Xia Wei's further study in a tertiary hospital was about to end, and the director of the department talked to her, and the director told Xia Wei that he wanted to keep her. Xia Wei felt that her family was in the countryside, her daughter was still young, and she needed to take care of it herself, and she had already owed her daughter three years to go to the health school, so she didn't agree to it. Until the end of the study, Xia Wei did not receive a reply from Wang Tao, and felt a little lost. At the end of the study, Xia Wei returned to work in the original health center, but this time she was much bolder, but she still didn't dare to be careless. At this time, Section Chief Xiao had been transferred, and the leaders of the hospital asked Xia Wei to take over the work of the department director.

There are three doctors in the Department of Obstetrics and Gynecology, one day shift and one night shift, and most of them are on duty alone, except for everyone's rest.

On the first day of work, Xia Wei was on duty alone, and there were three women in the class, two were women who had given birth the day before and needed to do postpartum observation and baby care, and the other was a woman who was waiting for delivery and had regular contractions. In the morning, Xia Wei took over the shift, observed the postpartum hemorrhage of the mother, and gave perineal care, and listened to the fetal heartbeat for the woman who was going to give birth, and did an anal examination. After she was done with this, there were already several outpatients waiting for her to deal with, and before she dealt with the outpatient, she listened to the fetal heartbeat and observed the contractions of the expectant woman again, and then came to the office to deal with the outpatient.

Xia Wei finished treating all the gynecological patients, and finally performed an abortion on an unmarried pregnant girl. At the time of the operation, she asked the girl's boyfriend to wait outside the door, and after the operation, she sent the girl into the observation room to be accompanied by her boyfriend. Xia Wei returned to the operating room and was processing the blood and embryonic tissue in the suction bottle. At this time, the girl's boyfriend came to consult her, and when the boy saw the blood and embryonic tissue, he suddenly fell forward, and brought Xia Wei to the ground, she couldn't care about the abrasions and pain on her face, and hurriedly got up to help the boy, the boy was pale and unconscious. Xia Wei shouted loudly: "Come on, someone, someone fainted." While pressing the boy's acupoint, the boy was awake when the doctors and nurses on duty arrived. Dr. Zhang of the Department of Internal Medicine instructed, "Let him drink some sugar water." ”

The boy who came to his senses slowly sat up, waved his hand at everyone, and said, "It's okay, I have a problem with fainting blood, you all go." When everyone saw that the boy was all right, they all left.

Xia Wei sent the boy into the observation room to lie down with her girlfriend, the girl immediately bounced up from the bed to take care of the boy, Xia Wei asked the girl not to walk and continue to lie down and rest, she asked the maternal family in the ward for a glass of sugar boiled water and handed it to the boy, saying, "You can drink some sugar water first, just rest for a while." ”

The boy took the water glass, looked at Xia Wei gratefully and said, "Thank you!" I'm really fine, so you can rest assured that you're going to be busy. ”

"Okay, you can return the cup to them when you're done." Xia Wei pointed to the mother's bed and said.

At this time, the maternal screaming on the bed next door was non-stop, and she immediately brought an earpiece and gloves to quickly listen to the fetal heartbeat and do an anal examination. After the anal examination, she immediately instructed the mother's husband: "Quickly help your wife into the delivery room, the uterine opening is about to be opened." Xia Wei explained to the girl again: "You lie down and rest for half an hour, if there is nothing uncomfortable, you can leave, if there is anything uncomfortable, such as bleeding and stomach pain, call me, I am in the delivery room next door." ”

The girl agreed, "Okay, you can be busy, it will be fine, I am fine now." ”

The man smiled happily and agreed, "Great." The man put on the woman's shoes and said to the woman, "Be patient, and the baby will be born." ”

Xia Wei walked quickly to the delivery room, making various preparations for delivery.

Xia Wei carefully observed the perineal situation of the mother, the skin of the lower end of the perineum was thin and soft, and immediately made a judgment: this woman does not need to have an episiotomy, open the delivery bag, wash her hands, wear sterile gloves, and prepare to give birth.

The mother shouted one after another, Xia Wei was protecting the perineum at the right time, she patted the mother's thigh and comforted: "Xiaoli, don't shout so loudly, so that you will use up all your strength, and you will have no strength to give birth to a child, I know you are in pain, but you must insist on enduring, you can take deep breaths when it hurts, haha it will be better, and when I let you exert yourself later, you must be obedient, okay?" ”

When Xiaoli heard Xia Wei say this, she was embarrassed to call anymore, and hurriedly replied, "Okay, Doctor Xia, thank you." ”

Xia Wei then encouraged: "Okay, you are a brave mother! Hearing Xia Wei say this, the mother and her family laughed, and Xia Wei continued: "Well, it's good, when you have a stomachache, you will force on my hand, pay attention to the butt must lie on my hand hard, otherwise it will tear underneath." In this way, after a few contractions, the fetal head that exposed the perineum became bigger and bigger, Xia Wei hurriedly ordered: "Xiaoli, don't use force when you have a stomach ache from now on, haha, wait until your stomach doesn't hurt and then force on my hand, when you exert force, be steady and slow, hold on." ”

Xiaoli kept puffing and agreed: "Ahhh ”

"Well, it's good, inhale through your nose and exhale through your mouth, it's not good to inhale through your mouth."

