"ah!" The parturient suddenly shouted, and a large blood of the same color as soy sauce flowed out of the birth canal, leading to respiratory and circulatory failure, fetal heart failure, loss of consciousness, coma, heart failure and cardiac arrest. A few minutes later, my mother died. The above is the scene of sudden death caused by amniotic fluid embolism described by Wang Qi, chief physician of Beijing Maternity Hospital. Amniotic fluid embolism is a kind of obstetric emergency that most easily leads to medical disputes. Family members simply can't accept this cruel reality: relatives are happy to come to the hospital to give birth. How can they say they're gone? Why can't the parturient be saved? It is not that the doctor is hopeless, but that it is too late.
The so-called amniotic fluid embolism refers to a dangerous obstetric emergency caused by amniotic fluid and its tangible substances entering the maternal blood circulation. The onset of amniotic fluid embolism is very urgent, accompanied by symptoms similar to other diseases, and doctors need time to judge. Even before the diagnosis, we must immediately start emergency rescue, tracheal intubation, intravenous injection ... Because pregnant women have upper respiratory tract spasm and edema, it often happens that tracheal intubation cannot be inserted for more than ten minutes; Due to the extreme spasm of maternal blood vessels, venipuncture is extremely difficult, even hard vascular intubation guide wires with a diameter of more than one millimeter are difficult to puncture.
In fact, most of human physiological activities do not need to be completed in the hospital, such as eating, sleeping, sex and so on. Only the physiological process of childbirth needs to be completed in the hospital. This is because both the fetus and the mother are in danger within 24 hours of delivery. For lying-in women, one foot is on the line of life and the other foot is on the line of death. Delivery is more like "giving birth to a child is to die, and there is a layer of paper between life and death." Therefore, in the process of childbirth, women will face many risks, and sometimes childbirth will change from a physiological process to a pathological process within a few minutes. The job of obstetrician is a high-risk job, with one foot in the court and one foot in the hospital. Therefore, obstetricians are required to have a high ability to deal with emergencies, and obstetrics is also one of the departments with high incidence of medical disputes.
Experts suggest that sudden death amniotic fluid embolism is one of the most dangerous obstetric emergencies. The cause is still unknown, and it can only be diagnosed through clinical symptoms, which is difficult to prevent. Because the onset is too urgent, doctors can't even save the lives of lying-in women, and the mortality rate of sudden death due to amniotic fluid embolism is as high as 80%. Therefore, women should go to regular medical institutions to give birth, so as to ensure the perfection of medical equipment and the rich clinical experience of medical practitioners.