The cancer mother was born prematurely in the toilet, the mother was admitted to the oncology department for chemotherapy, and the child's life and death in the NICU was uncertain...

time:2022-12-02 11:14:04source:monlittlebaby.com author:Baby care
The cancer mother was born prematurely in the toilet, the mother was admitted to the oncology department for chemotherapy, and the child's life and death in the NICU was uncertain...

*For medical professionals only for reference Although with the advancement of medical technology, more and more ultra-low and ultra-early infants have been successfully treated, each treatment process includes strict management of many links before birth, during childbirth and after birth. Negligence in any link may bring life-threatening or serious sequelae to premature infants. Especially during delivery, the success of resuscitation is directly related to the success of the follow-up treatment of premature infants. Therefore, a professional team including neonatology, obstetrics, and anesthesiology will conduct assessments for premature infants during in-hospital delivery, and make full preparations for treatment. However, many preterm births are sudden, and they don't even make it to the hospital. Accidentally, if a premature baby weighing more than 2 pounds is born in the toilet, what will be her face... Xiaomei, 33 years old, 3rd pregnancy, abdominal pain at 29 weeks, diagnosis during hospitalization in obstetrics: incomplete Intestinal obstruction, moderate anemia, electrolyte imbalance, etc. After being hospitalized for 6 days, he still had paroxysmal abdominal pain, the cause of which was unknown, and he was going to Beijing for treatment. Just the night before she was about to leave, when Xiaomei went to the toilet, she gave birth to a premature baby girl, and there was a faint cry. In the face of the unexpected situation, the family was at a loss, and in a hurry, they cut the umbilical cord with scissors, wrapped the child and ran to the hospital... Within an hour, the mother and daughter arrived at the hospital, the mother underwent follow-up treatment in the obstetrics department, and the baby was sent to the newborn Children's Intensive Care Unit (NICU). It was early spring in the north that the baby's life and death were unknown, and the weather was very cold at night. When the baby was admitted to the hospital, his body temperature did not rise, he was in a light coma, bruised all over his body, had difficulty breathing, and had loose limbs. The measured weight was 1420g (2 catties and 8 taels). Immediately give radiant table to keep warm, nasal congestion continuous positive airway pressure (CPAP) to assist breathing, dyspnea did not relieve, heart rate suddenly dropped to 49 beats/min, immediate cardiopulmonary resuscitation, tracheal intubation, intravenous epinephrine, volume expansion, ventilator Assisted breathing, resuscitation was successful. The baby faced a series of serious initial diagnoses: primary respiratory distress syndrome, neonatal asphyxia (severe), neonatal hypoxic-ischemic encephalopathy, metabolic acidosis, hyperlactatemia...and the baby's that night. Rescue is more than that. Under high-frequency oscillatory ventilation, blood oxygen saturation is unstable, physical examination: indifferent response, no activity to stimulation, pale complexion, weak pulse of bilateral femoral artery and dorsal artery of foot, CRT>3 seconds, Hb115g/L, HCT35.2% , Considering that during delivery at home, improper treatment such as umbilical cord breaking leads to blood loss, and is currently in a state of hypovolemic shock. The doctor on duty immediately made an appointment for blood and prepared for blood transfusion. However, the cross-matching of blood of the same type failed, the irregular antibody was checked, the O-type washed red blood cells were booked, and the blood transfusion was completed 17 hours after birth. The baby's blood oxygen saturation improved and the skin color turned red. After 24 hours of day and night rescue and monitoring, the baby's condition became stable. On the second day, the nurse successfully placed the central venous catheter through the peripheral vein, and the access for delivering nutrition and therapeutic drugs was established successfully. Next, the medical staff and the baby will face the future barriers together, facing a series of possible problems such as cold damage, infection, and organ damage. My mother was diagnosed with cancer and underwent chemotherapy. On Xiaomei's side, after postpartum multidisciplinary consultation, she was finally diagnosed with colon cancer. The pathological type suggested a poor prognosis. Postoperatively, she was transferred to the oncology department for chemotherapy. One of the mother and daughter is in the NICU, and their life and death are uncertain, and the other is undergoing chemotherapy in the oncology department. The road ahead is difficult. One can imagine the mental and financial pressure that Xiaomei and her family have endured. Nearly 1 month, the baby's condition is stable and has entered the stage of long weight. During the chemotherapy period, Xiaomei will come to the intensive care unit for kangaroo care for the baby. Every time, Xiaomei cleans up and even puts on a light makeup, smiles all over her face, and speaks clear and hearty. If it weren't for the line of chemotherapy drugs in her arm, no one would know that she was also a patient. Because of the use of chemotherapy drugs, she was unable to breastfeed, so Xiaomei changed the baby's diaper, fed a feeding bottle, and touched the baby... The baby also felt like her mother's love, and her weight went up. The improved baby reached the discharge indication in more than 30 days. Because the mother was weak and unable to take care of her, she could only continue to be hospitalized. 46 days after birth, corrected gestational age of 37 weeks, the baby was discharged home. At that time, she weighed 2.21kg, and she completed 32ml of premature infant formula milk every time, and breastfeeding every 2 hours. Looking back at the entire hospitalization period, the baby only developed common complications such as apnea, hyperbilirubinemia, and feeding intolerance, and did not develop serious diseases such as cold damage, nosocomial infection, necrotizing enterocolitis, and chronic diseases. Lung disease, brain damage, retinopathy and other problems that seriously affect the quality of life. After being discharged from the hospital, the doctor gave her regular follow-up and feeding guidance. At the age of 1 year of corrected gestational age, her weight, head circumference, and length all reached the average level of the same age. The railing can walk independently, and fine motor, language, and communication are the same as normal. What is even more exciting is that after surgery and chemotherapy, Xiaomei was satisfied with all the indicators of the disease with poor prognosis. Cancer mom, premature daughter, toilet birth. How many people can survive when these bad situations are combined. However, Xiaomei and her family never gave up. They were not passive, not tangled, not worried about bad results, not immersed in the shadows and self-pity, but ran in the direction of light. The mother and daughter, interdependent, jointly interpret the definition of life born by Xiangyang, and they won! This article is first published: Medical Pediatrics Channel Author: Li Yuelan Editor in charge: Xiang Yu You want to see the pediatric clinical knowledge Doctor Station App 👇 1. Scan the QR code below 2. Click "Download Now" to download the Doctor Station App, anytime, anywhere Subscribe ~ Copyright statement This article is original, please contact - End - for reprinting. 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