On June 22, information from the City Children's Hospital (HCMC) said that this unit had just coordinated with Tu Du Hospital to promptly intervene with EXIT (a procedure to save fetuses with airway compression), saving the baby with a giant tumor from being born safely.
Up to now, the baby has been injected with sclerotherapy to reduce the size of the tumor in stages and the endotracheal tube to support breathing has been removed. The baby can breathe on his own and digest milk well.
Previously, the pregnant woman BTXH (32 years old, living in Thu Duc City, Ho Chi Minh City) was pregnant for the second time, and had regular prenatal check-ups at Tu Du Hospital since the beginning of her pregnancy. Screening for abnormalities and screening for pre-eclampsia in the first 3 months had low-risk results. At the 21st week of pregnancy, Ms. H. went for a check-up and ultrasound to discover that the fetus's face and neck on the right side had a mixed echo mass measuring 26x39x28 mm, suspected to be a lymphangioma on the right side of the face and neck.
The baby can now breathe on his own.
Ms. H. was advised by doctors to have amniocentesis to determine possible chromosomal abnormalities or gene mutations, but because she was worried about the risk of miscarriage after amniocentesis, Ms. H. decided not to have amniocentesis.
Ms. H. had a normal delivery 3 years ago. During pregnancy, she had gestational diabetes and was treated to control it. As a result, both mother and baby were healthy.
This pregnancy, she also had gestational diabetes and continued the same treatment as before.
As the fetus grows, the size of the goiter in the neck area also increases. At 26 weeks of pregnancy, the goiter is 56x64x54 mm, at 31 weeks of pregnancy, the goiter size increases to 95x58x95 mm, MRI images show signs of slight compression of the pharynx but the baby's brain parenchyma is not damaged.
At 34 weeks and 6 days of pregnancy, a multidisciplinary consultation between Obstetrics and Pediatrics assessed this as a case of a large tumor, with a severe prognosis, and the possibility of respiratory failure after birth. Doctors from Tu Du Hospital coordinated with the City Children's Hospital to consult and agreed to perform EXIT surgery when the pregnancy was over 37 weeks, at which point the baby's respiratory ability was almost the same as other mature cases.
EXIT (Ex utero intrapartum treatment) is a special procedure used during cesarean section for babies with airway compression due to congenital tumors blocking the airway, allowing the surgeon time to clear the baby's airway, protect the airway and provide adequate ventilation, before the baby is separated from the mother. When the baby is stable enough for delivery, the umbilical cord is cut and the newborn is transferred to the neonatal intensive care unit managed by a neonatologist and pediatric surgeon.
In cases where a large tumor compresses the airway in the fetus, intubation may be more difficult than in other normal cases, leading to the risk of the baby suffocating, respiratory failure and death. To increase the baby's chance of survival, there is only one method: to perform intubation immediately before removing the baby from the mother's uterus.
Doctors share that thanks to the development of medicine and the process of full pregnancy monitoring and care, abnormal pregnancies have been detected and timely and appropriate monitoring and intervention solutions have been provided to increase the chances of a good and healthy life for children.
Source link
Comment (0)