A pregnant woman over the age of 40 used a vacuum suction cup to assist in childbirth. However, her daughter Zhan Xuelin died 8 days after the birth. The cause of death inquiries will continue today (16th).
The doctor who had treated Xuelin confessed that about 5 minutes after Xuelin was born, a pediatrician was called to the delivery room and found that Xuelin had a lump on her head, which was most likely caused by the use of suction cups three times.
The doctor said that the lumps caused by the use of suction cups are more common than expected, and many can heal on their own. Therefore, the initial assessment of the condition is not serious. You can observe it first. However, Xuelin's condition deteriorated after a few hours and continued for several days. Deteriorating, first hemorrhage under the skin of the limbs, then kidney failure, then cramps began to appear, a brain scan revealed severe intracranial hemorrhage on the head, failed to undergo dialysis treatment, and finally passed away.
The mother of the deceased baby girl Zhan Xuelin gave birth at the United Hospital in the early morning of January 30, 2016. During this period, she used vacuum suction to assist the delivery. The baby girl was born at 3:57 a.m. on the same day and was sent to the intensive care unit in February of the same year. He died at 10:14 am on the 6th, only 8 days alive.
The HA attended the inquiry with an interested party.
Lump formation is mainly due to the use of suction cups at 3 degrees
Pediatrician Li Yongchen confessed that she was notified to be present 5 minutes after Xuelin was born. The midwife said Xuelin was suffering from respiratory distress and fever. Xuelin was finally sent to the NICU and put in an oxygen tank. , His breathing difficulties have also been improved.
Later, Li was examined by Xuelin and found that there was a lump on her head, which was suspected to be subglacial hemorrhage. However, because the lump did not flow or extended forward, it was not a developing condition. He only needs urgent monitoring and ready for blood transfusion at any time.
Li agreed that the main factor for the formation of the lump was the third-degree use of vacuum aspiration during childbirth, but he emphasized that subgaleal hemorrhage is more common than imagined. Not all patients need to be rescued. Mild ones only need to be observed continuously, and there is a chance that they can heal on their own.
A swelling on the head after a few hours
At 6:11 in the morning, about two hours later, Li found that Xuelin was not active and quieter, and the blood gas analysis was worse than before, so he notified the Pediatric Resident Doctor Zhou Zheguang.
Later, based on clinical observations and blood tests, it was found that Xuelin’s scalp lump was flowing and swollen. Lifting her head, the blood would pull down due to gravity, and her condition was critical. Li Sui then notified the then deputy consultant doctor to be present. .
Feng Baozi, deputy consultant doctor of the United Hospital at the time, pointed out that Xuelin's condition had deteriorated on the first night after her birth, her heart rate had dropped, and she had subcutaneous hemorrhage in her limbs during emergency treatment.
(Photo by Liu Anqi)
Subcutaneous bleeding in limbs worsens at night
Feng Baozi, the deputy consultant doctor of the United Hospital at the time, pointed out that Xuelin's condition deteriorated at 8 o'clock in the evening, her heartbeat dropped, and emergency treatment was required.
Later, the doctor explained the situation to Zhan’s mother, saying that Xuelin was in critical condition. During the first aid, she found that her head was severely swollen, and her limbs were bleeding under the skin, which was diffuse intravascular coagulation. The hospital provided Xuelin with coagulation factors and no blood transfusion. has improved.
Kidney failure on the second day of life
As of January 31, Xuelin continued to bleed, and her ischemia and hypoxia affected other organs, causing kidney failure.
The hospital then contacted Princess Margaret Hospital, the only kidney and pediatric hospital in Hong Kong. However, Xuelin's condition was not stable at the time and she was not suitable for dialysis and dialysis treatment, so Zhan was not immediately referred to Princess Margaret Hospital.
Symptoms of cramps on the third day
In the early morning of February 1st, Xuelin had cramps and the doctor worried about her brain problems. Later brain scans revealed that Xuelin had subgaponeurosis hemorrhage, hypoxia and ischemia of the head due to massive hemorrhage. Small bleeding under the meninges.
As of February 4, although Xuelin's kidney function did not improve and her body suffered from severe edema, her other life-sustaining indexes were stable and her blood clotting problem improved. She decided to transfer Zhan to Princess Margaret Hospital for dialysis treatment.
However, after further examination after Xuelin arrived, it was found that her head had severe intracranial hemorrhage, which was not suitable for dialysis.
Case Number: CCDI-261/2016(DK)
The baby girl died after 8 days of birth. The mother said that the hospital did not explain the method of midwifery. If she knew that the suction cup would not allow the pregnant woman to die after childbirth. The jury ruled that she died of amniotic fluid caused by oxytocin, etc. The pregnant woman died after childbirth. There is no need to give birth to believe that the tragedy could have been completely avoided. The pregnant woman died of misfortune after 23 weeks of conceiving and wearing amniotic fluid in Princess Margaret Hospital.
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