Since 1981 Health School

  Chapter 265 Difficulty in childbirth with dilated cervix

  Village Chief Wei was so angry that he kicked his son's ass:

   "Don't you **** howl, are you blind? I didn't see that there are no white lanterns hanging in the house."

  Chen Qi jumped out of the car first, and was the first to rush into the courtyard of the village chief's house. Saving people is like putting out a fire. Even if he was beaten beforehand, he can only save people first.

   Now Chen Qi is already a celebrity in Huangtan, it can be said that everyone in the world knows you, everyone saw that it was Dr. Chen, and they all stepped aside.

  Chen Qi was not too polite, and shouted into the room:

   "Wang Adi, how is the mother doing?"

   "Dean Chen, you are here. Now the baby is too big, causing the fetal head to be stuck at the entrance of the pelvis, unable to come down, the fetal heart rate has increased, and intrauterine distress is imminent. There is only hope for cesarean section."

   Upon hearing that there was still hope, everyone breathed a sigh of relief. Chen Qi was just about to enter the house to save people, but was stopped by Yan Quanxin, and said to the head of the Wei family:

   "Mr. Wei, you heard it too. Now your daughter-in-law must have a caesarean section to save her life."

  Before he finished speaking, he was interrupted by the village head Wei: "Okay, okay, let's have an autopsy, it doesn't matter how much it costs, please trouble you."

  Yan Quanxin waved his hand, raised his voice and continued:

"I'm not talking about money. I'm telling you. First, surgery is risky. Everyone knows that dystocia will kill people. When Dean Chen goes to save people, there are two possibilities. One is to save lives, and the other is to save people. Not alive, I hope you can understand, we doctors can’t guarantee 100%.”

   "This is natural, we understand, we understand."

   "Yes, yes, we are not unreasonable people."

   "Doctor, save people, I won't rely on you."

   "There is also a second problem. Women give birth without clothes and pants on their bodies. The same is true for our caesarean section, and comprehensive disinfection is required. From here to here, this involves a different issue between men and women.

Today's operation is performed by the most powerful doctors in our hospital. Needless to say, Dean Chen, you all know that this is the new vice president, Comrade Liang Junling. He used to be a surgeon from the Fourth Hospital, but the two of them All of them are old men.

  In the eyes of our doctors, there is no distinction between male and female patients. The question is whether your family members can accept it. You'd better think clearly about this. If it is acceptable, we will operate immediately. If it is not acceptable, there is nothing we can do to avoid disputes in the future. "

  As soon as these words came out, the relatives of Wei's family in the yard talked a lot.

  Older villagers believe that men cannot enter the delivery room since ancient times, let alone two strange men? If it is spread out, people will laugh at it, and it will be difficult for pregnant women to be human in the future.

   To sum it up with a popular saying, starvation to death is a minor issue, but injustice is a major issue.

  Young people don't think so, this is surgery, this is life-saving, how can there be any messy thoughts? If you don’t understand, you have been liberated for more than 30 years. Why are there still so many old-fashioned people?

  Cun Chief Wei is inclined to save people in his heart, otherwise he would not decisively drive the tractor to save people.

  But he can make decisions on other matters. This is related to the innocence of the daughter-in-law, and the son still has to make his own decisions.

  Everyone's eyes are on this young man.

  The son of the village head became angry all of a sudden, stood up and threw the hat on the ground, and shouted at the crowd:

"What are you looking at me for? Gossip is more important now? Is it more important to save people? There are my wife and my son in it. Those are two living lives. Dean Chen, you can save them. If anyone chews their tongues, I will be the first." broke his head."

   Chen Qi nodded emphatically when he heard the mother's husband's assurance:

   "Good boy, with your attitude, I will definitely do my best, Vice President Liang, go in and save people. And you, hurry up and borrow all the flashlights in the village, hurry up."

  Liang Junling held the surgical kit in his hand and followed Chen Qi into the room in a hurry.

   The people outside gathered around the gate, their curiosity aroused, they cut open their stomachs and married the child, which was the first time in Huangtan Mountain for thousands of years.

  The relatives of Weicun Chang's family were all very nervous. When they thought of such a knife in the stomach of a pregnant woman, they would have their stomachs ripped open like killing a pig, and their scalps were numb when they thought about it.

  So the operation was being prepared inside, and some family members had already lit candles and incense outside, ready to ask the Bodhisattva for help.

   I don’t know if Bodhisattva is willing to overtime this class...

  As soon as Chen Qi entered the room, he was dissatisfied with the turbid air in the room. It was stuffy and hot, which was exactly the environment bacteria like.

  The birth canal of the parturient is open, coupled with frailty, this in itself increases the risk of infection.

  This is a wrong medical concept in rural areas. It is the same as confinement. Not to mention whether it is harmful or not, at least it is completely unnecessary.

   "Open the window first to ventilate."

  Chen Qi commanded as soon as he entered the room: "Wang Adi, how is the mother's condition now?"

   "Dean Chen, hurry up, check it first, the cervix is ​​fully dilated now, but the fetal head is stuck there and does not move. I tried to rotate it with my bare hands, but it didn't work at all."

  Wang Adi moved away, and Chen Qi naturally took the flashlight and amplifier to take a picture of the lower body of the parturient, and began to evaluate it.

  Seeing that the daughter-in-law's lower body was seen by a strange man, the mother-in-law wanted to say something, but couldn't say anything, so she stomped her feet anxiously.

