Doctor Song, are you married?

Chapter 416 415. Placenta implantation?

"Attractor!"

"Oval forceps!"

"Extend the incision a little longer"

"Xiaowen, are you ready? Ready to pick up the child."

In the operating room, before the topic of Zhou was over, the fetal heart rate was abnormal, so Xiao Ke decisively started an emergency caesarean section.

Although Xiaowen and Qiqi had too many questions about the answer to the word "zhou", work is work, especially work in the operating room. Therefore, when they heard about the abnormal fetal heart rate, they decisively raised their eyebrows. The spirit has entered a state of preparation for war.

Xiao Ke was definitely not exaggerating. Her caesarean section was indeed fast enough, but within four or five minutes, Song Qi, who was pulling the hook, saw the baby's head.

Of course, Song Qi also contributed to this.

This was Song Qi's first obstetric surgery. As an assistant, Song Qi played a very good role as an assistant. For example, when cutting the skin, it was clean and neat. When the blade was removed, there was basically no bleeding. In addition, the retractor was very special. Beautiful, wherever Xiao Ke's scalpel goes, Song Qi's retractor follows. He can accurately place the hook without Xiao Ke's prompting.

"Ah?" Xiao Ke was a little stunned when he saw that Song Qi ignored her words. He turned to look at the baby who had been placed on the fetal radiation table by Xiaowen to process the umbilical cord.

Newborn babies undergo an assessment called the Algarten score within one minute and five minutes after birth.

"It's really strange. Scarlett's hemoglobin is so low, but the child seems to have no signs of anemia at all!" Xiao Ke couldn't help but sigh.

Although the fetus has been delivered, the placenta is still there, and her next step is to wait for the placenta to peel off on its own.

"Is this the greatness of maternal love? Giving all the hemoglobin to the child?" Xiao Ke shook his head with a smile, but his hands were not idle.

If the mother is anemic, she is afraid that the child will also be anemic.

"The skin is rosy, the limbs are strong, the muscle tone is good, and the Algarten score is at least nine!" Xiao Ke blurted out.

Song Qi's attention was entirely on the child.

It can be said that the reason why the operation was carried out so quickly was due to the tacit cooperation of Song Qi and Xiao Ke.

"Dr. Xiao Ke, this child looks quite healthy." Song Qi couldn't help but say.

However, Song Qi repeatedly looked at the child held in Xiao Ke's hands, but saw no sign of anemia at all.

The total score of this score is ten points. If it is lower than eight points, it is considered to be hypoxic.

"Dr. Song, not only are your jokes vivid and tangible, but your obstetric surgery is also quite good. It's definitely not your first time. It seems I can't believe everything Dr. Song said." Xiao Ke held the child in his hands. When handing it to the nurse, he couldn't help but said to Song Qi.

The child is very clean, with no trace of vernix on his body. His skin is crystal clear, white and pink, especially his little face, which is so fragile that it makes people want to pinch it just by looking at it.

However, if it is removed manually, the possibility of retained placenta is increased, and the possibility of postpartum hemorrhage is also greater.

If the placenta cannot be removed by itself, manual removal may be considered.

Therefore, Xiao Ke gently massaged the mother's uterine fundus, which would help the placenta peel off better on its own.

Give all the hemoglobin to the child?
Dr. Xiaoke's unintentional words reminded Song Qi.

Song Qi only felt that certain knowledge points were connected in his mind, and a bold idea was formed in his mind. "Wait! Don't cut off the navel yet," Song Qi said to Xiaowen, who was holding surgical scissors and preparing to cut off the navel.

Xiaowen quickly stopped when she heard the sound.

"Keep the umbilical cord blood." Song Qi said.

"However, Miss Scarlett did not sign an agreement to preserve umbilical cord blood before the operation." Xiaowen said with a confused look.

Umbilical cord blood refers to the blood in the umbilical cord and placenta after the fetus is born and the umbilical cord is tied and severed. In the past, umbilical cord blood was directly discarded, but medical research in recent decades has shown that umbilical cord blood contains all the components of normal blood, especially extremely rich hematopoietic stem cells, which can be used for transplantation to rebuild the human hematopoietic and immune systems and treat a variety of serious diseases. Therefore, umbilical cord blood is an important source of hematopoietic stem cells and is known as the "life bank" of mankind.

According to statistics from the New York Blood Center (NYBC) in the United States, umbilical cord blood has been used to treat more than 80 major diseases including aplastic anemia, beta-thalassemia, neuroblastoma, etc.

As a high-end obstetrics ward, the Obstetrics Department of Renai Hospital naturally also provides this service.

However, Scarlett refused to sign the cord blood preservation agreement at that time. As for the reason, everyone is not clear.

"Save it first, I'll explain it to her later," Song Qi said.

Xiaowen nodded and began to collect umbilical cord blood for the child.

"Dr. Song, are you worried about your child?" Xiao Ke asked in a low voice, remembering what Scarlett had said about hereditary blood diseases before she went into shock.

"No matter whether it is true or not, it's better to be prepared." Song Qi nodded.

"However, Miss Scarlett is quite stubborn. We tried our best to persuade her at that time, but she insisted not to stay. Is there any hidden secret?" Xiao Ke's consideration is not unreasonable. With a character like Scarlett, it is not possible to stay. It’s not unusual for people who don’t intend to reveal their medical history the second before they go into shock to have some hidden secrets.

"I know it!" Song Qi knew that Xiao Ke was telling him in disguise not to cause trouble. After all, the relationship between doctors and patients in aristocratic hospitals is much greater than that in ordinary hospitals.

Seeing what Song Qi said, Xiao Ke didn't say anything more. She was not a troubled person to begin with.

Xiao Ke raised his head and glanced at the clock. It had been more than ten minutes since the fetus was delivered, but there seemed to be no sign of the placenta detaching yet.

Although the medical time limit for artificial glass placenta is that it cannot be delivered on its own within half an hour. However, Scarlett's situation was so special that Xiao Ke had to think ahead.

"Dr. Song, I may have to manually remove the placenta next. Please help me. In addition, during the process of placenta removal, it is very likely that uterine contractions will cause severe bleeding. You'd better be mentally prepared." Xiao Ke said, holding his hand Reached into the uterine cavity.

When her hand touched the placenta, her heart sank. There was no sign of the placenta detaching. It was clearly motionless, as if it was growing in the uterine cavity.

"How is the situation?" Seeing Xiao Ke frowning, Song Qi asked quickly.

"The situation is not good, Doctor Song. I suspect her placenta accreta. It may be a tough battle next." Xiao Ke was about to cry but had no tears. She had long known that Scarlett's situation was complicated, but she still followed Song Qi. Muddy water, it's better now, I'm afraid it won't end well.

Song Qi knew something about placenta implantation.

Placenta accreta is a serious complication during pregnancy. It generally means that there is no dividing line between the placenta and the myometrium, causing heavy bleeding during caesarean section.

For normal mothers, placenta accreta is a very troublesome situation, not to mention Scarlett, who is already severely anemic.
Song Qi's brows also wrinkled.

"Xiaowen, prepare the blood. You may need a blood transfusion. In addition, send the packed umbilical cord blood to the laboratory and let them isolate the stem cells in the umbilical cord blood."

(End of this chapter)