Under Xiaoli's continuous persistence and efforts, in Xia Wei's encouragement, I don't know if it was the force after the first contractions, the head of the fetus was finally successfully delivered under Xiaoli's slow and steady force, and Xiaoli was delivered at the same time as the fetus was delivered: "Ah! The sound finally subsided.

Xia Wei hurriedly dealt with the fetus, only to see that the little guy's whole body skin was ruddy, and with the sputum suction tube pulled out, the little guy "Woo-ah-woo-" cried and danced, Xia Wei finished processing the newborn, wrapped it and handed it to the maternal family. Immediately observe the condition of the placenta, and after a while, the placenta is successfully delivered, and the placenta and fetal membranes are intact, and the perineum is intact and there is no laceration.

It was already noon after Xia Wei finished treating the mother, and seeing the mother sleeping peacefully, she came to the office to write a medical record and record the delivery. While the mother fell asleep, she returned to her home in the family area, Xiao Lu had already eaten lunch, and Xia Wei came to the office with the meal to eat.

Xia Wei was eating, and suddenly heard a tractor driving into the hospital, she immediately put down the dishes and chopsticks in her hand, and stood in the corridor to watch the movement of the tractor at the end of the corridor. After the tractor stopped, someone shouted: "Doctor! Come and help, my wife is about to give birth. ”

Xia Wei immediately ran to the tractor, only to see a pregnant woman lying in the recliner of the tractor car, shouting incessantly. From the shouts of the pregnant woman, Xia Wei judged that the woman was about to give birth, and she hurriedly called the internist and nurse on duty to carry the pregnant woman directly into the delivery room. She quickly listened to the fetal heart rate, measured blood pressure, and asked for a brief medical history, and the fetal heart rate and blood pressure were not abnormal. Xia Wei immediately instructed the mother's family to help take off the pregnant woman's trouser legs, only to see that her head was already revealed, and Xia Wei was not allowed to think too much, so she immediately rinsed and disinfected her perineum.

Xia Wei also instructed the nurse on duty in the ward: "Xiao Chen, quickly help me open the delivery bag, and put the EP scissors, vascular forceps, round needles and triangular needles in the sterilization tray for later use." ”

Xiao Chen, the nurse on the side, was preparing the delivery items, and said to the doctor on duty: "Doctor Zhang, please help me go to the infusion room and ward to take a look, if there is any water change, please help, I will come over to replace you after I take care of it." ”

"Okay." Dr. Zhang readily agreed and left.

Xia Wei quickly washed her hands, put on sterile gloves, and hurriedly picked up a treatment towel in the delivery bag and was preparing to deliver the baby. Seeing that the head of the fetus had been delivered, she held up the head of the fetus and assisted its body to be successfully delivered out of the body. After the fetus was delivered, I saw blood flowing out of the mother's perineum, and when I looked closely, it was a perineal abrasion. Xia Wei held the baby with one hand, picked up a sterile gauze pad with the other, pressed it on the wound of the mother's perineum, and commanded: "Xiao Chen, quickly measure the mother's blood pressure." Xia Wei immediately cut the umbilical cord, suctioned sputum, wrapped the newborn, and put the newborn in the stroller on the side. Turn around and work on the mother's placenta. She gently pulled the umbilical cord, there was fresh blood flowing out, the bottom of the ** had risen to the umbilical level, which is a sign of placental detachment, Xia Wei gently pulled and shook the umbilical cord on the one hand, and pressed the perineal wound with a gauze pad. In this way, little by little, the placenta was finally delivered. She spread out the placental membranes and examined them carefully, when suddenly, her eyes stopped on a placenta wound, and she concluded that there must be a paraplacenta left in the uterine cavity.

Xia Wei entered the uterine cavity with her hands and searched every corner of the uterine cavity with her bare hands, and finally, in the corner of **, found the remaining paraplacenta and gently took it out.

Xia Wei put the accessory placenta taken out into the notch of the main placenta, which was completely consistent, and her hanging heart was slightly settled. At this time, **bleeding began to increase, and she entered with her hand to perform a bimanual massage**. Slowly the bleeding began to decrease and she stopped massage**. Quickly inspect the perineal wound, only to see that there was a slight abrasion in the perineum, and did internal suturing, observed that there was no sign of bleeding, anal examination, wireless knotting, and took out the inner gauze, she cleaned up the delivery bed and left the mother in the delivery room for observation.

