(Disclaimer: This article is only for scientific purposes. To protect the patient’s privacy, the relevant information in the following content has been processed) Abstract: A 39-week pregnant woman came to the hospital with lower abdominal pain without any obvious cause, and yellowish-green vaginal fluid mixed with a small amount of blood. After admission, the fetal cardiac monitoring chart showed a flat fetal heart baseline, and the uterine contractions were too frequent and too strong; ultrasound examination suggested: uncoordinated uterine contractions, the placenta attached to the left posterior wall of the uterus, which was spherical in shape and changed, and the thickest part was about 6.9 cm. Considering the lack of intrauterine oxygen for the fetus, the uterine mouth was opened up to 4 cm in the internal examination, and an emergency cesarean section was performed to terminate the pregnancy, and the condition of mother and baby was good after the treatment. Basic information] Female, 21 years old [Disease type] Intrauterine hypoxia [Hospital] General Hospital of Heilongjiang Province Nongken General Administration [Date of consultation] February 2022 [Treatment plan] Surgical treatment (cesarean section for termination of pregnancy) [Cycle of treatment] 7 days of hospitalization [Effect of treatment] Mother and baby are in good condition I. Initial consultation A pregnant woman presented to the emergency department with abdominal pain and yellowish-green vaginal fluid mixed with a small amount of blood. She reported abdominal pain and yellowish-green vaginal fluid mixed with a small amount of blood, and was admitted to the hospital immediately. After the emergency admission, she quickly completed the relevant examinations and laboratory tests, and carried out fetal heart rate monitoring, which showed that the baseline of the fetal heart was flat and straight, the contractions were too frequent and too strong, uncoordinated contractions, and a depression was seen in the middle of the abdomen, with a blood pressure of 160/100 mm Hg. Combining the above examinations, she communicated with the pregnant woman and her family and considered that intrauterine hypoxia was present in the fetus, combined with increased blood pressure and gestational diabetes mellitus, and the urinary protein was seen in the urine routine (+++), with the placental abruption not being excluded for the time being. Placental abruption was temporarily excluded, and the pregnancy needed to be terminated immediately because the pregnancy test was not performed on time. (Urine routine examination report form) II. Treatment Communicating with the pregnant woman and her family, the pregnant woman’s blood pressure increased and accompanied by urinary protein, the baseline of fetal heart rate monitoring was flat, the contractions were too frequent and too strong, and the shape of the abdomen was spherical, and the uterus was now 4cm wide open, with the head of the uterus S-2, but the fetus was in the state of hypoxia, and it was not possible to carry out the delivery for a short period of time; in order to avoid delaying the time of hypoxia, it was recommended to terminate the pregnancy by emergency cesarean section. The pregnant woman and her family were aware of the danger to the fetus and herself, and agreed to the surgical termination of pregnancy. Immediately given preoperative preparation, blood preparation, and emergency anesthesiology consultation, surgical termination of pregnancy. After a series of preparations for satisfactory epidural anesthesia, a live female baby was delivered by cesarean section, weighing 3500 g. Apgar score results: 1-minute and 5-minute scores of 8 and 10 points, respectively; amniotic fluid yellowish-green color and amniotic fluid contamination were seen during the operation; intraoperative blood pressure fluctuation of 120-150 mm Hg/80-95 mm Hg. Viewing of the placenta: the size of the margins of one side was visible about 5X7cm old blood clots were seen on one side of the margin, which were closely related to the placenta. The operation went smoothly, with intraoperative bleeding of about 300 ml. After the operation, the fetus and the mother returned to the ward safely. The mother was given magnesium sulfate injection to prevent eclampsia, and her blood pressure was monitored, while iron sucrose injection was given to correct anemia. The maternal blood pressure decreased after the operation, fluctuating between 126-140mmHg/70-88mmHg. The mother was advised to get out of bed as soon as possible after the operation to help exhaustion and prevent thrombosis. After 7 days of hospitalization, the mother and fetus were in good condition and were discharged from the hospital. Precautions It is gratifying to know that the mother and baby were safe after termination of pregnancy through surgery and the maternal blood pressure level was significantly relieved, but it is still recommended to pay attention to the following matters after the operation: 1. Monitor the blood pressure after discharge from the hospital, and adjust the blood pressure in the cardiology department if necessary; 2. Pay attention to rest, strengthen nutrition, and eat a low-salt diet; 3. Change the underwear diligently to maintain vulvar cleanliness; 4. Follow up with the doctor for any headache, dizziness, dizziness, or blurred vision, and other discomforts; 5. Maintain a happy mood and appropriate activities. The pregnant woman did not take the pregnancy test on time during her pregnancy, which led to serious complications. This reminds pregnant women that they should pay great attention to pregnancy checkups in order to detect high-risk factors in time and judge the condition of the fetus and the pregnant woman; 2. Hypertension during pregnancy is likely to lead to serious complications, i.e. placenta previa. Placental abruption can easily cause intrauterine hypoxia, and severe hypoxia can lead to fetal ischemic-hypoxic encephalopathy, cerebral palsy, and in severe cases, intrauterine fetal death; 3. It is important to consult a doctor for examination of uncomfortable symptoms during pregnancy in order to avoid endangering the lives of the pregnant woman and the fetus.