Start From Emergency Doctor
Chapter 173
Chapter 173
In the process of natural delivery, the fetus can obtain an immunoglobulin, IgG, from the mother. The fetus who has obtained this immunoglobulin will have an increased collective resistance after birth and will not be susceptible to infectious diseases.
Moreover, because babies born naturally from the Yin tract undergo a series of adaptive twists in the birth canal, the sensitivity of the skin and peripheral nerves will be stronger than that of babies born by caesarean section, and the development of physical and mental coordination in the future will be better than babies born by caesarean section.
In less than ten minutes, it can be said that it was the smoothest time since He Jing became a doctor.
The patient’s husband looked excited and ran up to see his child.
“The child also needs to be sent to the obstetrics and gynecology department for weight measurement, information recording, monitoring and so on.” He Jing said.
Just about to take the pregnant husband to the obstetrics and gynecology department, Sun Meng in the observation room suddenly shouted.
“He Jing, the placenta of a pregnant woman cannot be delivered normally!”
He Jing’s face changed.
Generally speaking, after delivery is completed, the placenta will be delivered naturally.
Once the placenta stays in the mother’s body, it may cause hemorrhage… This is an important cause of maternal death during natural childbirth.
He Jing handed the child to his father and said, “Send to the obstetrics and gynecology department for a comprehensive examination of the fetus! There is also a doctor on duty there!”
After speaking, He Jing entered the observation room.
The father of the child was holding his new-born son and was a little confused: “What does it mean that the placenta was not delivered…”
Zhou Yuan looked at each other, and finally Zhou Yuan stood up and explained: “It is not a good phenomenon that the placenta is not delivered. If the placenta is not completely peeled off from the endometrium, it is likely to cause heavy bleeding…”
The child’s father was stunned, and looked at the newborn who couldn’t even open his eyes in his arms.
After hesitating for a moment, his eyes became firm, and he said, “You…If my wife is in danger, don’t worry about what I said before, just go in! I must save my wife!”
After speaking, the man ran to the obstetrics and gynecology department holding the baby.
Zhou Yuan waited seriously outside the observation room.
There are six reasons for retained placenta.
Incomplete placenta ablation.
Stay after the placenta is peeled off.
Placenta incarcerated.
Placental adhesions.
Placental implants.
Part of the placenta remains.
These six can cause bleeding, and the most painful is the adhesion of the placenta and the endometrium.
After delivery, the placenta must be taken out of the pregnant woman’s body, so if the placenta sticks to the uterus of the pregnant woman, doctors often need to tear the placenta by hand…
This kind of pain is a hundred times more painful than natural childbirth…
It is equivalent to peeling the skin alive, and the area near the endometrium is extremely sensitive, which is very sensitive to pain.
“Thirty minutes to wait…”
After a while, He Jing, sweating profusely, walked out of it.
“What’s the situation?” Zhou Yuan and others asked.(Read more @ wuxiax.com)
“The placenta can’t be delivered normally! If it doesn’t come out after 30 minutes, you can only use external force to assist the placenta to prolapse…”
Soon, the child’s father came back, and when he saw He Jing, he immediately asked anxiously: “Doctor, how is my wife?”
“The placenta is difficult to prolapse. You need to wait for 30 minutes. After 30 minutes, it does not come out. It is judged that the placenta is retained. It is very likely that postpartum hemorrhage will occur. We can only use external force to force the placenta to be removed.
“Why not peel it now! Do you have to wait until the bleeding?” The child’s father didn’t understand.
He Jing was silent for a while, and said: “The pain of placental stripping…normal people can’t bear it. It’s good if your wife doesn’t pass out in a coma.”
The child’s father was stunned, then sat down, bowed his head and said nothing.
He Jing returned to the observation room.
One minute and one second passed, but there was no movement inside.
The child’s father turned on the phone with trembling hands. Thirty minutes have passed…
He Jing also came out at this time: “The placenta needs to be stripped, please sign the informed consent form.”
Liu Kai stood up and took the child and his father to sign.
He Jing returned to the observation room, changed a pair of sterile gloves, squatted down, glanced at Sun Meng, and said, “Start?”
Sun Meng couldn’t bear it, and looked at the pale pregnant woman in the hospital bed.
“Sister, you… bear with me…”
The pregnant woman gave a weak smile and said, “Doctor, I must let me live…I want to watch my baby grow up…”
“Come on, I will endure it!”
Sun Meng nodded, gave the pregnant woman a piece of cloth, and said, “Bite it in your mouth, or you will bite yourself.”
The pregnant woman nodded, tucked the strip of cloth in her mouth, and clenched her fists.
“He Jing, let’s start.” Sun whispered.
He Jing nodded and slowly reached into the pregnant woman’s womb, tearing the placenta bit by bit.
“Ahhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhh!”
The pregnant woman screamed harshly, and after a few screams, the pregnant woman passed out into a coma.
Soon after, the placenta was finally torn out completely.
Just as He Jing and Sun Meng were about to breathe a sigh of relief, one by one blood flowed out of the pregnant woman’s Yin tract…
He Jing’s face was pale: “Postpartum hemorrhage!!”
It stands to reason that although it is painful to strip the placenta, it will not cause postpartum hemorrhage…hemorrhage is caused by other reasons!
“What to do!” Sun Meng was a little flustered.
They have no experience in dealing with postpartum hemorrhage of pregnant women!
Postpartum hemorrhage only occurs after the delivery is completed, and the delivery is usually completed in the obstetrics and gynecology department. If hemorrhage occurs, it must be solved by the doctor of the obstetrics and gynecology department.
How can the doctors in the emergency department have the chance to encounter such a situation!
He Jing’s face was extremely ugly: “You must immediately determine the location of the bleeding and stop the bleeding!”
“Look for Zhou Yuan! Zhou Yuan is very good at using bare hands to stop bleeding!”
In the panic, the first person that came out of Sun Meng’s mind was Zhou Yuan.
Before He Jing could react, Sun Meng ran out of the observation room and ran in with Zhou Yuan.
“Zhou Yuan, the pregnant woman has suffered heavy bleeding during the operation, he should be stopped soon!”
“Compression with bare hands to stop bleeding!”
Zhou Yuan looked dumbfounded.
“Pressing with bare hands to stop bleeding?!”
Bleeding in the birth canal, you let me press it with my hands? Where is the oppression? How can I reach in and oppress?
Seeing Zhou Yuan’s expression, Sun Meng suddenly reacted.
At this time, you can’t stop the bleeding with pressure…
“Then what to do…” Sun Meng was stunned.
He Jing stood up in a panic.
She is holding the placenta in her hand, her hands are full of blood, and the placenta is still dripping blood…
Zhou Yuan looked over, and the pregnant woman was bleeding from her lower body. According to this amount of bleeding, she was finished in less than ten minutes!
“Immediately perform a blood transfusion! The patient’s husband, what is the patient’s blood type!”
“Type A blood!” His father who had been sitting abruptly stood up and shouted.
“Sun Meng, bring the emergency blood from the emergency department! He Jing, show me the placenta!”
After a daze, He Jing subconsciously gave the placenta to Zhou Yuan. .
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