4. Delivery. Zhang Nuzhonghuai didn't answer, and You Jia, who had a surprised expression, straightened the muscles! "What's the matter? Is there a pregnant woman on this plane who is about to give birth? However, according to your airline's regulations, pregnant women who are more than 35 weeks pregnant are not allowed to take the plane." ”

Ye Tong explained: "Yes, there are such regulations, but because this passenger was in a hurry to rush home to deal with important matters, she deliberately concealed her true pregnancy. In addition, she was relatively fat and wore a thick orange sè down jacket, so she deceived the security check and boarded the plane. It wasn't until the plane was bumped by the air currents that we realized that something was not quite right with her, and after some questioning, she told the truth of the incident. Hey, Dr. Zhang, whether you know how to deliver babies or not, please come with me first. Looking at her appearance, I'm afraid she's going to be born prematurely

Zhang Wenzhong hurriedly unbuckled his seat belt, stood up and said, "Let's go, take me over to have a look." ”

Thank you, Dr. Zhang, please come with me. Ye Tong said, turned around and led Zhang Wenzhong to run briskly towards the business class.

"I went too, I learned some nursing skills to take care of my grandfather, and maybe I could help. You Jia said, also unbuckled his seat belt, and followed closely behind Ye Tong and Zhang Wenzhong.

When Zhang Wenzhong and You Jia entered the business class under the guidance of Ye Tong, the fatter pregnant woman was wailing in pain, and the passengers who were originally sitting around her had been transferred to other positions under the arrangement of the flight attendants, leaving this piece vacant, only her husband was still guarding her, holding her hand, and constantly comforting and encouraging her.

Just when Zhang Wenzhong walked quickly in front of the mother, a girl in her twenties was examining the situation of the woman, and after seeing Zhang Wenzhong, a touch of joy flashed on her face, and she said in surprise: "You" You are Dr. Zhang Wenzhong? I didn't expect you to be on this plane, this is really good!" "You are"? Zhang Wenzhong didn't remember that he had ever seen this girl.

"My name is Zhao Xiaozhao and I am a nurse at Yuntai Maternal and Child Health Hospital. I once watched Dr. Zhang's lectures on the Internet and benefited a lot. After briefly introducing himself to Zhang Wenzhong, Zhao Xiaozhao turned the topic back to business: "Doctor Zhang, I just briefly asked and checked this eldest sister, and she has now developed symptoms such as rapid pulse, difficulty breathing, and continuous abdominal pain, and at the same time, the uterine opening has been fully opened, and it seems that she should be going to give birth soon." The purser told me that there is still more than an hour's flight from Yuntai City. It seems that it is necessary for us to be ready to deliver babies on the plane. ”

"Well, you're talking about it. Zhang Wenzhong nodded, and then said to the mother's husband: "Let's transfer her to the first-class cabin first, where the seat can be laid flat, so that she can lie down well." Miss Zhao, please act as my assistant and assist me in delivering the baby for this eldest sister. ”

"Okay. Zhao Xiaozhao nodded in response. Although she forced her composure, there was still a hint of nervousness and anxiety between her eyebrows. After all, although she is a nurse at Yuntai Maternal and Child Health Hospital, she is not an obstetric midwife. Although I know some midwifery skills, I haven't practiced them much. At this moment, I suddenly met a person who was about to give birth on the plane, and it would be really strange if she wasn't nervous and anxious. At this moment, she can only hope that Zhang Wenzhong, a famous doctor who is well-known throughout the country, also has deep attainments in midwifery.

"Good, good. The husband of the mother has become a little overwhelmed because of anxiety and nervousness, and at this time he is also nodding vigorously and assisting Zhang Wenzhong together with Zhao Xiaozhao and You Jia. The woman was carried to first class.

Because of Zhang Wenzhong's presence, Ye Tong's originally hanging heart was completely relaxed. While breathing a sigh of relief, she also came back to her senses, and hurriedly ran to the first-class cabin ahead of Zhang Wenzhong and the others, and said, "I'll go and spread a clean blanket for the seat." ”

The purser also regained his composure at this moment and said, "I remember, I have a first-aid kit on the plane, so I'm going to get it for you." ”

When Zhang Wenzhong, You Jia and others lifted the woman to the first-class cabin and let her lie flat on the seat, it didn't take long for her to start exhaling pain in a cold sweat again. And looking at the painful expression on her face at the moment, you can determine the extent of the pain coming from her lower abdomen. I'm afraid it's much stronger than just now. She screamed in pain and pulled her husband's arm tightly to relieve the pain she had never felt before.

