Vietnamese doctors save 600-gram premature baby

A baby boy, weighing 600 grams, with necrotizing enterocolitis and intestinal stenosis, was saved by doctors of the Vietnam's National Hospital of Obstetrics and Gynecology and the Viet Duc Friendship Hospital.

According to Doctor Tran Danh Cuong, Director of the National Hospital of Obstetrics and Gynecology, the baby boy named K, was born at the 25th week of pregnancy, weighing only 600g.

Vietnamese doctors save 600-gram premature baby -0
A baby boy, born at 25 weeks gestation, weighing 600 grams, with necrotizing enterocolitis and intestinal stenosis, was saved by Vietnamese doctors.

After the premature birth, the baby was malnourished with respiratory failure, hiccups, and very slow reflexes. The baby was forced to be intubated and mechanically ventilated.

At first, the infant was given neonatal resuscitation right from the delivery room, respiratory failure prevention, and total intravenous nutrition. After two weeks, the child’s weight increased to 700 grams.

However, at this time, the boy faced a diagnosis of necrotizing enterocolitis and septic shock for being born extremely premature and having extremely low birth weight. The baby was treated with high-frequency mechanical ventilation, fasting and parenteral nutrition.

Necrotizing enterocolitis is a very dangerous disease that can cause death in children. The rate of necrotizing enterocolitis is 15-20 per cent, usually occurring at 10-45 days after birth. After the stage of necrotizing enterocolitis, the infant was diagnosed with intestinal stenosis.

"The process of treating and taking care of children has many difficult stages. There are times when it is almost hopeless. During the treatment, we cooperated with Viet Duc Friendship Hospital to perform surgery to treat intestinal obstruction for the baby boy," he said.

After consulting with Associate Professor Nguyen Viet Hoa, Head of the Pediatric Surgery Department, Viet Duc Friendship Hospital, the doctors decided to operate on the child.

On June 13, when the baby was 1.8kg and eligible for surgery, Associate Professor Hoa had surgery to cut a narrow section of intestine and reconnect it at the Viet Duc Friendship Hospital. The baby's intestine is narrow, only 1/5 of a normal child's intestine. said Hoa.

The operation was successful. After the operation, the boy was transferred to the National Hospital of Obstetrics and Gynecology for further care and nurturing. After 10 days of caesarean section, the baby was fed exclusively by the gastrointestinal tract.

The hospital director said that the successful rearing of the baby was thanks to the smooth coordination between the two hospitals. Neonatologists work hard to feed and care for children eligible for surgery. The baby was discharged from the hospital on July 11.

By TN

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