China News Service, Guangzhou, May 19 (Cai Minjie, Bai Tian) Triplets, "delivered" in three times: one child was excreted spontaneously after intrauterine reduction, the second child was born early at 26 weeks, and the third child was in a doctor-patient Working hard together to protect the baby, trying to delay delivery, and born 24 days later. The Third Affiliated Hospital of Guangzhou Medical University said on the 19th that the Guangzhou Critical Maternity Treatment Center recently implemented delayed delivery for a triplet mother.
According to the introduction of the Third Affiliated Hospital of Guangzhou Medical University, 39-year-old Wang Li was pregnant with triplets by test-tube babies in the foreign hospital. Since the first child was a cesarean section, and the uterus still had scars, Wang Li knew the risk of multiple pregnancies since she learned that she was pregnant with triplets, and planned to lose one child. On February 6, after repeated consideration, Wang Li and his family, who were 16 weeks pregnant, came to the Guangzhou Critical Maternity Treatment Center at the Third Affiliated Hospital of Guangzhou Medical University to implement fetal reduction. After the operation, the other two fetuses in the abdomen continued to conceive and were conserved.
However, less than a month later, Wang Li suddenly felt a feeling of bloating in the lower abdomen, a small amount of vaginal bleeding, and signs of threatened miscarriage. On March 5, Wang Li, who was pregnant for 20 weeks, felt pain in her lower abdomen, and then the stillbirth in her abdomen was expelled.
"Under normal circumstances, the fetus after being reduced in the uterus will be gradually absorbed and shrunk. At the end of the pregnancy, it will be discharged or absorbed along with the delivery." Liu Yubing, deputy chief physician of the obstetrics department of the Third Hospital of Guangzhou Medical University said: "It's relatively rare to discharge early like Wang Li, which also increases the risk and difficulty of continuing pregnancy."
The removal of stillbirths has changed the environment in the womb, opened the path of infection, increased the risk of infection, and brought challenges to continued pregnancy. In late March, Wang Li, who had symptoms of threatened miscarriage again, was hospitalized for a week in the Third Hospital of Guangzhou Medical College.
On the morning of April 13th, Wang Li suddenly felt a warm current in her lower abdomen. She felt that something was wrong and she quickly called her family to the Third Hospital of Guangyi. The doctor diagnosed premature rupture of the membrane, but no contractions have occurred. Considering that the two fetuses in the uterus are only 26 weeks old and the age of the month is too small, the hospital has given treatments for promoting the fetal lung, suppressing contractions, and anti-infection.
However, a few days later, Wang Li felt a sudden abdominal pain and the palace mouth was opened. On the evening of April 18th, Wang Li gave birth to a boy who weighed 930 grams. The doctor in the neonatal department waited for the premature delivery. The child was rescued as soon as he was born.
After giving birth to the second child, Wang Li's contractions gradually weakened, and at this time there was a fetus in the palace that had not been delivered. The doctor evaluated the pregnant woman and the third fetus in the abdomen. The condition of the fetus was basically stable, and the fetal heart sounds and movements were normal.
Because Wang Li's triplets are three cashmeres and three sheep, the three fetuses have their own placenta and live in different "rooms". After the second child is delivered, the third child still has the possibility of continuing pregnancy. Liu Yubing said that in the face of Wang Li's special situation, the obstetric team thought of delaying delivery.
Twins / multiple births are staggered for several days or even weeks for delivery, which is medically called "delayed delivery". After the first fetus is delivered, the body may produce a protective mechanism, thinking that the delivery is over and the uterine cavity retracts, and the second fetus may remain in the uterus. Delaying childbirth can prolong the growth time of the fetus in the womb, but the risk is very high. For women, the biggest risk is infection. The uterine opening after delivery is like an open channel, which increases the chance of bacterial invasion and infection. In severe cases, septic shock may occur. For fetuses, the chance of infection and fetal distress remaining in the mother ’s womb also increases.
Anti-infection has become the focus of the obstetric team's treatment. In order to ensure the safety of mothers and infants, the Guangzhou Critical Maternity Treatment Team implemented Wang Li's treatments for infection prevention, contraction control, and fetal lung development. Doctors cut the umbilical cord, which is easy to cause infection, into the cervix to reduce infection.
"Once delivery is irreversible, delayed childbirth must be implemented when the maternal physical mechanism permits." He Fang reminded that for pregnant women with twins / multiple births, they must follow the doctor's orders and regular delivery during pregnancy Professional doctors recommend that you do your best and do n’t blindly protect your baby. (Finish)