Thrilling! Baby's umbilical cord twisted 35 times into a "twist", in critical situations, doctors emergency surgery to resolve the crisis!

Date：2023-05-30
Click：6029Times

In the evening of May 18, in the operating room of Liaocheng City Second People's Hospital, the medical staff present were shocked by the scene in front of them. The umbilical cord in the mother's abdomen was twisted severely, causing poor blood flow and intrauterine oxygen deprivation. But fortunately, after the medical staff to rescue, the mother finally gave birth to a 5 pounds of healthy babies, mother and child safe.

On May 17th, Ms. Liu (a pseudonym) was admitted to the second ward of the obstetrics department of our hospital due to "37+4 weeks of menopause", and her prenatal examination was normal. On the second day after admission, Ms. Liu complained of frequent fetal movements, and the medical staff immediately performed fetal cardiac monitoring, which showed NST non-responsive pattern, frequent fetal movements, and late deceleration. ......

"This is a sign of intrauterine distress of the fetus, the patient has a history of adverse pregnancy and labor, and this pregnancy must be given high priority." All medical staff immediately conducted preoperative discussions, communicated with the patient and her family, and immediately scheduled emergency surgery for Ms. Liu and notified the neonatology department to prepare for resuscitation.

Everyone in the operating room sweated for the little baby. "Seize the golden 5 minutes to save the life!" Dong Gaoxia, director of the second obstetrics ward, gave the order, and everyone then carried out an emergency rescue. Five minutes later, with a loud cry, the baby was safe, and all the medical staff present breathed a long sigh of relief.

After the delivery of the placenta, everyone was shocked, more than 50 centimeters long thin umbilical cord actually twisted 35 times (physiological twisting of the umbilical cord is generally 6 to 11 weeks), from the umbilical cord at the umbilical chakra has appeared to be edema, the umbilical cord between the thinning of the many places, the blood supply is reduced. The umbilical cord is the lifeline of the fetus in the mother's body. If the umbilical cord is excessively twisted to the point of interrupting the blood flow, it can lead to fetal death in the womb within a few minutes, and in case of any further delay, such a precious baby can be really in danger.

The safety of Ms. Liu's mother and child was not possible without the keen observation of all medical staff and the seamless cooperation of all departments. If the mother and baby are well, it is a sunny day for the obstetrics staff.

Science Trivia:I believe that all mothers who have given birth to a child know the term "umbilical cord". Generally speaking, if the umbilical cord is loosely wrapped, it has little effect on the fetus, but if it is too tightly wrapped or wrapped more than two times, it may affect the blood supply of the fetus, which may change the sound of the fetal heart and lead to hypoxia, asphyxiation, or even death of the fetus. However, umbilical cord torsion is more dangerous than umbilical cord wrapping! Umbilical cord torsion is a kind of umbilical cord abnormality. Under normal circumstances, when the fetus moves in the mother's stomach, the umbilical cord itself will have a certain degree of torsion (usually the umbilical cord is twisted along its longitudinal axis, and physiological torsion can be up to 6-11 weeks). However, if the degree of umbilical cord torsion is severe (usually >11 weeks), the blood flow to the umbilical cord will be impeded, and in severe cases, the cord will be necrotic, causing vascular occlusion or thrombosis, and the fetus may die in the womb due to interruption of blood transportation.

So how to avoid umbilical cord torsion? Whether the umbilical cord will twist in the uterine cavity is a natural phenomenon and there is no human intervention. However, frequent movements of the fetus on its own, emotional instability of the pregnant woman, and irritation of the fetus due to poor surrounding air quality can cause umbilical cord torsion.

Therefore, pregnant women should go for regular obstetric checkups, pay attention to the rate of umbilical cord blood flow, and maintain emotional stability. Usually monitor the fetal movement more often, if you find that the fetal movement is lower than the normal value, you should go for examination immediately.

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