  The mother of the parturient does not feel that she is being looked down on. The old lady is now full of her daughter's safety. This mother-in-law is still different from her mother.

  Chen Qi didn't care about this, and carefully observed the fetal head into the pelvis. Liang Junling also had rich experience in first aid, so he immediately took out the stethoscope to observe the fetal heart rate and fetal movement.

   Then the two looked at each other.

   "The fetal head cannot enter the pelvis, so a cesarean section is necessary."

   "The fetal heart rate is very fast and the fetal movement is abnormally active. This is a manifestation of intrauterine distress. I support immediate cesarean section."

   "Vice President Liang, you can help, Wang Adi, you are ready to respond, after the fetus is cut off, you have to ensure the survival of the fetus, do you have confidence?"

"Have!"

   "President Chen, don't worry, I'm fine."

   "Okay, let's start the preoperative preparations now. I'll do the epidural anesthesia first. The two of you prepare the surgical instruments and start to sterilize."

  Time is running out, and under the dazzle of the family members, Chen Qi and the three doctors started to make preparations in an orderly manner.

  Chen Qi was about to receive anesthesia, and the pregnant woman had to lie on her side and curl herself up into a ball.

   "Doctor, it hurts so much, Doctor, I can't do it, ah~~~~"

   Chen Qi saw that the mother was in a bad state, so he quickly had an idea in his mind:

"The family members go out for a while, it's unhygienic when there are too many people. In addition, let the husband of the mother come in. The mother is already exhausted and needs her husband's care. Let him see with his own eyes how difficult it is for a woman to give birth. In the future, he must love his wife more. .”

   Chen Qi made such a joke, and the tense atmosphere on the scene eased a lot.

  The maternal mother was happy: "Dr. Chen, you are right, it is not easy for us women."

  The mother-in-law is also easy to talk, obviously the scene just now has frightened her:

   "Okay, let's all go out. Doctor Chen, you must do your best. This is my first grandson, so be careful."

  Chen Qi was a little upset: "What grandson? What if it's a granddaughter, don't you like granddaughter? Old lady, you can't be partial."

  The mother-in-law hurriedly begged for mercy: "I like it, I like it all, the first-born daughter is caring, and I will have a big fat son in the future, haha."

  Everyone in the room chuckled.

  Chen Qi talked about these things, but he was actually comforting the pregnant woman on the hospital bed, distracting her attention.

   It was her who worked the hardest today. It was not easy for her to endure the severe abdominal pain without resting for almost a day and a night.

  An important reason for many mothers to have dystocia is that they are desperate and their mentality collapses.

  Then I didn't use force when I should exert force, and I didn't exert force when I should exert force. In the end, because of lack of force, the fetus could not be delivered and died.

  Okay, even if it is hard to give birth, the first child will leave a serious psychological shadow, and the subsequent "postpartum depression" will be inevitable, which will also affect the happiness of the family.

  A good doctor should not only save people, but also "save hearts".

   Sure enough, when the parturient mother heard that her husband could come in, she immediately felt better, and shouted repeatedly: "Mom, let him in, let him in."

   "Okay, okay, don't worry, I'll let him in right away, Linghua, you have to hold on."

  By the time the mother’s husband came in, Liang Junling had finished disinfecting and started laying the towels.

   Chen Qi used it as a self-disinfection tool, put on a surgical gown and gloves, and held a scalpel in his hand. He was still a little nervous. After all, this was the first time he had this kind of cesarean section in his two lives.

   Then the choice of surgical incision is another problem.

   There are two kinds of cesarean section: horizontal incision and vertical incision.

  The process of vertical incision is relatively simple, the damage is small, the bleeding during the operation is less, it is conducive to postoperative recovery, and it is not easy to form pelvic adhesions.

  The main disadvantage is that the postoperative incision pain is relatively strong, and the position of the incision is relatively high, the scar will affect the beauty, and it will be ugly to wear a bikini or navel-baring dress.

   Especially hot moms who are restless, it is difficult to pretend to be an unmarried girl and go to nightclubs.

  The advantage of the transverse incision is that it is more beautiful, the scar is small, does not hinder wearing a swimsuit, the pain can be reduced during the operation, and the incision is easier to heal.

  The disadvantage is that the damage is relatively large, the amount of bleeding will be more, and the epidermal nerves under the abdominal wall will be affected. Many women will experience abdominal numbness after surgery.

  Moreover, the transverse incision is more likely to cause pelvic adhesions. If the suture technique is not good, it will easily lead to postoperative pain.

  Chen Qi thought for a while. Anyway, it is impossible for women in this mountain to wear swimsuits or show their navels in their entire lives. If they wear them out, they must be beaten to death by their husbands and in-laws.

  So he chose the safer and simpler vertical cut.

  The husband of the parturient woman saw with his own eyes that Chen Qi stabbed his wife's stomach, opened her stomach, and her legs became weak all of a sudden, and she fell down on the stool.

   On the contrary, the bride did not feel any pain due to anesthesia, and now her condition has stabilized. It is a bit strange to see her husband's pale face.

  The parturient husband holds his wife's hand tightly, and his hand is trembling slightly:

   "Linghua, I will treat you well in the future, and I will treat you well in this life. Oh my god, it's too scary, I dare not look at it!"

  (end of this chapter)