Chapter 11: Between Contractions, Dry!

Li Hui's current state is sweet potatoes and potatoes, and when cooked, it is noodles!

Tears, snot, desperate eyes, slumped on the floor, although he is not a gynecologist, and he has not been transferred to a gynecology department properly, but he knows too well the consequences of a weak birth canal.

In TV, there are often many such scenes, where a doctor comes out and asks, "Protect the big and keep the small?" In fact, this situation is not very common. It is only when the birth canal is weak that this may be the case.

What is going on with a pregnant woman giving birth to a child, in layman's terms, the placenta, like the base of the child, is adhered to the uterus.

This base is a passage that connects the parent and the child. At the end of the fourth week, the placenta forms in the uterus of the child (a), and at the eighth week, the child's facial features and limbs still have cardiovascular pulses.

At 20 weeks, this gadget begins to swallow and urinate, and all the nutrients and oxygen needed by the child when the child is in the mother's body are transmitted from the umbilical cord to the child's body through the placenta.

And this gadget swims in amniotic fluid, what amniotic fluid is, in fact, is a small swimming pool purified by the mother's blood.

The little kid is constantly swimming in this swimming pool, and he is also a little kid who is not very hygienic, not only peeing and defecating here, but also drinking the liquid containing his own secretions here from time to time.

When this gadget thinks that this swimming pool can't hold it, it starts to go out and have a look.

Then, just like the Kesai, his head was facing the mouth of Zi (a) Gongkou, and his whole body was curled up, ready to rush through the pass.

At that time, the Kesai of the Maruko Country, it is estimated that the director of this cartoon could not get it because of the background of studying medicine, because the preparation before the launch of Kesaike and the preparation for the birth of the fetus are very similar.

This is the time when the child and the mother are most at risk. When the child is in the mother's womb, it is a closed inner ring.

What does it mean, it is the result of the evolution of the human body, and this inner ring is to prevent the child from falling off without maturity.

When the child matures, this inner ring becomes a gate, waiting for the child and the mother to break through together.

The child must first climb out of the sub-palace (a), walk through the pelvis, and enter the yin (a) canal before he can be born.

Of these three passes, the most dangerous is the pelvic pass, because this pass is directly the bone, even if the ligament is expanding, there are still certain limitations.

The child works hard, and the mother uses all her life to squeeze through these three passes.

So when the child is born naturally, the head is not round, but like a thermos cup, a small stick.

Being able to get through these passes depends on the fertility of pregnant women. When the child is stuck at a certain threshold, and the pregnant woman loses strength, it is called insufficient labor.

It is called the gate, then the simplest is that the place is narrow, and the child's breathing is transmitted from the maternal placenta through the umbilical cord, often at this time, the umbilical cord will be squeezed, and the oxygen cannot pass normally, so the child will be suffocated.

At this time, it is often the most dangerous time, not up or down, and the placenta has peeled off because of the child's whereabouts.

The placenta is a network of capillaries connected to a lot of blood, and if you are not careful, it is a massive hemorrhage.

Just like the blood scab of a wound, people with itchy hands like to lift the blood scab, when the blood scab is lifted, the blood begins to seep out, and the pregnant woman's hemorrhage is actually similar to this blood scab, but it is magnified many times.

If there is heavy bleeding in the child (a) uterus, and the child is stuck in the birth canal, this is the time when you need to choose, that is, when the doctor asks the family to choose the big one and the small one on TV.

Also, some naughty children don't stop much in the mother's womb and don't have toys.

He played with the umbilical cord, and while playing, he wrapped the umbilical cord around his neck. Then there's the so-called umbilical wrap around the neck, which is the hanging posture.

This situation exacerbates the risk of production, so prenatal check-ups are quite important, and these check-ups are to determine whether they can be smooth.

If there is no prenatal examination, it can really be said that it is a blind birth, and you must not be careless, even if you have regular prenatal examination, there may be accidents, let alone no prenatal examination.

Therefore, regular prenatal check-ups are quite important.

Let's talk about the advantages of natural delivery, first, natural delivery is the least damage for pregnant women, although caesarean section seems to be very simple, in fact, the knife edge of cesarean section is quite large, and the damage is also huge.

Second, when the little boy is in the mother's body, not only does he drink amniotic fluid containing his own urine and feces, but at the age of sixteen, he will also suck, yes, suck.

At sixteen weeks, the thing's respiratory system started to move, and then he would suck two mouthfuls of this amniotic fluid when he was fine, and the amniotic fluid mixed with black-green meconium entered his respiratory tract.

