The risk of postpartum hemorrhage increases after a successful delivery of a big fetus with a tight cesarean scar

A difficult birth was successfully delivered by a doctor of Obstetrics and Gynecology at Vinmec Hai Phong Hospital; the woman had a scar for peritonitis, appendicitis, a large surgical scar, and traction. Because the baby's weight is estimated to be around 4000 grams based on ultrasound readings, a Cesarean section is usually required if the fetus does not give birth. The client's surgical scar is quite sticky, making this a challenging scenario.

Pham Huyen Trang (31 years old, Cau Dat, Ngo Quyen, Hai Phong) was admitted to Vinmec Hai Phong hospital at 15:00 on November 14, 2019, after being diagnosed with a 40-week pregnancy for the second time, a huge baby, and a large fetus. Appendicitis peritonitis surgical scar The third uterine contraction appeared at 7:30 a.m. on November 15, 2019, after a day of follow-up at the maternity inpatient room, the cervix was dilated 4cm, the amniotic fluid was bulging, and the head was high.

Obstetricians and Gynecologists Vinmec Hai Phong commented on the case, saying that the woman had a scar from peritonitis, appendicitis, a huge, nasty surgical scar, and traction, making it a difficult birth. Because the baby's weight is estimated to be around 4000 grams based on ultrasound readings, a Cesarean section is usually required if the fetus does not give birth. The client's surgical scar is quite sticky, making this a challenging scenario.

Doctor Tran Thi Mai Huong (Vinmec Hai Phong's Department of Obstetrics and Gynecology) said: "We also chose an experienced midwife when delivering a baby in a normal delivery since it is easy to break the infant's collarbone when taking the shoulder. If the client chooses to give birth vaginally, the team will prepare emergency equipment as well as an active pharmacological treatment regimen to avoid postpartum hemorrhage."

Pregnant woman Pham Huyen Trang's fetal heart rate, contractions, amniotic fluid, cervical advancement, and fetal position are all continuously watched by the team. On November 15, 2019, at 11:50 a.m., the woman gave birth to a 4010-gram boy who was instantly crying and free of birth abnormalities. After the client gave birth, the doctor utilized medications to reduce the uterus, rub the fundus of the uterus, breastfeed the baby early, and help the uterus contract to prevent postpartum hemorrhage owing to the huge pregnancy.

Maternity Pham Huyen Trang had genuine sharings sent to the team of doctors, midwives, nurses, and medical personnel at Vinmec Hai Phong International General Hospital after the successful delivering adventure.

The text of the thank you note is as follows:

“Hai Phong, November 13th 2019

First and foremost, I want to express my gratitude to the doctors and staff of Vinmec Hai Phong Hospital's Department of Obstetrics and Gynecology. After another 8-year pregnancy, I was unsure which hospital to choose for the second pregnancy check-up and monitoring. When my friends recommended Vinmec International General Hospital, I returned for a second checkup and ultrasound. Dr. Tuyet Mai inspected me and performed an ultrasound for the first time when I was 6 weeks pregnant, and I thanked the two doctors who were very excited and gentle.

I had such a great impression after that first visit and continued to do so until I gave birth. I got an ultrasound when I was close to giving delivery, and my kid was large and growing quickly. I was quite concerned about having to have a Cesarean section. She had a ruptured appendix, peritonitis, a very bad vertical scar, and a risk of adhesion if she had to have a second Cesarean section because the first baby was born prematurely at 32 weeks, the baby weighed 1.5kg, and she had a ruptured appendix, peritonitis, a very bad vertical scar, and a risk of adhesion if she had to this. And when the baby weighed 4kg at 40 weeks, I was really concerned because I was terrified I wouldn't be able to give birth properly and would need a Cesarean section. If surgery is necessary, it will be extremely difficult for the doctors and nurses.

I'm overjoyed after 40 weeks, but I'm having labor pains and am in the hospital to be monitored and await delivery. She gave birth to a healthy baby after a night of fighting with labor pains. I have to thank Dr. Hoa, Dr. Huong in particular for motivating me to face the pain of labor in order to give birth to a baby... Thank you, Dr. Hoa, for motivating me to overcome my suffering. Painful labor that makes you feel like you won't be able to push. During my labor, Uncle Hoa encouraged me to have a natural birth.

I'd like to thank Dr. Hoa and the doctors and nurses at Vinmec Hospital once more."

Maternity: Pham Huyen Trang

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