Many years of infertility, having a child before having time to celebrate, multiple organ damage

Taking a medical history, Ms. D. said that she had been married for more than 10 years and had been treated for infertility at many hospitals but could not get pregnant. Since April 2023, she felt swelling in her face, hands and feet gradually increasing, and her daily work gradually became too much for her. After a month, she was admitted to the emergency room of Gia Dinh People's Hospital (HCMC) due to difficulty breathing, and had to sit and breathe all night.

Through examination, doctors discovered that Ms. D. was pregnant (about 25 weeks), with malignant hypertension, acute pulmonary edema, multiple organ damage including acute liver damage, acute kidney damage, and acute myocardial damage.

Recognizing this as a very high-risk pregnancy for both mother and fetus, the hospital organized an emergency consultation with many specialists.

Cứu sản phụ hiếm muộn bị suy đa cơ quan mẹ tròn con vuông - Ảnh 1. — Doctor monitors the condition of the pregnant woman

On June 24, Dr. Giang Minh Nhat - Head of the Cardiovascular Resuscitation Unit - Department of Cardiology, Gia Dinh People's Hospital, said that the doctors tried to save both mother and baby. This was a big challenge, the doctors had to control the blood pressure while ensuring 2 continuous blood filtration cycles to treat kidney failure and stabilize myocardial damage. Another important thing is that the obstetrician must constantly monitor the health of the fetus.

After 1 week of intensive treatment, the patient's blood pressure was more stable, liver damage and myocardial damage recovered spectacularly, the fetus's health was stable, however, severe kidney damage could only partially recover. The patient was discharged from the hospital at 27 weeks of gestation and continued to be monitored as an outpatient according to the high-risk pregnancy care process at Gia Dinh People's Hospital.

Cứu sản phụ hiếm muộn bị suy đa cơ quan mẹ tròn con vuông - Ảnh 2. — Baby born safe and healthy

When Ms. D.'s medical condition was more stable, the fetus developed well. By the 32nd week, her blood pressure became difficult to control, resistant to all antihypertensive drugs that could be used during pregnancy, and her kidney damage rapidly worsened again. At this point, the pregnancy had matured to a certain extent, and the baby's chance of survival after birth was high. The panel of experts agreed to terminate the pregnancy, in order to better stabilize the mother's worsening medical condition.

On the evening of June 22, Ms. D. gave birth to a healthy baby girl to the joy of all the doctors and her family.

Currently, Ms. D. is receiving intensive postnatal treatment at the Cardiology Department, while the baby is being cared for at the Neonatal Pathology Department and will be discharged in the next few days.

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