014 Lack of trust
"Arrange her for the first operation, it's not a good thing to give her more time for someone who thinks so well!"
Today's trust relationship is not only a lack of trust between doctors and patients, but also a lack of trust between husband and wife.
The three surgeries came down at noon, and all the operations went smoothly, not even a single postpartum hemorrhage occurred, and there was no bizarre choice to protect the big and the small.
The three children born from surgery each scored 10 points and had a normal physical examination, which is as normal as eating and drinking for Zhang Yurong and her family.
"Sissi, you go down to see how they are doing after surgery, and I'll go to the delivery room to see if there is any movement in the two expired labor inducers!"
However, all pregnant women in the ward who want to induce labor must go to the delivery room of the delivery room to induce labor, and most of the methods of inducing labor are intravenous infusion oxytocin.
This method of inducing labor is classic, and the safety factor is also high, and there are very few accidents in induced labor, at most three failed inductions, or in the middle of induced labor, it is found that the child is intolerant and hypoxia has to fail to induce labor and transfer to cesarean section.
It is extremely rare for the uterus to rupture due to strong contractions due to induced labor.
"Director Zhang, when the family was about to sign, after seeing these unexpected circumstances, they refused to sign and agree to induce labor!
insisted on waiting for natural contractions, and said that Baidu has passed, and many people are in favor of the natural launch of melon ripeness.
But her placenta is already level 3, there are many calcification points, and the child is also on the large side, so she can't wait! ”
Zhang Yurong didn't expect it to be noon, and this bed was still grinding and not hung with water to induce labor.
"Five beds, Gu Yue, you and your husband both mean this, insist on waiting for the natural contractions, even if you are forty-one weeks and three days pregnant, the child is on the big side, and the placenta is aging, still insist on waiting?"
Zhang Yurong took the patient's medical records, went to the pregnant woman, and started talking plainly.
"We all believe in the laws of nature, and besides, you can't guarantee the safety of induced labor.
In case of the above happening, I am allergic to oxytocin, or the contractions are too strong, causing the child to lack oxygen and uterine rupture, such a consequence, we can't accept it!
Unless you can keep me and my children safe, we'd rather wait! ”
"Determined? Even if you know that the risk of persevering is greater than that of inducing labor, you still insist on waiting for the natural movement? ”
Zhang Yurong continued to confirm without delay.
"Yes, we both believe in the laws of nature, and it is the most natural for melons to ripen, and we don't want to violate the laws of nature!"
The pregnant woman replied while making a video call with her husband, who was waiting outside.
Zhang Yurong saw that the patient's husband was also a strong advocate of nature, so she smiled and nodded.
"Since your family is like this, then sign and be automatically discharged, go home and wait for the natural movement to come back to the hospital!
Not only does this free up beds for those who need them, but it also avoids wasting your personal money and time.
If you start contractions at home, in case it's too late, you don't have to worry, call an ambulance, if it doesn't work, you can turn on your mobile phone Baidu, that can also save an emergency! ”
Zhang Yurong smiled and said her response, which immediately stunned the patient, and the patient's husband, who was still online in the video, also turned red.
"But, what if something happens when we get home?"
The patient's family screamed angrily in the video.
"Accident? That's natural, too! Anyone who admires nature should not come to the hospital.
Think about it again, do you want to go home and wait for the natural movement, or accept my advice and induce labor now? ”
After Zhang Yurong finished speaking, she turned around to look at another pregnant woman who had been in bed for half a day, and gave the couple time to consider.
Clinically, I am most afraid of this kind of patients who do not understand and have special opinions.
However, she is not a good-natured department director, and she can spend a day with a patient.
They have a lot of sick people in bed, so if you spend a day with her, then don't do anything!
"How's it hurting?"
Zhang Yurong talked to another pregnant woman in her bed who was inducing labor.
"It's been hurting for three hours, and it hurts less than ten minutes after hanging oxytocin, and now it hurts once every three minutes, and it hurts for forty-five seconds at a time, and the director is here and there is a pain again, hiss!"
Zhang Yurong touched the uterus of the pregnant woman who shouted pain with one hand, felt the intensity of the contractions, raised the watch with one hand, and counted the duration and interval of the contractions.
"Well, the strength is good, the interval is enough, and the second child can have such good contractions, and the effect will be seen soon.
I'll check it for you and see what happens at the cervix! ”
After counting the patient's contractions a few times in a row, Zhang Yurong was very pleased, today's induced labor should be very powerful, the second child can be born as long as the contractions are initiated, and the probability of dystocia in the second child is still very small.
"Yes, you can try it harder?"
When Zhang Yurong checked and found that the second-child patient had been opened five centimeters and the position was very low, she understood that this patient was about to give birth.
Many second children can't wait until the uterus opens to the stage, otherwise it will be too late to deliver the baby, and the more they go to the back, the stronger the contractions will be, and the stronger the sense of stipulation.
The pregnant woman who was thinking about it thought about it for less than an hour, and the big belly that she was living in the same ward with her and came in today to induce labor was born, and her son was crying.
"Considered it? Is it to induce labor or automatically discharge home, etc., to start labor naturally? ”
When Zhang Yurong turned back again, she still asked the pregnant woman who was thinking about it.
"Let's rush! But if I induce labor at this time, will I be able to give birth at night? "The other party is still anxious.
"The mother just now is the second child, the time is naturally faster than the first child, you are not only the first child, the fetus is still large, you can only try.
However, during the whole process of labor induction, there are people here to take care of you, and even if there is a situation, this side will respond as soon as possible.
Under normal circumstances, the greatest possibility of an accident is the failure of induced labor to a cesarean section, and you can have a trial labor if you are prepared! ”
"Director Zhang, can you not leave, or can you accompany me for a while to see how I am doing before leaving?"
Well, Zhang Yurong finally relented and promised to accompany her for a while, who knew that it would be the middle of the night when she accompanied her.
"You insist on insisting, it hurts to this point, the palace mouth is finally open two centimeters, you can fight for pain, you can sleep well after the labor pain, and I will come to see you as soon as I go to work tomorrow!"
Zhang Yurong didn't expect that this pregnant woman, who admires nature very much, would be so intolerant of pain.
From the beginning of the contractions, she kept yelling until half past ten in the evening, and when the uterine opening reached two centimeters, she never stopped screaming, and the key was that every time she screamed, it was heart-rending and sharp.
Finally got up to be able to give her pain relief, otherwise listening to such a voice all the time would be very exciting for everyone.
Zhang Yurong and the others are used to listening to it, but the rest of the patients who are waiting to give birth rarely hear such a voice, which is really exciting.