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The MDT team of maternal-fetal medicine of the Second Affiliated Hospital of Jiaotong University completed a highly difficult ultrasound-guided amnioinfusion

2024-08-09

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Sunshine News (Reporter Zheng Yalei) On August 8, the multidisciplinary maternal-fetal medicine diagnosis and treatment team (MDT) of the Second Affiliated Hospital of Xi'an Jiaotong University successfully completed a highly difficult ultrasound-guided amnioinfusion, which brought a turning point in the life of a pregnant woman who was 28 weeks pregnant and had severe symptoms of oligohydramnios, marking an important step forward for the hospital in the field of high-risk pregnancy management.

Oligohydramnios, as an invisible killer of fetal health in the middle and late stages of pregnancy, is harmful and should not be underestimated. When ultrasound examination shows that the maximum vertical depth of the amniotic fluid pool (AFV) is ≤2 cm or the amniotic fluid index (AFI) is ≤5 cm, it is considered to be oligohydramnios, which may lead to serious consequences such as fetal intrauterine hypoxia, musculoskeletal malformations, and pulmonary dysplasia, and even threaten perinatal life safety. For pregnant women, oligohydramnios also increases the risks of uncoordinated uterine contractions, prolonged labor, and postpartum hemorrhage, and the difficulty of surgery and the incidence of complications also increase accordingly.

On August 3, a pregnant woman with an amniotic fluid index of only 2.4cm was urgently admitted to the obstetrics ward of the Second Affiliated Hospital of Xi'an Jiaotong University. Faced with this emergency, although the hospital adopted a variety of conservative treatments to try to supplement amniotic fluid, the results were not ideal. The fetus was limited in activity due to too little amniotic fluid and its life was in danger. At the critical moment, Duan Zhao, deputy director of the hospital's obstetrics and gynecology department, quickly organized an MDT team composed of many experts including Jiang Jue, deputy director of the ultrasound medicine department. After in-depth discussion and evaluation, it was decided to use the highly difficult technology of ultrasound-guided amnioinfusion to fight for a ray of hope for the pregnant woman and the fetus.