The incident involving Noon Ramida due to uterine rupture resulted in the loss of her unborn baby, and doctors had to perform an emergency cesarean section to save the mother's life.
The timeline of events is summarized as follows:
- Noon Ramida had undergone uterine fibroid surgery five years ago, which was a known risk factor acknowledged by the doctors, Noon, and Louis.
- After Noon became pregnant, the medical team closely monitored and continuously watched for this risk, especially during the third trimester near delivery. They conducted weekly assessments of the baby's weight and uterine contractions.
- During the last trimester, uterine contractions were checked and found to be normal with no abnormalities or contractions detected.
- On 10 Jan 2024 GMT+7, at a stage of pregnancy not yet full term, Noon experienced preterm labor pains and severe abdominal pain, nearly fainting.
- The medical team went to pick Noon up from her home, and during transport, she exhibited very low blood pressure at 80/40 mmHg, a very rapid heart rate of 140 beats per minute, and rapid breathing.
- Considering her medical history, the doctors suspected uterine rupture. The previous fibroid surgery left a scar on Noon's uterus, causing heavy internal bleeding in the abdomen, which led to her low blood pressure.
- Upon arrival at the hospital, an ultrasound was performed to assess the fetal vital signs, which showed no signs of life. The medical team therefore had to decide to perform surgery to save the mother's life first.
- During surgery, the baby was delivered and a large amount of blood was found, along with a large rupture at the back of the uterus.
- The medical team repaired the torn uterus, taking three hours in the operating room to stop the bleeding.
- The anesthesiology team administered large amounts of blood and fluids to stabilize her vital signs.
- Due to massive blood loss, Noon required ICU care to continue blood transfusions and to monitor for complications from large-volume transfusions.
- Subsequently, Noon developed pulmonary edema from receiving large amounts of blood and fluids, which delayed removal of the breathing tube.
- After her condition improved and the pulmonary edema resolved, the breathing tube was removed. She spent four days in ICU and continued recovery in the hospital.
- Overall, Noon was hospitalized for six days before being discharged home.
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