Today, with the rapid development of human medicine, although the mortality rate of pregnant women has dropped significantly, pregnant women still face great risks when giving birth. We need to calmly accept the reality that pregnant women may die, and the media need to be calm. I also believe that with the progress of medical technology, one day we can also grip the throat of death.
Every mother stepped into the coffin with one foot when giving birth to a child. Even so, the mother still summoned up the courage to fight against death and finally gave birth to us. Here, she pays tribute to all mothers.