Xia Wei came to the office at this time, picked up the blood pressure monitor and medical records to measure the blood pressure of the mother and write the medical records. At this time, there are already outpatients waiting outside the door of the delivery room.

In the afternoon, when the mother finally did not come, Xia Wei took time out to observe the postpartum situation of each mother and assist the newborn to breastfeed. These mothers are basically first-time mothers, they have no experience in feeding babies, and once they are free, Xia Wei is in the postpartum ward to accompany the young mothers.

After dealing with the last patient, Xia Wei came to the ward, and a pregnant woman asked her for help: "Doctor, come and help me take a look, the little guy refuses to feed." ”

Xia Wei came to the mother's bedside and said with a smile: "You let the baby feed me." I saw the mother holding the Ru room with her fingers and stuffing the ** into the child's mouth, the newborn "bar, let" sucking**, Xia Wei knew that the baby did not eat milk as soon as she heard this voice, and hurriedly assisted the young mother to stuff the ** with Ru room ** into the newborn's mouth more, only to see the newborn puff up cheeks and suck evenly and powerfully, and there was some milk hanging from the corner of the mouth from time to time. She told the mother, "Look, how well the baby eats. The reason why you are not successful in breastfeeding is that you only put ** into the child's mouth, and do not put the ** part into the child's mouth. Also, the hand that assists in breastfeeding should not be scissor-shaped, but the thumb should be separated from the other four fingers to support the Ru room, so that you can feed the child correctly, and you must pay attention to it next time. ”

The mother hurriedly agreed: "Got it, thank you doctor!" Seeing the way the child was breastfeeding, the mother smiled excitedly.

Xia Wei came to the next bed, pressed the mother's fundus, and suddenly found that the mother's fundus rose to the umbilicus, and quickly asked, "How long have you not urinated?" ”

The mother thought about it and told Xia Wei: "It's better to solve it in the morning, but there is no feeling of urinating." ”

"After giving birth, due to the pressure on the bladder during childbirth, the intra-abdominal pressure in the postpartum cavity is suddenly reduced, and the general sense of defecation is not strong. Xia Wei patiently explained while pulling up the mother.

The mother squatted in the potty for a while and didn't pee, and quickly said, "I didn't pee." ”

Xia Wei squatted down, clenched her hand into a fist and pressed it against the position of the mother's bladder, and shouted, "One, two, three, force." Under the guidance of Xia Wei, the mother hung her hands on the edge of the bed, and the two of them worked together, and suddenly "banged" and urinated out, and everyone smiled heartily.

At this time, a patient outside the door of the ward shouted, "Is there a doctor?" ”

Xia Wei immediately opened the door of the ward and replied, "Here, this is coming." ”

A middle-aged woman with acute abdominal pain walked in front of her, and I saw her pressing her lower abdomen with her hands, bending over, with a painful expression on her face, "Doctor, I have a stomachache." ”

Xia Wei took the patient to the office and motioned for her to sit down: "Come and sit down, help you measure your blood pressure first." ”

The patient sat down slowly, rolled up one sleeve, Xia Wei wrapped her in a cuff, and began to measure her blood pressure.

"Your blood pressure is one hundred and ten seventy, your blood pressure is fine, I'll help you check the gynecology, follow me." Xia Wei led the patient to the examination room as she spoke.

"Lie down and take off one of your trouser legs." While speaking, Xia Wei had already put on sterile gloves and stood in front of the patient with a speculum in her hand, waiting for her cooperation.

Xia Wei bimanual compression**, the patient showed a painful expression, bilateral adnexa hyperplasia and tenderness, cervical movement pain.

"You have a very bad pelvic inflammatory disease, it may be acute pelvic inflammatory disease, you get up and go for a B-ultrasound examination, as well as laboratory tests for leucorrhea and blood routine." After speaking, Xia Wei took off her gloves and quickly wrote various inspection application forms.

The patient took the list to do auxiliary examinations, and Xia Wei hurriedly wrote down the medical record. Once again, she opened her gynecology book to the chapter on acute pelvic inflammatory disease, and read it all from the pathogenesis, clinical manifestations, auxiliary examinations, differential diagnosis to treatment, and she felt that only in this way would there be no misdiagnosis.

When the patient handed the reports of various auxiliary examinations to Xia Wei, the diagnosis she made based on the data of various examinations was consistent with her previous diagnosis, which also confirmed her previous diagnosis. Xia Wei decided to give the patient anti-inflammatory treatment, as well as topical medication to the genitals.

"You go and get the medicine, when you go home, you should pay attention to a light diet, don't eat irritating food, pay attention to personal hygiene, and don't have sex with each other before you get well." Xia Wei explained the precautions to the patient.

"Okay, thank you!"

Xia Wei watched the back of the patient leaving, and came to the ward again uneasily.