In the past two days, a pregnant woman died on the operating table in Xiangtan, Hunan, causing widespread concern in society. An official preliminary investigation said the maternal death was caused by amniotic fluid embolism. \”Amniotic fluid embolism\” is a professional term rarely heard in daily life, which immediately makes some expectant mothers worry about its risks.
How risky are the risks of having a baby? How to minimize risk? Yesterday, this newspaper invited Professor He Jing, director of the Obstetrics Department of the Obstetrics and Gynecology Hospital of Zhejiang University School of Medicine, to talk about the risks of childbirth.
Two cases of amniotic fluid embolism occurred in pregnant women at Zhejiang Medical Gynecology Hospital last year, and both cases were successfully rescued.
\”In fact, there are still many unknown risks for women when giving birth.\” He Jing, director of the obstetrics department of the Obstetrics and Gynecology Hospital of Zhejiang University School of Medicine, said that in recent years, due to the relatively good women\’s health care work in our province, the maternal mortality rate is very low. Many people think that having a baby is a trivial matter and not worth making a fuss about.
Director He used the current popular court drama to give us an analogy: In the ancient palace, if a woman was considered to be more threatening, she would be allowed to give birth to a child and then die in the process of giving birth. Because, in ancient times, it was a normal thing to give birth to a child and die.
Although there are risks, for the vast majority of couples, not having children is out of the question. The key is to understand the risks and prevent them.
\”In addition to amniotic fluid embolism, the risks of childbirth also include potential fatal risks such as severe heart disease, eclampsia complicated by intracranial hemorrhage, uterine rupture, acute fatty liver, etc. Many risks are controllable and preventable,\” Director He said. The purpose of recognizing risks is to respect life, not to reject it. Director He gave us two data:
First: Zhejiang Medical Gynecology Hospital gave birth to more than 15,000 babies last year, and only two mothers suffered from amniotic fluid embolism, and all were successfully rescued.
Second: Director He has been practicing medicine for more than 30 years, of which he has been the main force in obstetrics for more than 20 years. She herself has only participated in the rescue of more than ten pregnant women with amniotic fluid embolism.
\”Amniotic fluid embolism is indeed very dangerous. It ranks first among the many diseases that cause maternal death, but the probability of it happening is very small. According to the situation in our hospital, it is only one in 10,000, so don\’t worry too much…\” Director He comforted Everyone.
Amniotic fluid embolism is more likely to occur after cesarean section than during vaginal delivery
The probability of amniotic fluid embolism is very low, but once it occurs, it means 100% to the individual. Although the cause is still a medical problem, some high-risk factors have been gradually discovered by humans.
Director He gave three suggestions to women preparing for pregnancy: do not wait until the age of 35 to get pregnant, do not have multiple pregnancies (more than two times), and give birth naturally without cesarean section.
Because according to medical research, in addition to individual differences between mothers, these three factors will increase the probability of amniotic fluid embolism, especially cesarean section, which is more likely to occur than natural delivery.
\”The so-called amniotic fluid embolism means that the maternal amniotic fluid enters the circulation. After invading the blood vessels, the blood vessels spasm, leading to embolism, and then multiple organ failure. If there is no timely intervention, she will have acute amniotic fluid embolism, and the maternal heart may stop instantly. Director He said , once amniotic fluid embolism occurs, it is very dangerous, and the probability of occurrence is very low, which greatly increases the difficulty of treatment. It is indeed not easy for an inexperienced team to deal with it.
Based on many years of clinical experience, Director He made five suggestions for couples who are planning to have children: understand the dangers of childbirth, pay attention to the risks, and treat them correctly; prepare your physical strength; and follow the doctor\’s instructions during childbirth, whether it is self-delivery or cesarean section. It is recommended not to request a cesarean section; family members should reach a consensus and provide feedback as soon as possible on the doctor\’s opinions and suggestions, so as not to miss the best opportunity for treatment.
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\”Only\” second child, women aged 30-34 become the main force
Yesterday, the Zhejiang Provincial Health and Family Planning Commission issued a report on the implementation of the province’s “individual” two-child policy.
Since our province took the lead in fully implementing the \”one-child\” two-child policy on January 17 this year, for more than half a year, the implementation situation in our province has been generally stable and orderly. As of the end of July, the province has completed the rebirth approval of 58,920 \”unmarried\” couples.
According to our province\’s prediction last year, the implementation of the \”separate\” two-child policy will not cause excessive growth in the birth population. After the implementation of the \”one-child\” two-child policy in 2014, the number of births in the first five years increased by about 80,000, 100,000, 110,000, 110,000, and 100,000 respectively, totaling 500,000. After that, it basically stabilized at 80,000 in the past ten years. people around. Taking into account factors such as some couples who are too old to have children and 30% of people in our province voluntarily giving up a second child, there were about 350,000 new births in the first five years.
Judging from the actual situation in the past six months, people have made more rational choices about childbearing behavior, and the actual number of births this year is far less than expected. As of July 31, the province had accepted a total of 62,000 applications for \”single\” couples to have children again, and approved 58,900 applications. Among the approved targets, 26,000 were pregnant and 5,054 had given birth. Currently, 20,100 are born before the end of pregnancy.
It is estimated that the number of \”single\” couples applying to have another child in the province is about 90,000, and the actual number of births is about 25,000. Smooth.
Judging from the age composition of approved women from January to July, 3.62% are 24 years old and under, 34.67% are 25-29 years old, 46.03% are 30-34 years old, 14.50% are 35-39 years old, and 40 years old and above accounted for 1.18%. This shows that after the implementation of the \”one-child\” two-child policy, \”only-child\” couples aged 30-34 are the main group of \”rebirth\”. They hope to obtain the opportunity of \”premature birth\” by applying for approval to have another child as soon as possible. Correspondent Sun Meiyan Lin Li Reporter Huang Miaojun