A pregnant woman over the age of 40 used a suction cup to assist in delivery at the United Hospital. However, the baby girl developed a lump on her head after the birth, but her condition deteriorated and she died 8 days later.
The cause of death court inquired about the incident, saying that the baby girl died of hypoxic-ischemic brain, pulmonary hemorrhage and acute renal failure due to hemorrhage under the cap-shaped healthy membrane.
The mother of the baby girl said that she had recommended a caesarean section and questioned that the hospital did not explain to her the risks of vacuum aspiration.
Experts believe that the lumps on the head of a girl’s head are related to the use of a suction cup, but the girl’s cerebral hemorrhage is extremely serious.
Coroner He Junyao today (23rd) ruled that the baby girl died of misfortune
The deceased baby girl Zhan 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 found a lump on her head. She was sent to the Intensive Treatment Department for observation. However, Xuelin's condition continued to deteriorate. She died at 10:14 am on February 6th of the same year. She was alive for only 8 days.
The HA attended the inquiry with an interested party.
Unsuccessful natural childbirth has asked for a cesarean section
Xuelin's mother, Weng Meimei, said that she was 42 years old when she was confirmed to be pregnant.
On January 28, 2016, Weng was admitted to the hospital due to high blood pressure. The doctor recommended to give birth the next day. By the early morning of the 30th, Weng tried to give birth without success and asked for a Caesarean section. I will help you." Weng said that it was not clear at the time that "help" meant using a vacuum suction cup, and no one explained the situation to him.
Xuelin was successfully sucked out during the fourth vacuum suction operation. Weng asked to see his daughter. At that time, Xuelin felt "don’t yell too much." The doctor said that her heartbeat was abnormal. Xuelin was sent to the intensive care department. At 10:14 on the 6th, he was only 8 days old and died.
Confession of the main witness.
(See the picture below for details)
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The doctor said that the pregnant woman had verbal consent before using the suction cup
Dr. Chen Songyan, who delivered the baby to Weng, said that he had explained to Weng the risks of vacuum aspiration and caesarean section beforehand, and suggested the use of vacuum aspiration, and Weng You gave oral consent.
Chen failed to suck out the baby after using suction for 3 times, so he called for the assistance of inpatient obstetrics and gynecology specialist Bi Yongwen.
After arriving at the scene, he also believed that the use of vacuum suction was the safest method, and finally the baby was successfully sucked out for the fourth time.
After Xuelin was born, Chen You went to the "rescue car" to check her condition. Xuelin was "screaming and moving" and had edema on her head. However, the midwife felt that Xuelin was "shaking her breath," so she called a pediatrician. Be there to assist.
Xuelin deteriorated two hours after birth
Pediatrician Li Yongchen, who was there to assist Xuelin 5 minutes after birth, confessed that after Xuelin was sent to the Intensive Neonatal Treatment Unit (NICU), Li Xian found a lump on her head, suspected of subglacial hemorrhage. However, due to the non-developing situation, only urgent monitoring is needed.
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 subgaponeurosis hemorrhage is more common than imagined. If it is mild, it only needs to be observed continuously, and there is a chance to heal on its own.
Only two hours later, Li found that Xuelin was not active and relatively quiet, and the scalp lump was flowing and enlarged, and the condition showed signs of deterioration. So during the period, he called two more senior doctors to assist. Xuelin later Even if the heartbeat stopped, first aid was required.
Ischemia and hypoxia occurred at 8 o'clock that night
Feng Baozi, the deputy consultant doctor of the United Hospital at the time, continued to point out that Xuelin's condition deteriorated at 8 o'clock in the evening.
As of January 31, Xuelin continued to bleed, and her ischemia and hypoxia affected other organs, causing kidney failure.
In the early hours of the next morning, Xuelin developed cramps and the doctor worried about her brain problems. A subsequent brain scan revealed that Xuelin had subgaponeurosis hemorrhage, hypoxia and ischemia of the head due to massive hemorrhage, and small submeningeal hemorrhage. .
As of February 4, although Xuelin's kidney function did not improve, other life-saving indexes were stable, so she decided to transfer Xuelin 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.
Pediatric experts said that severe bleeding is difficult to deal with
Pediatric expert Huo Taihui confessed that Xuelin'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.
Xuelin's bleeding was astonishingly fast at the time, saying: "Even if the doctor tried to chase after the blood transfusion, it might not be possible to chase it." She 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.
Case Number: CCDI-89/2017
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 had explained that the suction cup should be used and the pregnant woman agreed that the baby girl died on the 8th day | Experts said that the hospital should call a specialist for severe cerebral hemorrhage
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