Rare! 24 days after giving birth, she gave birth to another one

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 Rare! 24 days after giving birth, she gave birth to another one


On May 13, Wang Li (pseudonym) successfully gave birth to three treasures in the Third Hospital of Guangyi

Wang Li (a pseudonym), a 39 year old woman in Maoming, had a particularly tortuous pregnancy.

However, less than a month later, Wang Li suddenly showed signs of threatened abortion. On March 5th, Wang Li, who was 20 weeks pregnant, felt pain in her lower abdomen.

Generally, the fetus left in the uterus after the reduction will be gradually absorbed and atrophied, and will be discharged or absorbed along with the delivery at the end of the whole pregnancy. Liu Yubing, deputy director of obstetrics at the Third Hospital of Guangzhou Medical College, said that it was rare for Wang Li to be discharged in advance, which increased the risk and difficulty of continuing pregnancy.

The expulsion of stillborn fetus changed the environment of uterus, opened the infection path, increased the risk of infection, and brought challenges to continue pregnancy. In late March, Wang Li, who had symptoms of threatened abortion again, was hospitalized in the Third Hospital of Guangzhou Medical College for one week to have her baby protected.

On the morning of April 13, Wang Li suddenly felt a warm current coming from her lower abdomen. Her intuition was not right. She called her family to the Third Hospital of Guangzhou Medical College. The doctor diagnosed prom, but no contractions. Considering that the two fetuses that survived in the uterus were only 26 weeks old, and the age of the month was too small, in order to protect the fetus, the hospital gave the treatment of promoting fetal lung, inhibiting uterine contraction, anti infection and so on, hoping to protect the fetus as much as possible.

However, a few days later, Wang Li felt a bout of abdominal pain, the opening of the palace had been opened, and the fetus seemed unable to wait to come out. On the evening of April 18, Wang Li gave birth to a boy weighing 930 grams. As the baby was born prematurely, the doctor of Neonatology immediately rescued the baby.

After giving birth to this child, Wang Lis contractions gradually weakened, and the cervical tube also retracted. At this time, there was another unborn baby in the palace. The doctor evaluated the pregnant woman and the third fetus in the abdomen in detail. The condition of the fetus was basically stable, and the fetal heart sound and fetal movement were normal.

As Wang Lis triplets are three cashmere and three sheep, the three fetuses have their own placenta and live in different rooms. After the second birth, the third one is still possible to continue pregnancy. If the fetus can develop in utero to 28 weeks later, it will have greater vitality after birth. Liu said that in the face of Wang Lis special situation, the obstetric team thought of delaying delivery.

What is delayed delivery? In medicine, it is called delayed delivery. After the delivery of the first fetus, the body may have a protective mechanism, thinking that when the delivery is over, the uterine mouth retracts, and the second fetus may stay in the uterus. Delayed delivery can prolong the time of fetal growth in utero, but the risk is very great. For pregnant women, the biggest risk is infection. The uterine opening after delivery is like an open channel, which increases the probability of bacterial invasion and infection. In severe cases, septic shock may occur. The risk of infection and fetal distress in the mothers womb also increases for the fetus.

However, knowing that it is possible to let the third baby stay more in the womb, Wang Li holds the doctors hand and firmly demands that the baby be protected and the delivery be delayed. Doctor, the second baby was born so young. Its so pitiful. Anyway, I want this baby to be born later. Im not afraid of any risks! Wang Lis determination and bravery moved doctors and patients, and worked together to win more vitality for the three treasures in her abdomen.

24 days later, she had another baby

Ive been in bed for more than 20 days, and my bones are sore. But I can bear to think that the baby can stay in the womb longer, no matter how hard it is. Wang Li said.

Because the placenta of Wang Lis first two fetuses was not delivered and remained in the uterus, two sources of infection were left to the uterus. In order to ensure the safety of mother and baby, the medical staff of Guangzhou severe pregnant women treatment team implemented the treatment for Wang Li, such as prevention and control of infection, control of uterine contraction, promotion of fetal lung development, etc. doctors cut the umbilical cord which is easy to cause infection and put it into the cervix to reduce infection.