When giving birth smoothly, because of the narrowing of the birth canal, it can almost be said that the child is squeezed out like making meatballs.

This squeezing will press out the feces in the child's respiratory tract. So, when the newborn is just born, it is a scene like this:

The whole body is pale, because there is no oxygen, and his own blood has not yet circulated, so when the child is born, his whole body is pale, and he is still white with black, just like the little zombie in Hong Kong films.

Then a small stick head, with vernix like vitiligo on his face, and the most bizarre place is the corner of his mouth.

There was some black paste liquid hanging from it, as if someone had been slapped on TV and there was blood in the corner of his mouth. This black pasty liquid is his own meconium.

Because the umbilical cord is attached, the child cannot breathe, and when the child comes out, the doctor will pinch the child's mouth as soon as possible, stuff the index finger into it, and pull out the disgusting objects in the respiratory tract.

Then cut the umbilical cord and stimulate this little thing, as long as it is normal, little one, at this time the lungs begin to expand, and when the first cry comes, it means that he begins to breathe.

It's going well, and when it's not, there's too many surprises.

While Zhang Fan was running, the little nurse was chasing with a white coat, running fast, and the nurse's little white shoes could see the phantom under the fluorescent lamp.

It's a very cruel department, when these little nurses get older and can't escape from the phantom, they will be slowly cleared out, how many administrative positions can there be?

Zhang Fan took the white coat, put on a hat, put on a mask and rushed into the delivery room.

"How?"

"Zhang Yuan, it's too late for surgery, and forceps have already been used. ”

The director of the obstetrics and gynecology department did not raise his head.

"Isn't the negative pressure suction device work?" asked Zhang Fan as he walked.

What is a negative pressure suction device, elderly people should know a bathroom tool, after the toilet is blocked, there is a thing with a suction cup.

When the mother's labor is insufficient, this will be stuffed into the birth canal, sucking the child's head, like pulling a turnip, and the doctor will help pull it out.

Sometimes, there is a bang, bang, bang, bang sound coming from the delivery room, which is when the doctors are sucking with a negative pressure suction device.

"No, it's not right, and it's not in a good position. ”

Forceps, when the caesarean section is not formed, this device is the ultimate weapon in obstetrics.

It is powerful, but the operation is not good, and it is also quite dangerous.

It's like two badminton rackets in big tongs, this racket is metal, and there is no net, it is this one thing that is stuffed into the mother's birth canal, clamps the baby's head, and then clips the child out.

It can be said that this operation is quite dangerous, the clamping position is wrong, and it hurts the child's nose and eyes, and it is not nothing, this thing is metal!

Moreover, if the force is not enough, the child will not be able to get out, and the child caught in the birth canal will die of suffocation after a little longer.

If you exert too much force, there is a chance that the child's ears and even the cervical spine will be damaged, and it can even be said that sometimes, when the child is pulled out, the child's head and cervical spine will ......

Therefore, forceps, this instrument, in the obstetrics and gynecology department, doctors who have no confidence dare not get started at all. This confidence is accumulated by doctors in decades of work, and this strength cannot be experienced at all in decades.

"It's been half an hour! I'm out of strength, I don't have any strength in my hands, what should I do!" The director of the obstetrics and gynecology department was about to cry.

This force is not reckless, but like a fish, quite strenuous.

The director of the obstetrics and gynecology department, who was already a fifty-year-old lady, began to tremble after more than twenty minutes of struggle.

The deputy director of the Department of Obstetrics and Gynecology and another attending person were on the table of another pregnant woman, and which pregnant woman did not give birth smoothly.

The director of the obstetrics and gynecology department here and Lu Shuyan.

The director of the obstetrics department didn't say anything about the sweat on his face, and there were droplets of water rolling in his eyes, she was old, really old, ten years ago, she would never let this situation take her, and now, she really had the intention to kill the thief, but she had no strength.

The negative pressure suction device can be handed over to Lu Shuyan for operation, but the director of the forceps does not dare to give it, and Lu Shuyan does not dare to take it, so the director of the obstetrics department asks people to call for help.

"No, no, director, the child's heartbeat is getting slower and slower. "Midwives have big heads. The situation of not being able to go up or down is the most dangerous.

The maternal pain was extreme, the child and forceps were mixed together and stuffed into the body, and the sharp pain of the peeling sensation before childbirth had almost brought the mother to the brink of collapse.

