HCMC A 37-year-old pregnant woman with abdominal pain was taken to the emergency room by her family. Doctors discovered that her uterus had ruptured above the old surgical scar and the fetus had fallen out of her pelvis.
On June 8, a representative of Hung Vuong Hospital said that the 40-week-old fetus, instead of being in the mother's uterus, was born in the mother's pelvis, still alive and still inside the amniotic sac.
The doctors performed an emergency surgery and found that the mother had about 500 ml of vaginal bleeding. The uterus had ruptured along a horizontal line at the same location as the old surgical scar. Fortunately, the bladder and ureter were not damaged. More than 20 minutes later, the baby girl's umbilical cord was clamped and she was safely delivered along with the placenta.
Currently, the health of both mother and child is stable. The baby girl is with her mother, drinking milk from the hospital's breast milk bank because the mother cannot breastfeed herself.
The baby girl was safely delivered by doctors after her mother's uterus ruptured. Photo: Provided by the hospital
Associate Professor, Dr. Huynh Nguyen Khanh Trang, Head of the Department of Obstetrics, Hung Vuong Hospital, said that uterine rupture is an obstetric complication that can easily lead to death for both mother and child. Every minute the blood vessels rupture, the mother can lose 400-500 ml of blood. Thus, it only takes about 10 minutes for all the blood in the body to run out, leading to cardiac arrest, which can cause the fetus to die first, followed by the mother.
This patient has had three children, one normal birth and two cesarean sections. This is an unsafe pregnancy, according to the doctor. Normally, when pregnant on an old cesarean section, the pregnant woman must have regular check-ups, and the doctor will admit her to the hospital for monitoring when the fetus is mature enough (37-38 weeks) to prescribe an active cesarean section. However, in this case, the pregnant woman did not have a full prenatal check-up, and the uterus had an old cesarean section scar, so it was too much to bear and led to a rupture.
"It is unclear when the patient's uterus ruptured, but luckily she was admitted to the hospital in time," said Dr. Trang.
According to world statistics, for every 1,000 pregnancies that have had a previous cesarean section, there are 5 cases of uterine rupture. This rate increases 4 times for those who have had two pregnancies and a cesarean section. Therefore, doctors recommend that pregnant women who have had a previous cesarean section in their uterus should have a full prenatal check-up, inform the doctor for specific advice and instructions, predict risk factors and promptly handle the situation.
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