A pregnant woman over the age of 40 used a vacuum suction cup to deliver her baby at the United Hospital. However, the baby girl had a lump on her head and died 8 days later. The cause of death inquest will be renewed today (19th).
Pediatric experts pointed out that the female infant’s cap-shaped hemorrhage must be related to the induction of labor using vacuum aspiration. The female infant’s cerebral hemorrhage was extremely serious at that time, causing hypoxia in the brain and failure of multiple organs. The blood loss may not be traced back to the extent of his blood loss. He thinks that the hospital "does everything he needs to do." However, he pointed out that the hospital should arrange for a pediatrician to stand by in the early morning when encountering such a high-risk childbirth situation.
The deceased baby girl Zhan Xuelin (hereinafter referred to as Xuelin) was born in the early morning of January 30, 2016. When her mother gave birth at the United Hospital, the hospital used vacuum suction three times to help her deliver the baby. After Xuelin was born, the doctor She found a lump on her head and sent her to the intensive care department for observation. However, Xuelin's condition continued to deteriorate. She died at 10:14 in the morning on February 6th of the same year. She was alive for only 8 days.
The HA attended the inquiry with an interested party.
Pediatric expert Huo Taihui confessed that Xue Lin's death was caused by hemorrhage under the cap-shaped healthy membrane, while ischemia and hypoxic brain injury were related to massive bleeding, and then shock caused damage to multiple organs in the body.
(Photo by Liu Anqi)
Hemorrhage under the cap-shaped healthy membrane must be related to the use of suction cups to assist delivery
Pediatric expert Huo Taihui confessed that Xue Lin's death was caused by hemorrhage under the cap-shaped healthy membrane, while ischemia and hypoxic brain injury were related to massive bleeding, and then shock caused damage to multiple organs in the body.
Huo said that he is not an obstetrician, but he can confirm that hemorrhage under the cap-shaped healthy membrane must be related to the use of vacuum suction to induce labor.
Huo Xuzhi pointed out that severe cap-shaped hemorrhage under the membrane is relatively rare, and the maternity level in Hong Kong is better, and suction cups are rarely used to assist in delivery.
Huo said that he has been a pediatrician for more than 40 years and he has personally treated only 2 patients with such severe cap-shaped submembrane hemorrhage, and one of them happened abroad.
Means Xuelin's bleeding is surprisingly fast
Huo also pointed out that Xuelin's bleeding was astonishingly fast at the time, saying: "Even if the doctor tries to chase after, the blood transfusion may not be followed." He also said that the hospital "does everything you want."
Although the hospital does have room for improvement, if it can be faster, it may not be able to change the consequences, because severe bleeding is a very difficult problem to deal with.
Xuelin was born and has been suspected of bleeding under the cap-shaped healthy membrane
Some experts pointed out that the hospital was diagnosed with "Chi Zuo" at the time. According to relevant card information, Huo pointed out that Xuelin had been suspected of having a cap-shaped submuscular hemorrhage when she was born. The doctor also measured her head because of the swelling of her head. In addition to suspected cap-shaped hemorrhage under the membrane, the patient's head circumference is rarely measured.
He Guan immediately pointed out that the hospital was only "suspecting" rather than "diagnosed" at the time. Huo responded that the two were not medically different and that even the "diagnosis" could not be 100% confirmed. Most of the treatments were early. Do it at the treatment stage.
It is true that the hospital should provide patients with blood and fluid transfusions as soon as possible. However, it is difficult to judge "how fast and fast enough" because doctors have many different considerations, such as blood type matching and heart capacity.
High-risk childbirth call pediatrician on standby
For Xuelin was transferred to Princess Margaret Hospital and found that it was not suitable for dialysis. Huo believed that Xuelin should stay in United Hospital for a computer scan, and then consult the doctor at Princess Margaret Hospital before making a transfer decision, because Xuelin's condition was obvious at the time. Not suitable for dialysis.
Huo also agreed that if there is a high-risk childbirth, the hospital should call the pediatrician to wait in the delivery room early in the morning.
In this incident, Huo believes that senior doctors should be notified earlier to assist.
Case Number: CCDI-89/2017
Confession of the main witness.
(See the picture below for details)
The baby girl died 8 days after the 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 girl to die 8 days after the baby was born | Xuelin had a lump on her head. The midwife said that the doctor has explained that the suction cup should be used and the pregnant woman has agreed
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