Saving a newborn baby with cardiac arrest and respiratory arrest

On June 20, news from Hoan My Cuu Long General Hospital said that the hospital's doctors had just performed emergency treatment and saved the life of a newborn baby who had stopped breathing and had stopped breathing due to the mother's premature placental abruption.

Previously, the pregnant woman VTDP (29 years old, residing in Giong Trom District, Ben Tre ) was admitted to Hoan My Cuu Long General Hospital with symptoms of severe abdominal pain accompanied by signs of labor. After examination, the obstetricians discovered that the pregnant woman had premature placental abruption and signs of fetal distress. Immediately after that, the pregnant woman was transferred to emergency surgery with the support of the pediatrician team.

After 5 minutes of emergency surgery, the newborn baby was delivered, weighing 2.6 kg. At this time, the baby was not breathing, not crying, the skin and mucous membranes were pale, no muscle tone, the surgical team quickly dried, warmed and activated CODE BLUE to alert the entire hospital of cardiac arrest and respiratory arrest.

The pediatrician team performed CPR and balloon compression. After 30 seconds, the baby's heart returned and he was breathing on his own, his skin and mucous membranes were pinker. The baby was suctioned, continued to have an oxygen balloon pump, and a nasogastric tube inserted, which produced a lot of fluid mixed with bright red blood.

The baby was transferred to the neonatal intensive care unit, treated with non-invasive ventilation, antibiotics, and active fluid infusion.

On the part of the mother, with the efforts of the doctors and the entire surgical team, the mother underwent a safe surgery, preserving the uterus.

Through examination and necessary paraclinical tests, the baby was diagnosed with neonatal respiratory failure, neonatal infection, acid-base disorder, blood clotting disorder, and premature placental abruption.

After 4 days of intensive care, the baby's condition is stable, he is sucking strongly and does not vomit. The baby was transferred to the neonatal ward where he usually stays with his mother. Currently, the mother and baby have been discharged from the hospital and are being monitored for outpatient check-ups.

The doctor who participated in the surgery said that the case of the pregnant woman with VTDP had many potential risks that could affect the lives of the mother and baby. Timely detection and treatment saved the newborn baby and kept the uterus for the pregnant woman. Therefore, the doctor recommended that pregnant women should detect health abnormalities early during pregnancy, especially in the last months of pregnancy. When detecting abnormalities, they should go to a medical facility with an obstetrics department for timely examination to avoid unfortunate situations that may occur.