We need to especially observe her contractions, the changes of vaginal secretions, and strengthen the bedside observation and gynecological examination. In addition, we should closely monitor the growth and development of the fetus, and always pay attention to the situation of uterine contraction and fetal heart rate. Liu said that in consideration of Wang Lis long-term bed influence on mood, the nursing group also implemented psychological care for pregnant women to relieve tension.

Delayed delivery for triplets is the first case in Guangzhou severe maternal treatment center. When to terminate delivery has become the focus of the teams repeated discussions.

Delaying delivery for too long increases the risk of infection, and staying in bed for a long time can also lead to complications such as thrombosis. He Fang, deputy director of obstetrics at the Third Hospital of Guangzhou Medical College, said that everyone hopes to prolong the time of fetus in the uterus, but if there is any sign of intrauterine infection, the pregnancy should be terminated immediately.

On May 12, Wang Li, who was 30 weeks pregnant, had a fever and her babys heart beat faster. The obstetric team immediately began to deal with it. At noon of the same day, Wang Li was rushed to the delivery room for another water break, and then the fetal heart rate monitoring was abnormal, considering the fetal distress in utero.

In the early morning of May 13, doctors performed an emergency cesarean section for Wang Li and successfully delivered her third fetus. The baby, who was lucky enough to be born 24 days later, weighs 1330 grams and has a high score for all newborns. With the joint efforts of Wang Li and the medical staff, she won the time for childrens growth and development and won the extra time race. This is also the first case of delayed delivery of triplets in Guangzhou Medical College.

[Extension] delayed delivery: there is a risk for mother and baby, and the implementation is conditional

For preterm infants between 26 and 28 weeks, the chance of survival increases by 1% for each additional day in the mothers womb. Therefore, for the fetus at this gestational age, delayed delivery can increase the weight of the fetus, reduce the risk of premature complications, and increase the probability of survival to a certain extent.

(function(){( window.slotbydup=window .slotbydup||[]).push({id:u5811557,container:ssp_ 5811557, async:true }However, the potential risk of delayed delivery to the mother and baby cannot be ignored, and not every pregnant woman can implement it. The delayed delivery of twin / multiple birth pregnant women must be fully evaluated. It can only be carried out when there is no intrauterine infection in the pregnant women, and the uterine contraction subsides after the first birth or the induction of labor for the second birth is not successful. Meanwhile, the fetal distress, premature rupture of fetal membrane, congenital malformation, severe vaginal bleeding and other conditions need to be excluded. Once delivery is initiated, it is irreversible, and delayed delivery must be carried out with the permission of the maternal body mechanism. Just like this woman, after giving birth to her second child, the contractions of the uterus naturally subsided and the cervix of the cervix retracted, which has won us a time window to protect the fetus, so that we can help her and the baby. He Fang reminded that there is a risk of delayed delivery, which should be implemented carefully. For a twin / multiple pregnancy mother, she must follow the doctors advice during pregnancy, conduct regular labor examination according to the professional doctors advice, and do not blindly protect the fetus. [reporter] Zhu Xiaofeng [correspondent] Bai Tian and Wu Changgang source: Southern plus editor in charge: Li Chong_ NN5538

However, the potential risks of delayed delivery to mothers and infants cannot be ignored, and not every pregnant woman can implement it. The delayed delivery of twin / multiple birth pregnant women must be fully evaluated. It can only be carried out when there is no intrauterine infection in the pregnant women, and the uterine contraction subsides after the first birth or the induction of labor for the second birth is not successful. Meanwhile, the fetal distress, premature rupture of fetal membrane, congenital malformation, severe vaginal bleeding and other conditions need to be excluded.

[reporter] Zhu Xiaofeng

[correspondent] Bai Tian, Wu Changgang