MSc Vo Trieu Dat - Head of Obstetrics and Gynecology Department of the Hospital said that this is a rare case and a complicated surgery when pregnant women carry large tumors and weak physical condition.The crew includes obstetricians and the team of anesthesia has followed the patient from the early weeks of reincarnation, planning pregnancy and cesarean section and treatment for removal of tumors for the patient.

Pregnant women bet their lives to be a mother

In April 2023, Ms. B.S.(37 years old, Cambodian) went to the hospital for examination and was diagnosed with uterine fibroids.MSc Vo Trieu Dat realized that the patient had multiple fibroids, the tumor size was very large, high on the navel, estimated to be over 2 kg.She was indicated for uterine surgery and tumor as soon as possible to prevent complications caused by enlarged uterine fibroids.However, the patient hesitated to not treat but returned home with the reason of being busy at work.

In June 2023, Ms. S. returned to the hospital in an emergency condition with severe abdominal pain.Doctors were surprised at this time, she was about 8 weeks pregnant.Reviewing this is a complication caused by uterine fibroids, Dr. Dat is forced to appoint pregnancy for her, and advise her to prepare for health to be able to perform surgery to treat uterine fibroids as soon as possible.the better.But once again the doctors did not see her coming back.

Until April 2024, the patient returned to the examination, the doctor was once again surprised when she was a second pregnancy."The team of our doctor was extremely worried because the patient continued to become pregnant while the tumor was constantly enlarged."Doctor Dat recalls.Fortunately, this pregnancy is stable, patients do not have abdominal pain, vomiting or bleeding.

Dr. Dat analyzes patients on the risks and unpredictable complications during pregnancy with large uterine fibroids.A uterus contains both a baby and a tumor that is constantly growing, causing compression of the surrounding organs, which can be necrotic and bleeding, causing severe abdominal pain, which is a risk of fetal life threatening.and pregnant women at any time.

After listening to Dr. Dat's advice, Ms. B.S expressed her desire to keep the pregnancy, accepting the risks that could come to her.The desire to be a mother made her hesitate to not treat the tumor to remove the tumor as directed.

Before the brave decision of the patient - who bet his life to have the opportunity to be a mother - Doctor Dat and the Hospital Obstetrics and Gynecology team decided to plan to accompany the patient throughout the entire pregnancy.This special period.

S The wings and pregnant women during the special pregnancy

Ms. S. was closely monitored by the obstetric team of the hospital.She is also advised a suitable diet to ensure the fetus is developed stably."As an obstetrician and a doctor who treats uterine fibroids, I have been nervous and worried every day since I knew the patient was pregnant."Doctor Dat said.

The bigger the fetus, the larger the tumor makes the pregnant woman eat poorly, insomnia, and her health is exhausted, even though she is pregnant but she only weighs more than 40 kg.The team of doctors and nurses always encourages and encourages patients to try to nourish well so that at birth, they still ensure safety for pregnant women as well as enough weight and nutrition for the baby in the abdomen.

Despite the weak health, walking is very inconvenient when wearing a fetus at the same time and a large tumor, but Ms. S. is still optimistic, living as a normal pregnant woman and complies with all indications.of the doctor.The young mother tries to use all internal resources to transmit life to her children.

From the 25th week, pregnant women decided to stay near the hospital for regular pregnancy monitoring and timely management.Facing the situation of the body of pregnancy is too exhausted, it is almost impossible to eat and drink, if continuing to prolong the pregnancy, there will be a risk of adversely affecting health and life, the doctor Dat planned when the fetus is enough.36 weeks of age will have surgery to take the baby out and remove the tumor.

C a surgery Getting children need ... 5 doctors

The crew performed the surgery for Ms. S. led by Dr. Dat including 7 people: 3 gynecologists, 2 anesthetic doctors, 2 tools.This prognosis is a major surgery with a very high risk of blood loss and unpredictable risks, patients may be critical at any time, so the preparation is conducted very carefully.

Because the patient's uterus has been fibrous and the uterus is up to 10cm thick, Dr. Dat is forced to incise the uterus in a new T -shape to approach and take the baby out.After 150 minutes of stress, the baby was born healthy, weighing 2.4kg.The surgical team continues to conduct a semi -of the uterus to remove the tumor and preserve the cervix to the patient.

The tumor is taken out weighing 8kg.Doctor Dat said this was the first time he met such a big uterine fibroid.The surgical team had to give S. nearly 1 liter of blood.

After surgery, the patient was monitored day and night.Thanks to the thoughtful care of the doctors, her health recovered quickly, until the third day she was able to walk and was discharged 9 days later.

The risk of pregnancy with fibroids uterus

According to MSc Vo Trieu Dat, pregnant women and uterine fibroids in reality are quite common.In some cases, pregnancy must be stopped due to complications of fibroids.However, most pregnancy is relatively favorable and safe.

Pregnant women are pregnant while uterine fibroids need to be examined and monitored by a doctor.In some cases, uterine fibroids are located on the baby's output, at birth, pregnant women are required to have a cesarean section.

Some unwanted cases may occur, such as complicated uterine fibroids: growing enlarged very quickly, causing fetal compression or necrotic fibroids that cause fetus to have severe abdominal pain, maybeforced to stop pregnancy.Therefore, pregnant women need to be examined and monitored closely to avoid unfortunate incidents.

Also according to Dr. Dat, the fetal cesarean section for pregnant women with uterine fibroids should also be carefully prepared, especially when the tumor is large.“The uterus is fibrous, there will be a lot of blood vessel proliferation, if the incision is wrong, it will lead to blood pouring blood, affecting the hemodynamics of the patient.There are also many other risks that are very unpredictable, so the preparation for the surgery must be very careful and thorough, ”said MSc Vo Trieu Dat.