"I can't do it, doctor, I can't do it. The screaming was gone, she didn't even scream anymore, and her eyes looked at the doctors and nurses pleadingly.

"You shut up for the old lady, eat, open your mouth, eat, fast! Your child is going to rely on you now, do you still have the qualifications to be a mother?" Quick, shut up, and come out one more time. ”

Red Bull and chocolate are stuffed directly into the mouth of a pregnant woman like a stopper. The midwife did not dare to be warm, did not dare to comfort, and was afraid that if she relaxed a little, the woman would give up.

Sometimes, the desire to survive is quite important, when life and death are on the line, what comfort and warmth are fake, only iron-blooded scolding, so that she can't think in her mind, let her subconsciously survive.

Really, for doctors and nurses in obstetrics and gynecology, sometimes we have to be considerate, they are not born vulgar, they are forced to do so.

"I'm coming!" Zhang Fan looked at the desperate expression of the director of obstetrics and gynecology, and he spoke.

"You, Zhang Yuan, it's too dangerous, you've never been ......"

Taking over at this time, to be honest, is quite dangerous, in the hospital, to be honest, it is too common for a dead person. Especially in a tertiary hospital, it will be strange if no one dies for a day.

However, obstetrics and gynecology are different, in other departments, no matter what the situation, the dead are not as serious as obstetrics and gynecology.

In this way, Huaguo is quite unreasonable in this regard, there is a quota for deaths in obstetrics and gynecology every year, I don't care what your situation is, if this number of deaths is exceeded in a year, it will be followed by accountability.

Therefore, everyone can scold the government and the hospital, but for this rule, really, everyone can be happy, because the country's unreasonableness has made China's maternal mortality rate one of the lowest in the world.

"It's too late, will the child and the pregnant woman still be able to make it to the arrival of the doctor?"

",......"

"It's nothing, come, leave it to me, you stand on the platform for me. Lu Shuyan, quickly change my clothes. ”

Zhang Fan's words were like an iron rod, which made Lu Shuyan motivated again and again, she immediately helped Zhang Fan put on a surgical gown, and when she tied the last strap, she whispered: "Be careful!"

Zhang Fan didn't look back, as if he hadn't heard.

At this moment, the director is as out of strength as the pregnant woman, and the other doctors can't take care of it, if Zhang Fan is not there, he won't say anything, but Zhang Fan is here, although he can't grasp it, but can he watch the pregnant woman and the fetus die in front of him?

If you can't!

"Director, get started! I'm starting to push harder. ”

"Zhang Yuan, you must follow the force, when the other party's muscles contract, you have to unload the force, when the muscles are relaxed, you must exert force, you must pay attention, do not hurt the child's cervical spine. ”

The director of the gynecology department said while Zhang Fan was doing it, and the gynecology director's shaking hands were full of despair.

At this time, what is the difference between going to surgery and having a doctor turning the book!

However, she underestimated Zhang Fan. Feel, for ordinary doctors, is a chicken rib condition, but, the more doctors at the peak, the more they value this feel.

And Zhang Fan's feel, so to speak, at present, he himself said that his feel is the second in the world, and it is estimated that no doctor dares to say the first.

"Shrink!" The feeling of the maternal muscles penetrating out, Zhang Fan felt quite clearly, and with the contraction of the muscles, the muscles of Zhang Fan's arms also began to relax.

"Relaxed!" Zhang Fan's muscles in his arms began to strain.

Like tug-of-war, the mother's muscles are contracted and contracted, and there is outward and inward thrust and suction on the fetus, so the pregnant woman has to force the inward force to counteract when the pain is extreme.

Really, it's not easy to be a mother, and the old man really has to get up right, this moment for others.

When Zhang Fan exerted his strength, the midwife shouted loudly: "Hurry, give me strength, our dean has started, you will definitely be able to persevere, hurry, give the old lady the power to eat (a)milk." ”

......

The door of the delivery room suddenly opened, and a little nurse came out with a signed book.

Li Hui looked at it and rushed directly, "Find me to sign, find me to sign!"

Zhang Fan!"

I don't know why, he called out Zhang Fan's name.

"Quick, call your wife's house! What's the use of crying!" Shao Hua was also awakened by his voice.

"Good, good!" said yes, but his eyes were always on the little nurse.

As a result, the little nurse ignored him and walked towards the others.

"Uh!" Li Hui hung on his face, and the shining tears seemed to have frozen.