Emergency surgery to save 18-week-old fetus at risk of serious miscarriage

DNVN - On July 10, the Family General Hospital (Da Nang) announced that the doctors of the Obstetrics and Gynecology Department of this hospital had just successfully performed an emergency uterine cerclage, saving an 18-week-old fetus at serious risk of miscarriage.

Ms. TTTN (33 years old, Da Nang ) was 18 weeks pregnant and was taken to the emergency room at Gia Dinh General Hospital because of a dull abdominal pain. The doctor examined her and found that her cervix was 4 cm dilated, her amniotic sac was prolapsed, and she was at risk of miscarriage. This is an extremely dangerous obstetric event, often leading to late miscarriage or extremely premature birth, when the fetus is not yet able to survive outside the uterus.

Currently, the health of the pregnant woman TTTN is stable and is being monitored at the Obstetrics and Gynecology Department, Family Hospital.

According to MSc. Dr. Nguyen Thi Thanh Loan - Head of the Department of Obstetrics and Gynecology at Gia Dinh Hospital, if the baby is born at this stage, the baby's chances of survival are extremely slim, facing many risks to health and development. After an emergency consultation, the team of doctors decided to perform an emergency cervical cerclage technique (Emergent/Rescue Cerclage) to keep the fetus safe in the mother's uterus.

"This is a complex procedure, indicated in cases where the cervix is ​​dilated and there is a very high risk of premature birth, to hold the cervix tight, preventing the fetus from falling out. With high concentration, the doctors skillfully pushed the prolapsed amniotic membrane back into the uterine cavity and placed a sturdy ring of thread around the cervix, like "sealing" the door that is opening early for the mother. - ThS.BS Nguyen Thi Thanh Loan described.

After the procedure, the pregnant woman's condition was stable, uterine contractions were controlled, and the fetus continued to develop safely in the mother's womb. Ms. TTTN continues to be closely monitored in the hospital's Obstetrics and Gynecology Department. Doctors will use support methods and advise on appropriate rest and nutrition to ensure the pregnancy is maintained until full term. The stitches will be removed around week 36-37 of pregnancy or when there are signs of real labor, so that the baby can be born safely.

Through this, Dr. Nguyen Thi Thanh Loan recommends that most cases of miscarriage due to cervical incompetence are asymptomatic and are discovered by chance during prenatal check-ups. Therefore, regular prenatal check-ups, especially in the second trimester, are very important. Emergency cervical cerclage requires high skills and careful preparation, especially when the cervix is ​​already dilated and the fetus is still very premature. Therefore, this procedure needs to be performed at large obstetric facilities, with close coordination between obstetricians and anesthesiologists to have the safest and best treatment for both mother and fetus.

Hai Chau

Source: https://doanhnghiepvn.vn/tin-tuc/y-te/cap-cuu-giu-lai-thai-nhi-moi-18-tuan-tuoi-co-nguy-co-bi-say-nghiem-trong/20250710095633071