A pregnant woman over the age of 40 used suction cups to assist in delivery at the United Hospital. However, the baby girl Zhan Xuelin developed a lump on her head after the birth, and her condition deteriorated. Eight days later, due to subgaleal hemorrhage, it caused hypoxic ischemia and pulmonary hemorrhage in the brain. And died of acute renal failure.
The Coroner's Court ruled on Tuesday (23rd) that the baby girl died of misfortune.
Obstetrics and gynecology specialist Luo Chi-lien said on a radio program this morning that the situation is rare. According to a 2014 study in Hong Kong, a total of 7% of vaginal-born babies were born with vacuum suction. There were no accidents that year. He emphasized that even if the baby has a problem, it is not necessarily caused by the relevant technology. He emphasized that when the doctor considers the use of vacuum suction, the baby may have been trapped in the mother’s vagina, or the heartbeat may be abnormal, etc. The doctor wants the baby to be born as soon as possible. The rescue will suck it out.
Luo Zhilian said on the TV and TV program "Millenniums" in the morning that this type of incident is very rare. The Hong Kong Academy of Obstetrics and Gynecology conducted a Hong Kong census in 2014. At that time, there were more than 4,000 vacuum suction procedures in Hong Kong, and there was no accident. More than ten years earlier, babies will occasionally have problems when they are born using vacuum suction.
He emphasized that the problem is not necessarily caused by vacuum aspiration, because when the doctor decides to use the technology, the baby may have been trapped and the heartbeat is abnormal. The doctor must bring the baby as soon as possible before the baby can be sucked out, emphasizing that only when necessary use.
As for the criteria for judging the use of true suction, he said that under normal circumstances, 7% of Hong Kong babies born with vagina need to use vacuum suction. In addition to the above-mentioned conditions, it may also be due to the second stage of delivery of pregnant women. When encountering obstacles, such as the cervix is fully opened, but the mother can no longer push the baby out, the process is too long or it may affect the baby's heartbeat or cause hypoxia. The doctor should consider using tools to help the baby be born faster.
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Luo Zhilian also explained that the subglacial hemorrhage is not a cerebral hemorrhage, but a hemorrhage outside the skull. This tissue has many blood vessels. The use of vacuum suction at birth may cause friction on the tissues and a chance to bleed later. .
He quoted a study conducted in Hong Kong in the 1990s. The probability of the problem occurring was only 3 in 1,000. Most patients had mild conditions, while a small number of severe cases might have excessive bleeding. Go to 200 cc of blood, there is a bit of blood to 200 cc of blood, if you look at it, it will be a BB, 3 kilograms of BB, and it will have 300 cc of blood to become a body, severe bleeding Under such circumstances, it will affect the life of BB."
When asked in court, an expert witness said that it was estimated that the doctor’s misplacement of the suction cup caused an accident and that ultrasound was not used to check the position of the fetus. Luo Zhilian said that doctors usually do not use ultrasound assistance when using vacuum suction, emphasizing the use of ultrasound to assist in production. The main reason is not to assist in positioning, but to observe the baby’s direction. "Whether the tail pillow is forward or backward, how low is the same BB", but he said that the position in the vagina is very narrow, when the doctor knows After the fetal position, the suction cup can be placed in a better position, but it will still be restricted by the birth canal, so ultrasound is not very helpful.
The baby girl died 8 days after the mother gave birth to a lump on the head caused by the use of a suction cup. The mother was ruled to die from the misfortune of the baby girl died on the 8th day | There are lumps, the doctor believes that the main reason is that the sucker was used at the third degree and the girl died at 8 days after the birth. The mother said that the hospital did not explain the method of midwifery.
