Chapter 2 Emergency Maternity

1

The next day, everyone went to work as usual, today is Zhang Huafeng's 24-hour shift in the emergency room, and as soon as he finished his shift in the morning, he heard the sound of an ambulance. Zhang Huafeng immediately ran to the emergency hall to pick up the patient, and the first one to come out was a young man, who was carrying out a pregnant woman with the emergency doctor, lying on a stretcher, and the pregnant woman kept shouting that it hurt......

"Xiaoqi, call the obstetrics and gynecology department to come for consultation!" Zhang Huafeng shouted while mocking the nurse Xiaoqi not far away, while stepping forward to help pick up the pregnant woman: "What's the situation?"

"The mother is 26 years old, Li Qiuxia, first-time, 39 weeks + 4 days pregnant, she began to have labor pains last night, and she felt more and more obvious in the morning, and she didn't feel bad, so she called an ambulance. The doctor hurriedly reported.

The young man pushing the stretcher asked Zhang Huafeng with a sad face: "Doctor, my wife said that she was very uncomfortable, and during the examination a few days ago, the doctor also said that there was an umbilical cord around the neck, do you think this is the reason?"

"Pregnant women who are primiparous will definitely have pain before they die. Zhang Huafeng replied while pushing the cart, "As for the professional knowledge of obstetrics and gynecology such as umbilical cord around the neck, the specific situation will not be known until the obstetrician and gynecologist comes to examine, so let's push it to the emergency room first!"

The pregnant woman was pushed into the emergency room, Director Ling and Xie Pengfei of obstetrics and gynecology arrived just in time, and Zhang Huafeng stopped the family members who wanted to rush into the emergency room.

Director Ling immediately checked the fetal position and the opening of the uterine fingers, and found that the child's fetal position was not correct, and the amniotic fluid had been broken, but the uterine opening only opened 2 fingers. Director Ling quickly thought about the coping method - breaking the uterine delivery, and then simply explained to Xie Pengfei, signaling Xie Pengfei to report the situation to his family in time.

As soon as Xie Pengfei opened the door, Li Qiuxia's husband rushed up and asked with a panicked expression, "Doctor, how is the situation?" The family members behind also came around, it should be Li Qiuxia's father-in-law and mother-in-law, it seems that they have just rushed over.

"If the child's fetal position is not correct and the mother's contractions are irregular, a cesarean section is recommended. Xie Pengfei said hurriedly.

"Where is it so serious, in your hospital, as soon as the mother is delivered, she will have to have a caesarean section. The woman's husband didn't know what to say for a while, and the mother-in-law who was standing behind stepped forward and said disappreciatively, "You think I don't know, I've watched the news, saying that the caesarean section is not good, and we will have a normal birth." ”

"Your child is in an improper fetal position, and it is more troublesome to give birth naturally. Xie Pengfei hurriedly explained to the family, "There will be great risks in insisting on a smooth delivery. ”

"You young doctor, don't scare me, it's not like I haven't given birth. Li Qiuxia's husband just wanted to say something, but the mother-in-law continued her loud voice, "My daughter-in-law only started to have a seizure last night, and it is normal that she has not given birth now, I gave birth to my son for two days at that time, and it is not the same smooth birth!"

"It's different, it's not comparable. Xie Pengfei was choked by her and explained simply.

Li Qiuxia's mother-in-law is obviously a strong type at home, and the father-in-law next to her didn't say a word, Li Qiuxia's husband was a little shaken, carefully pushed his mother, and weakly persuaded: "Mom, let's have a caesarean section, otherwise I'm afraid of danger." ”

"What do you know?" the mother-in-law said strongly, "Giving birth to a child is a natural law, and it will be born after a while. ”

The husband of the mother was obediently silent.

"Doctor, we'll have a smooth delivery. Li Qiuxia's mother-in-law and Xie Pengfei confirmed.

Seeing this situation, Xie Pengfei reluctantly acquiesced and turned back to the rescue room.

2

Xie Pengfei reported the situation to Director Ling, and Director Ling was very annoyed when he heard it: This mother's amniotic water has been broken for a long time, and now the child may face the risk of breathing difficulties at any time due to lack of oxygen.

Director Ling has seen a lot of this kind of situation in the hospital in order to save money, or when the pregnant woman does not have the conditions for a smooth delivery, he still insists on giving birth naturally, which leads to a sharp increase in the risk of pregnant women. There was no way, she had to go out and explain to her family in person.