Seeing the appearance of the mother, Zhang Wenzhong hurriedly put his hand on her wrist and shrugged his pulse, and said after more than ten seconds: "She is about to give birth, and we must start helping her deliver immediately." With that, he took out two pairs of sterile gloves from the first-aid kit brought by the purser, one was handed to Zhao Xiaozhao, and the other was worn

At this time, Zhao Xiaozhao also taught the mother how to breathe and exert himself according to the midwifery knowledge he had learned before. You Jia and Ye Tong, as well as several other flight attendants who were guarding here as assistants, opened their eyes nervously, held their breath, and kept praying in their hearts, while also following Zhang Wenzhong's instructions to be busy.

After everyone's efforts, Zhao Xiaozhao suddenly shouted happily and excitedly: "Okay, good, the fetus's head has come out, and with more effort, the fetus can be completely delivered."

Hearing Zhao Xiaozhao's words, not only the mother and her husband were relieved, but You Jia, Ye Tong and the rest of the flight attendants were also relieved, and even the other passengers on the plane also let go of their hanging hearts. If it weren't for the fear of disturbing the mother, Zhang Wenzhong, and Zhao Xiaozhao, I was afraid that they would start applauding and cheering.

At this moment, everyone on this plane is paying attention to this mother and her soon-to-be-born child. These people, who were originally different from each other, were not only quietly cheering for the mother, but also praying to the gods in their hearts. I hope they will be able to manifest themselves and bless the mother and son with safety. However, not long after everyone relaxed, they heard Zhao Xiaozhao shouting again. This time, there was a slight tremor in her voice, and the content was not good, and it even made everyone's faces change: "Oops" Oops, this is shoulder dystocia!"

The so-called shoulder dystocia, also known as shoulder delivery difficulties, refers to the situation that the head of the fetus has been delivered out of the body at the time of delivery, but the anterior shoulder is stuck above the pubic symphysis and cannot be delivered by conventional midwifery methods.

Because the baby's shoulder is stuck in the birth canal, it compresses the umbilical cord and prevents it from supplying blood to the fetus properly. Failure to deliver the fetus within a limited number of minutes can lead to a lack of blood and oxygen supply, impaired intelligence, and even death. In the process of assisted delivery, it is also easy to cause fetal clavicle fracture or brachial plexus damage. It can be said that shoulder dystocia is one of the last difficult births that obstetricians and midwives want to encounter.

Even in a well-equipped delivery room, shoulder dystocia can cause obstetricians and midwives to break out in a cold sweat. And now, on this plane with neither relevant equipment nor related drugs, he encountered shoulder dystocia, which is no wonder that Zhao Xiaozhao exclaimed.

In just an instant, a cold sweat poured out of Zhao Xiaozhao's whole body, and he couldn't stop muttering: "What to do," What to do now"

Zhang Wenzhong shouted in a deep voice: "Calm down, don't panic." If you, as a medical worker, are panicked, what do you want to do with the mother?"

Zhang Wenzhong's shout was like a slap in the face of Buddhism, which made Zhao Xiaozhao calm down immediately. She immediately began to recall the midwifery techniques she had learned about shoulder dystocia, and instructed the mother: "Sister, you hold your thighs with both hands and bend your thighs as much as you can so that they are close to your abdominal wall". ”

The method taught by Zhao Xiaozhao to the mother is called the thigh flexion midwifery method, which can reduce the curvature of the lumbar spine, reduce the pelvic inclination, and raise the pubic symphysis to increase the exit plane, so that the fetus's anterior shoulder can be released from above the stuck pubic symphysis. It is also the clinical method of choice for shoulder dystocia. However, Zhao Xiaozhao soon discovered that this method simply did not work.

Subsequently, Zhao Xiaozhao and Zhang Wenzhong tried to deal with shoulder dystocia by pressing the anterior shoulder, rotating the shoulder, and holding the hind arm to deliver the posterior shoulder, but frustratingly, these methods failed to play their due role.

In such a situation, Zhao Xiaozhao could only put forward a final choice: "The front shoulder of the fetus is too tight to get up from above the pubic symphysis, in order to save the fetus's life, he can only break his collarbone, let him deliver it from the birth canal first, and wait until the plane lands, and then send him to the hospital for treatment of broken bones! Although doing so is likely to hurt the fetus's brachial plexus, in order to save his life, there is nothing else to worry about." Dr. Zhang, what do you think?"

As soon as Zhao Xiaozhao's words came out, the expressions of everyone present immediately became painful.

However, in order to save the life of the fetus, the husband of the mother finally gritted his teeth and said in a crying voice: "Doctor, if you should break the collarbone, you can break it, as long as you can save the child's life."

However, just when a pessimistic mood hung over everyone's heads, Zhang Wenzhong said after thinking for a few seconds: "The methods used just now are not completely useless, the front shoulder of the fetus stuck has been loosened a little. I think I've been able to get his stuck front shoulder out of the pubic symphysis. ”

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