With a weight of 146kg, seven operating nurses could lift him out of bed with joint efforts, and the conventional anesthesia position was not feasible for him... On the 5th, the obstetrics department of the Affiliated Hospital of Zhenjiang Jiangsu University carried out such a special cesarean section. Due to the severe overweight of the parturient, the difficulty of surgery and postoperative care has doubled. However, it is gratifying that through the efforts of medical staff, the parturient finally gave birth to a healthy baby of 4200g (8.4kg) safely. Yesterday, the hospital told reporters that the mother and son had been discharged safely.

Correspondent Sun Hui Yangcheng

Wan Lingyun, all media reporter of Yangtze Evening News

　　 Overweight pregnant women

Good health, increased to more than 140 kg before delivery

According to the hospital, Xiaofei (not her real name), 24, weighed 125 kg before she became pregnant. She has a good foundation and is a full "fat girl". After finding out that she was pregnant last year, she set up a card for prenatal examination in a hospital in Zhenjiang. Since then, she has been gaining weight. Before production, her weight has reached 146 kg.

　 Embarrassed, unable to transfer to another hospital

It's too fat. The hospital didn't dare to dissect because of the high risk

After comprehensive consideration, the doctor of the hospital where Xiaofei had an antenatal examination told Xiaofei that because she was overweight, the difficulty and risk of cesarean section were very high, and it was no longer possible for their hospital to implement it. Therefore, they hoped that she would be transferred to a superior hospital.

In this way, Xiaofei came to the obstetrics department of the Affiliated Hospital of Jiangda with the prenatal examination report and found Director Zhang Qun.

"After we saw this woman, we were also surprised. It was the first time for me to meet such a fat woman!" Director Zhang Qun, who has many years of obstetric experience, said, "Although cesarean section is a routine operation in the department of obstetrics of the Affiliated Hospital of Jiangda, we can say that we are waiting for her strictly.".

According to the hospital's systematic examination, Xiaofei is also suffering from obesity gestation Combined chronic hypertension , Pregnancy diabetes "These have brought many problems to cesarean section".

After full preparation, Xiaofei was pushed into the operating room on the morning of March 5. The hospital told the reporter that because of its huge size, the bed was not wide enough to make it lie flat, and the nurses had no choice but to find something to support on both sides of the bed. So repeatedly, the preparatory measures before the operation were finally completed.

　　 Nervous, highly difficult operation

The longest needle was used for anesthesia, and the expert was sweating

The most difficult part of the whole operation is anesthesia, which is a great test of doctors' skills and experience. The hospital specially sent Li Zhiqing, the chief physician with experience and skills that can be called "experts" in the hospital, to carry out anesthesia for Xiaofei. Li Zhiqing told reporters that caesarean section itself is very strict with anesthesia. Any inappropriate anesthesia method or excessive narcotic drugs may affect this process, and even endanger the baby's life in serious cases.

Li Zhiqing said that general anesthesia for cesarean section is "spinal anesthesia", that is, let the pregnant woman lie on her side, and the doctor selects the spinal space on her back. Local anesthesia is performed first, and then general anesthesia is performed for puncture. However, Yu Xiaofei's back fat was too thick, and there was no way to find the spinal space. Director Li had to ask her to sit down and find the puncture point based on years of practical experience.

"Her back fat is too thick. The conventional anesthesia needle is 10 cm, which is totally unusable. Later, we used the longest 11 cm needle in China, so we reluctantly put it in." Director Li said that after giving Xiaofei anesthesia, he had sweated all over. "If the normal difficulty coefficient of anesthesia is 1 point, this operation should reach 10 points!"

　 everybody ' s happy

The operation was smooth. The fetus weighed 8 kg and 4 liang Giant

The cesarean section was performed successfully by Director Zhang Qun. Xiaofei gave birth to a baby weighing 4200g, which is a giant baby, but very healthy.

However, after the operation, moving Xiaofei became a problem. Before the operation, she was lying on the operating table by herself. After the operation, she could not move because of general anesthesia. In order to move Xiaofei, the hospital sent seven nurses to work together to lift her off the operating table. Generally, only two nurses are needed for cesarean section.

　　 The doctor warned

Overweight pregnant women, both mother and child face high risks

Zhang Qun reminded that pregnant women who are overweight or obese before pregnancy, or who gain weight too quickly during pregnancy, will increase the risk of gestational diabetes and hypertension, dystocia The probability will also increase. It also increases the risk of fetal macrosomia and postnatal hypoglycemia. Compared with normal weight pregnant women, obese pregnant women have a higher risk of surgery and postoperative complications. happen Amniotic fluid embolism 、 sudden death The probability of pregnancy is much higher than that of normal mothers.

2. Don't make up too much. Most fat pregnant women make up

Zhang Qun said that overweight pregnant women like Xiaofei are rare, but clinically, many pregnant women gain weight rapidly during pregnancy, and the probability of giving birth to obese children is also high. "Too much attention is paid to nutrition during pregnancy, but often there is a lack of reasonable exercise, which leads to an increasing number of 'expectant mothers' with excessive nutrition. In fact, controlling the weight during pregnancy, not blindly feeding, not ignoring nutrition intake, is the best practice for babies and pregnant women, and it is also a responsible practice.".

3 Different standards of weight gain during pregnancy

During pregnancy, women's weight will definitely increase, including the weight of fetus, amniotic fluid, placenta, and increased blood volume. Generally speaking, the average weight of pregnant women during the whole pregnancy period should be increased by 10-12 kg. According to experience, doctors suggest that those with standard pre pregnancy weight can gain 11.5-16kg during pregnancy; If the weight is too light before pregnancy, the weight during pregnancy should be increased by 12.5-18kg; The weight is too heavy before pregnancy, and it is recommended to increase 7-11.5 kg during pregnancy.

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