Director Ling was already a gentle doctor, although she was angry in her heart, but considering her identity as a doctor, she still tried her best to hold back her emotions, the door slowly opened, she took off her mask and asked gently: "Who is Li Qiuxia's family." ”

"I am, doctor. Li Qiuxia's husband hurriedly came over and replied.

"Our doctor told you about the situation just now, and you still insist that pregnant women have a smooth delivery, right?"

"Yes, doctor, I've heard that a C-section is not good for a child. The mother-in-law next to her also rushed over.

Director Ling was stunned for a moment, looked at this middle-aged and elderly woman with a sour and mean face, and tried his best to adjust it

The tone said: "That's the case, your family's situation is special, the mother's contractions are irregular, the child is oblique, not head-down, it is difficult to give birth naturally." There is also a lot of amniotic fluid in the mother, and if it is delayed for a long time, the child may be hypoxic. If you delay any longer, you are afraid that the lives of children will be in danger. ”

When Li Qiuxia's mother-in-law heard that the child might be at risk, she hurriedly asked, "Will there be anything wrong with the child?"

"Well, she is in a special situation, the amniotic water has been broken for a long time, but the uterine opening is only 2 fingers, so insist on natural delivery, and before the uterine opening is completed, the child will be hypoxic. Director Ling said, "And pregnant women may also be in danger." ”

Li Qiuxia's husband looked at his mother and hesitated, so he said, "Mom, let's cut it, otherwise it's dangerous." ”

Li Qiuxia's mother-in-law was not as tough as she was just now, thought for a moment, and said, "Then there is really no way to dissect it." ”

After listening to the child's grandmother's words, Director Ling immediately rushed back to the emergency room, while explaining to Xie Pengfei to sign the preoperative surgery with the patient's family, and at the same time pushing the mother into the operating room with others.

3

After the mother's family signed the preoperative operation information form, Xie Pengfei also entered the operating room and participated in the cesarean section of the mother.

At 11 o'clock, the mother gave birth to a 7-pound baby boy. The obstetrics and gynaecology beds were full, and the women were temporarily placed in the observation room of the emergency department.

The husband saw that his wife had worked hard to give birth and that everything was stable, so he went out to buy food for her, and before she could walk for 10 minutes, Li Qiuxia vomited and choked when she came out. Li Qiuxia's mother-in-law was so happy to see her big fat grandson, she patronized and watched the child, and didn't care about Li Qiuxia's little thing at all.

Half an hour later, Li Qiuxia's husband brought the meal, Li Qiuxia's symptoms had not weakened, but were serious, and her mother-in-law realized that it might be a little serious, at which time Li Qiuxia's husband quickly called the doctor on duty, Zhang Huafeng.

After Zhang Huafeng learned about the situation, he once again notified the Department of Obstetrics and Gynecology to come for consultation, and Director Ling and Xie Pengfei quickly rushed over. At this time, the mother had already developed symptoms of shortness of breath and restlessness, and Director Ling suddenly felt bad when she saw this, so she immediately conducted a simple examination.

After the examination, Director Ling's expression was solemn, and he hurriedly ordered: "It may be an amniotic fluid embolism, call Director Chen Qing quickly!

Xie Pengfei understood what amniotic fluid embolism meant to the mother, quickly picked up the phone, contacted Director Chen Qing, and Zhang Huafeng on the side immediately helped Director Ling push the mother to the rescue room.

Li Qiuxia's family members were really frightened when they saw this situation, but they didn't expect the mother to cough so badly! Li Qiuxia's husband was anxiously pacing back and forth in front of the door of the rescue room, and in just one morning, his wife entered the rescue room twice!

A few minutes later, Director Chen Qing also came to the rescue room. The emergency room was crowded with 6 or 7 people, and everyone immediately treated the mother with anti-allergies, blood volume expansion, anticoagulation, etc., and issued a critical illness notice.

Xie Pengfei came out with the critical illness notice to find the family, and told Li Qiuxia's husband about the current rescue plan and the possible bad situation after the operation, Li Qiuxia's husband looked at his wife's critical illness notice and was stunned. An hour ago, he was still immersed in the happiness of being a father for the first time, and at this moment he received a critical illness notice from his wife, and he was in a trance, as if he was dreaming. No one can accept this!

The mother-in-law, who has always been very strong, stood aside at this time, holding the child and no longer making a sound. At the critical moment, my father-in-law, who didn't speak much, finally said: "Doctor, please save my daughter-in-law!"

"We'll do our best, don't worry. Xie Pengfei looked at them sympathetically, "Which of you is here to sign." ”

Li Qiuxia's father-in-law saw that his son had been stunned all the time, so he signed.