Chapter 17 Births at Home

In the evening, Xia Wei had to work the night shift, and was sorting out the inpatient medical records in the office, when the phone in the duty room rang, and a man asked for help on the other end of the phone: "Doctor, save my wife and children." Xia Wei asked calmly, "What's going on?" Take your time and don't rush. ”

The man on the other end of the phone said, "My wife gave birth to a baby, and the placenta can't come out"

"Where did you give birth, did you bleed a lot?" Xia Wei asked eagerly.

"I was born at home, and I didn't have time to go to the hospital, so I gave birth at home. There will be bleeding, we don't have a car in our village, I don't know what to do, so I'll call you. The man said helplessly.

"Don't panic, which village are you in, what is your name? Put the kids away, and I'll call a car to pick you up right away. After Xia Wei comforted the family, she immediately called the private car owner near the hospital, and instructed the doctor on duty: "Take care of me." ”

"Okay, you go, I'll call your day doctor over if there's something, you can go with confidence." The doctor on duty readily agreed.

"Okay, I'm going to pick up the creatures, and the car is calling me." After Xia Wei finished speaking, she strode to the delivery room.

Xia Wei quickly prepared the delivery kit and sterile instruments, as well as gloves, rescue medicines, and catheterization kits, all of which were indispensable. After a while, she came to the mother's house with the car.

As soon as Xia Wei entered the door, she saw the mother kneeling on the ground, next to a wooden basin, there was some blood in the basin and a child with an umbilical cord, wrapped in a towel and lying in the basin, and then looked at the pregnant woman, lying on the edge of the bed with a haggard face, there was also a pool of blood on the ground, and the umbilical cord was connected to the newborn hanging on the lower body of the mother.

Obviously, the placenta has not yet been delivered, so Xia Wei immediately asked her family to assist and put the mother on the bed and lay down. Then, the mother was injected with oxytocin intramuscularly, the perineum was disinfected immediately, the sterile bag was opened, the sterile gloves were put on, the umbilical cord was cut first, and the newborn was handed over to the family.

Then, press the fundus with your hand to check if the placenta has been peeled. Seeing that the fundus had risen below the navel, and then gently pulling the umbilical cord, a small amount of dark red blood flowed out, Xia Wei judged that the placenta had been peeled off and could assist in the delivery of the placenta. She pressed the fundus of the lower abdomen with one hand and pulled the umbilical cord with the other, and after a while, the placenta was delivered out of the body with her assistance. The placenta is spread out and the fetal membranes of the placenta are intact but there is some bleeding. Xia Wei gave ** massage, checked the fundus still did not fall, Xia Wei realized that there was urinary retention, and immediately gave catheterization, after catheterization, the bleeding was significantly reduced, and ** also returned to the position of the two fingers on the pubic symphysis. Xia Wei only let out a long sigh of relief at this time. She began to examine the perineum again, and found that there were some mild lacerations on the perineum, and the wound was sutured.

When she returned to the health center, Xia Wei immediately instructed the nurse on duty to do a skin test, prescribe medical orders, and write up medical records. Then she came to the ward to inquire about the situation, she pressed the lower abdomen of the mother, the bleeding was not much, and instructed: "Quanlan, you have to get up to relieve the urine in a while, you can't urinate in bloating, otherwise it will affect the contraction and bleed." ”

"Okay, thank you!"

"No thanks, you can feed the child if you are fine, let the child suck the Ru room as soon as possible, so that the success rate of feeding is high, you must let the child suck in ** and ** together, you can't suck the milk just with **." As Xia Wei spoke, she started to lean the child's mouth up with the mother to help the child breastfeed. Then he asked the mother, "Have you had dinner?" ”

"I didn't eat it because my stomach hurts."

"Oh, then I'll go back and fetch a few eggs for you to eat, you wait first, I'll be here in a moment. If you have anything, tell the doctors and nurses on duty in the ward. Xia Wei explained the mother, and then returned to the home in the family area, where Xiao Lu was lying on the bed watching TV. Xia Wei took three eggs from the refrigerator, went straight to the kitchen, put water in the pot, and lit the gas stove. After a while, the eggs were ready, put some brown sugar, and brought them to the ward to give to the mother.

The mother and her family were grateful and didn't know what to say, so the mother's husband smiled vigorously and said, "Thank you, you're so good." ”

Xia Wei said with concern: "No thanks, you came in a hurry, and you didn't bring anything to eat, isn't it just a few eggs, it's nothing." After a while, you ask your family to bring rice cookers and rice noodles, so that when Quan Lan is hungry at night, she can cook some porridge or noodles for her to eat, and she can't buy anything to eat outside at night. ”

"Thank you so much, let my mom serve her here, I'll go back and get it right away."

"Okay, you have to come over early, your mother is old, you should be relieved to have you at night."

"Yes, I'll take it and come, it's not too far."

"Well, go ahead, I'll come and see her often." After Xia Wei finished speaking, she came to the office to sort out the medical records of the mother. At this time, someone in the ward came over and shouted: "Doctor, my wife's stomach is starting to ache, please come and have a look." ”

"Okay, here." Xia Wei immediately put down the items in her hand and followed the visitor to the ward. Seeing the woman rolling on the bed, Xia Wei hurriedly said, "Quick, take off your pants and let me see." Hurriedly took off the woman's pants with her family, observed it, and said, "The child is about to come out, it's quite fast, put a bedpan under her buttocks, and I'll go get the bag." After speaking, he turned around and came to the delivery room to pick up the disinfection kit and disinfection supplies, and came to the ward.

Xia Wei rinsed and disinfected the woman's perineum, laid a sterile pad, and waited aside. After a while, a black head was revealed, and he commanded, "When you want to exert yourself, exert yourself, and the child will come out in a while." ”

"Oh, okay, it hurts again, uh-" The mother began to push downward, and after two or three contractions, the baby fell into the potty. The mother's husband said, "Dr. Xia, can you let me see if it's a boy or a girl?" ”

"Don't look at it, it's all quoted." Xia Wei covered the induced fetus with a sterilized cloth, and then said to the mother: "When you have a stomachache, you have to use some force, and the placenta has not come out yet." After a while, the placenta was delivered.

Xia Wei packed up the bed, cleaned the instruments, and then packed them in a cabinet with a bacterial area. When she came to the ward to visit the mother, she came to the bedside of the woman who induced labor, pressed the uterine fundus, observed the bleeding, and explained that she should empty her bladder as soon as possible. Then he came to the bed of the mother Quanlan, observed the child's feeding, pressed the bottom of the **, observed the bleeding, and then asked: "Is there a solution to urinate?" It is important to urinate for the first time. ”

"Oh, just got up and relieved, Doctor Xia, you can rest early, I'm fine." The mother looked at Xia Wei gratefully.

"Okay, I'm in the office, come and call me if you have something." Xia Wei walked out of the ward with confidence.