Tu Du Hospital miraculously saves the life of a pregnant woman with a ruptured uterus and cardiac arrest

On June 27, news from Tu Du Hospital said that the hospital had just saved the life of a pregnant woman who had suffered cardiac arrest and respiratory arrest due to a ruptured uterus and placenta accreta.

The pregnant woman named Q. (39 years old, living in Binh Duong) is pregnant for the third time (2 previous normal births, currently has a 12-year-old child and an 8-year-old child).

Unconscious on the way to the hospital

During her third pregnancy, the pregnant woman had regular check-ups at a private clinic and Tu Du Hospital. At 25 weeks of pregnancy, placenta accreta was detected. At 31 weeks, the placental invasion became more severe, so the ultrasound suspected placenta accreta Percreta (placental villi invade through the uterine peritoneum and can invade neighboring organs).

Bệnh viện Từ Dũ cứu sống ngoạn mục sản phụ vỡ tử cung, ngưng tim - Ảnh 1. — Medical team performed surgery on pregnant woman Q.

At 7:00 a.m. on June 23, the pregnant woman Q., who was 33 weeks and 5 days pregnant, suddenly felt severe abdominal pain, the pain continued to increase, the pain made her unable to breathe, feeling as if her abdomen was about to burst. The intensity of the pain, according to the pregnant woman, was 10 times stronger than the labor pain of her previous two births. After 15 minutes, her family called a car to take her straight to Tu Du Hospital. On the way, the pregnant woman fainted and was no longer aware of her surroundings.

According to medical history, in 2021, the patient Q. was found to have a large uterine fibroid causing menorrhagia, so the doctor performed open surgery to remove the fibroid. After surgery, she used an IUD to prevent pregnancy, but found it was not suitable, so she removed it and inserted a contraceptive implant. After a period of implantation, she had menorrhagia and metrorrhagia, so she removed it again to prepare to take birth control pills every day. Before she could take the birth control pills, her period was late and she tested positive for pregnancy.

Coma, lost 3 liters of blood

At 8:20 a.m., when arriving at the Emergency Department of Tu Du Hospital, the pregnant woman was in a coma, had stopped breathing, her pulse and blood pressure could not be measured, and her abdomen was distended, making it difficult to determine the fetus.

The head doctor of the emergency department determined that this was a case of uterine rupture, life-threatening hemorrhagic shock. The emergency department immediately activated the internal red alert procedure and mobilized all qualified medical staff to support.

The mother was actively resuscitated with external cardiac compression, vasopressor injection, endotracheal intubation, intravenous access established, and transferred to the operating room.

In the operating room, the anesthesiologist quickly placed an internal jugular vein catheter under ultrasound guidance and placed a radial artery catheter to continuously monitor blood pressure in severe and critical cases.

While the mother was being given CPR, the obstetricians quickly performed emergency laparotomy. At this time, there were 3 liters of diluted blood and blood clots in the mother's abdomen.

The doctor performed a uterine incision to rescue the premature, unresponsive, cyanotic baby boy. The neonatologist was ready to actively resuscitate, intubate, squeeze the balloon, and quickly take the baby to the Neonatal Department to put him on a ventilator to give him a chance to live.

After taking the baby out, the doctor checked and found that the placenta had invaded and punctured the left corner of the uterus about 3-4 cm and there were blood vessels flowing. The doctor proceeded to remove the adhesions, cut the uterus and left the 2 ovaries. During the surgery, with active resuscitation and continuous blood pumping, the mother's heart returned.

After 2 hours, the surgery ended, the total amount of blood transfused to the mother was more than 3.3 liters.

Spectacular recovery

According to doctors at Tu Du Hospital, during the surgery, the pregnant woman fell into a coma, had cardiac arrest, and lost a large amount of blood, facing the risk of irreversible brain damage, multiple organ failure, blood clotting disorders, lung damage, circulatory overload, hemolytic fever, infection, etc. However, after undergoing major surgery, the pregnant woman Q.'s body had a spectacular recovery, beyond the imagination of the medical staff as well as Q.'s family.

After 3 days, Ms. Q. was able to walk and clean herself, eat a variety of foods, and had a good appetite. The surgical wound was fine. The ultrasound and blood test results after surgery showed that the mother's health was very stable. The rescue of Ms. Q. was considered a miracle.

As for the mother's child, doctors at Tu Du Hospital are trying their best to save the baby's life.

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