Late childbirth alert to the occurrence of coma

  The first patient was a family member of a patient from a hospital in Sichuan. The patient, Ye Mou, female, 32 years old, died suddenly on the 10th after a cesarean section in the obstetrics department of a local hospital on February 9.  At the same time, another female patient’s sister from a hospital in Shenzhen, the patient was 46 years old, the first child, IVF on October 23, 2012 to give birth to 2 children, a boy and a girl. Back to the ward after the birth, a few hours later the family saw the partial pressure of oxygen shown on the cardiac monitor decreased, several times to find a doctor, but because the surgeon went to dinner, came back, the patient has been blue lips, respiratory and cardiac arrest, in resuscitation, and tracheal intubation, ventilator-assisted breathing, 1 month later off the machine, now 1 year and 4 months. She is in a vegetative state and is also holding on to a ray of hope to see if there are any new treatments in Beijing.  This year, my daughter, 28 years old, also gave birth in the obstetrics department. At that time, I asked the obstetrician whether to give blood transfusion and a few doses of human albumin intraoperatively, and the answer was that, in general, there was no need for transfusion, and she recovered on her own. When my daughter returned to the ward 6 hours after the birth, she was sweating, talking a lot, and excited not to sleep, causing pain in the precordial area, and at that time, was still receiving fluids intravenously. I thought it must be a bad heart condition, rushed to call the nurse to give with oxygen input, better, and soon I called our department nurses to bring 2 human albumin intravenous infusion into, the next day another infusion, apparently no sweating, precordial pain, two days later discharged, no wound dehiscence and other complications.  I was deeply moved by the experiences of the above two local patients to the birth of my daughter. In late childbirth and advanced primigravida, fasting before surgery, blood loss during surgery, postoperative excitement, are extremely exhausting and prone to clinical symptoms such as sudden death and infarction, coupled with a six-hour postoperative fast, relying on fluid infusion is a bit worrying, not to mention the lack of intravascular support of colloid, it is difficult to restore wound healing and physical support. Those who know how to do medicine are fine, but those who do not know how to do medicine are at a loss.  Seeing the baby grow up day by day and the mother become a vegetative state is something that is hard for anyone to accept. Therefore, it is the duty of our doctors to pay special attention to late motherhood and early maternal age, to reduce the occurrence of sudden death and heart failure, and to be alert to some complications and to prevent them early.