"Thank you, Director Wu, we will still choose you when we have a second baby!" ”

https://mp.weixin.qq.com/s/2HIx-RNIPOLQXL9SG3UAYQ

Type 1 diabetes is one of the important high-risk pregnancy factors, and the risk of adverse pregnancy outcomes in women with type 1 diabetes who have not been effectively managed during pregnancy is 4~10 times higher than that of normal people. Ms. Liu, from Anhui Province, is one such pregnant woman with type 1 diabetes, and the serious risk of pregnancy has made her wonder if she can still have a baby of her own. With the help of the team of Prof. Wu Hao, deputy chief physician of the Department of Obstetrics of our hospital, Ms. Liu and the obstetrics medical staff of Shanghai General Hospital worked together to overcome the difficulties of hyperglycemia during pregnancy, contractile preterm birth and other difficulties, and successfully delivered the baby. Looking back on this bumpy and warm pregnancy and childbirth journey, Ms. Liu is extremely grateful to Wu Hao's team for their help. When they came to the hospital to present the pennant, Ms. Liu's family said happily: "Thank you, Director Wu, we are still looking for you after giving birth to a second child!" ”

At the end of December 2022, Ms. Liu found that she was pregnant. This is undoubtedly great news for Ms. Liu and her family, who have been trying to conceive for two years. However, Ms. Liu's own type 1 diabetes cast a shadow over this joy. Soon, Ms. Liu noticed that her blood sugar was more volatile than before she became pregnant. When fasting blood sugar is high, it can even exceed 16 mmol/L, and sometimes there are episodes of hypoglycemia. The rollercoaster of blood sugar made her suffer physically and mentally, and she was even more worried about the safety of the fetus in her womb.

Ms. Liu's family went to several local hospitals, but they were disappointed by the answer they received – the risk of pregnancy was too high for women with type 1 diabetes, and it was recommended to terminate the pregnancy. Ms. Liu, who was unwilling to give up, came to the obstetrics department of our hospital for help after many consultations. ”

Prof. Wu Hao, deputy chief physician of the obstetrics department of our hospital, received Ms. Liu. After carefully asking about her medical history and judging Ms. Liu's condition, Wu Hao decided to do his best to help her give birth to her baby. "Can I still have this child? Are there any dangers in birth? Will there be any accidents for the baby? What should I do if my blood sugar becomes more unstable after pregnancy? In the face of Ms. Liu's uneasiness and anxiety, Wu Hao patiently answered her questions. The firm and gentle words gave Ms. Liu's family a lot of confidence.

The first difficulty faced by both doctors and patients is the complex situation of pregnancy and diabetes, and as a Shanghai Critical Maternal Rescue Center and Gestational Diabetes Diagnosis and Treatment Center, the obstetrics team of our hospital has rich experience in this regard. At this time, Ms. Liu was already 8+4 weeks pregnant. Wu Hao's team admitted him to the obstetric ward, and at the same time invited the endocrinology department to carry out joint diagnosis and treatment, standardized treatment and management according to the standards of high-risk pregnant women, especially in the diet of scientific and strict intervention. After a few days in the hospital, Ms. Liu's blood sugar was under control. The baby in the womb is also growing up healthily day by day, and Ms. Liu's family's heart has finally been hanging down.

In the blink of an eye, one day when she was 32 weeks pregnant, Ms. Liu suddenly felt a pain in her lower abdomen. Is it going to be born prematurely? Can my baby's organs develop well? Could it be that all this effort has been in vain? The sudden abdominal pain made Ms. Liu's family anxious again, and they hurriedly rushed to the emergency department of our hospital for help.

It was already evening when I came to our hospital, and the emergency doctor immediately contacted Wu Hao after receiving the consultation. Wu Hao, who was eating in the outpatient clinic for a day, immediately put down his chopsticks and rushed to the emergency department. Physical examination, comprehensive assessment, admission to the hospital, after a busy time, it was 7 o'clock in the evening. Wu Hao couldn't take a break, and immediately prescribed a medical order for Ms. Liu to suppress uterine contractions and promote fetal lung maturation, and told the medical staff on duty to closely monitor the intrauterine situation of the fetus and the changes in uterine contractions, and did not forget to comfort Ms. Liu and her family to relieve their anxiety. After a few days of treatment, Ms. Liu's condition was relieved.

After 10 days of fetal protection, Ms. Liu's contractions intensified, and Wu Hao immediately arranged for her to enter the delivery room after ward rounds. When recalling this experience, Ms. Liu told us that Wu Hao entered the delivery room three times to check on the situation of the uterine opening and encouraged her to give birth as smoothly as possible, in addition, she comforted her that she would always be by her side. The meticulous care brought tears to Ms. Liu's eyes.

At about 9 o'clock in the evening, Ms. Liu, who was 33+3 weeks pregnant, gave birth to a five-pound healthy baby boy, and the labor process went smoothly, not to mention how happy the whole family was. When she was discharged from the hospital, Ms. Liu's mother took Director Wu Hao's hand and said: I really don't know how to thank you, we must control blood sugar well in the future, and we will come to you after my daughter gives birth to a second child!

In the face of our interview, Wu Hao said: It is the daily work of obstetric medical staff to escort high-risk pregnant women, and I thank the mother's family for their affirmation and encouragement to the obstetric team. We are engaged in a happy job, a career to welcome the arrival of a new life, and we are honored to be able to do our part!