38 weeks of pregnancy, the pregnant woman died of massive bleeding during childbirth at Queen Elizabeth Hospital 5 years ago.
The Coroner's Court today (22nd) continues to inquire about the cause of his death.
Although the consultant doctor Li Chen's pregnant woman suffered from intravascular coagulation, cardiac arrest, uterine weakness, postpartum hemorrhage, etc., when she was sent to the intensive care unit, she had reached an irreversible condition and her death was inevitable.
However, the gynecological expert witnesses have a different view. They believe that according to the situation of the pregnant woman, there is no need to induce birth, and the hospital did not refer to the WHO recommendations when administering the probiotics, which made the patient’s uterus suspected of being over-stimulated, and at the time of rescue. It also failed to provide appropriate support and treatment. Experts bluntly said that this tragedy could have been completely avoided.
The deceased Liang Jinxiao (33 years old).
Liang was diagnosed with pregnancy in April 2016, and the expected date of delivery was December 10 of the same year. During this period, there were multiple prenatal checkups without exception.
After Liang gave birth to his daughter in Queen Elizabeth Hospital on November 28 of the same year, he suffered from massive bleeding and the situation became critical. After emergency surgery, he was sent to the intensive care unit and died on the 30th of the same month.
Weng Shiguang, the deputy consultant doctor of the Intensive Care Department at the time, confessed that the patient Liang Jinxiao's condition after the completion of the operation has reached an irreversible stage.
(Photo by Liu Anqi)
Liang has reached an irreversible stage after surgery
Weng Shiguang, the deputy consultant of the Intensive Care Department at the time, confessed that after Liang completed the operation on the same day, the obstetrician and gynecologist told Weng that Liang had diffuse intravascular coagulation, cardiac arrest, uterine weakness, postpartum hemorrhage, etc., but did not mention Amniotic fluid enters the blood.
Wei Weng said that whether he knew Liang had amniotic fluid embolism or not, it would not affect his treatment.
Weng also mentioned that when Liang was referred to the Intensive Care Unit (ICU), he frankly said: "I have no direction to save Ms. Liang." He pointed out that Liang's situation at the time has reached the "irreversible" stage, and 100% will be in the ICU. die.
Gynecologists believe that Liang’s situation is unnecessary to give birth
Gynecological expert witness Dr. Lao Zixi appeared in court to testify, quoting Liang's birth record as saying that the umbilical cord around the neck should be the cause of the short-term slowing of the fetal heart, which could not be detected by ultrasound.
In addition, it is normal for the umbilical cord to wrap around the neck only, and most babies will not have adverse effects, so there is no need to induce birth.
Gynecologist Lao Zixi said that according to medical records, the patient Liang Jinxiao did not need to use the stimulant.
(Photo by Liu Anqi)
The use of stimulants to pregnant women must be closely monitored
Lao said to be careful when using probiotics on pregnant women and pay close attention to medical care during the period.
According to the report of the World Health Organization, oxytocin should be maintained when pregnant women have 3 contractions every 10 minutes, but should be discontinued when the contractions increase to 4 times.
However, when Liang had contractions 4 times every 10 minutes that day, the hospital still injected him with an accelerant.
According to Lao, the medical nurse started giving birth to Liang at 12:35 on the same day. After 6 hours, his cervix was still not open, the uterus was not ready for delivery, and the time was not mature, so uterine contractions should not be over-stimulated.
The hospital suspected that they did not refer to authoritative suggestions
Lao believes that excessive stimulation of uterine contractions can be avoided, saying that this is based on wrong thinking and did not refer to the guidelines issued by authoritative organizations. He emphasized that "tragedies can be avoided completely," but remedial actions after the event are not enough.
Cardiopulmonary support was not performed at the same time during rescue
Lao believes that in this incident, in addition to providing intravenous supplements for Liang, the hospital should also provide cardiopulmonary support, including prescription drugs to maintain blood pressure stability and myocardial function, to prevent blood from reaching vital organs and causing multiple organ failures. .
Case Number: CCDI-710/2016(SH)
The woman died after childbirth, the woman died because of amniotic fluid into the blood. The husband questioned that early detection could prevent the woman’s death after childbirth. The husband asked the hospital to stop emergency treatment because the doctor said that there was no rescue. The pregnant woman agreed to conceive with amniotic fluid after 23 weeks of treatment at Princess Margaret Hospital. The death ruled that the pregnant woman died of amniotic fluid. The expert inquired about the cause of death. The doctor said that the doctor had decided that the deceased was reasonable. The husband was excited by the words
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