Rebirth in the medical world

Chapter 44 The breech presentation

"The first aid kit is here!" The young man from before arrived in a short while.

Ouyang Chenhui took the first aid kit, found a pair of sterilized gloves and put it on.He conveniently handed the first aid kit to Sister Jun, who was by her side and could also be an assistant.

After putting on the gloves, Ouyang Chenhui put his thumbs on his palms, put his other dead fingers together, and slowly penetrated into the woman's lower body. After groping a few times, Ouyang Chenhui suddenly became nervous.

"The situation is not good, it's breech! And the child is probably very big!" Ouyang Chenhui explained to Sister Jun, his face became serious.

Generally, the normal position is the head position, that is, during the delivery process, the baby's head is below, and it will come out first when it is born, because the diameter of the baby's head is the widest part of the whole body. If the head comes down smoothly, other parts will naturally It will also come down easily.

The breech position means that when the baby is about to give birth, the baby's buttocks are below, so that during the production process, the fetus's limbs and trunk are delivered first, and the fetus's head, which is the widest part of the body, may be stuck in the pelvis, which is likely to cause the fetus lack of oxygen.If the fetal head is pulled hard, fetal clavicle fracture and brachial plexus injury may also occur.

According to Ouyang Chenhui's visual inspection, this child will definitely not be small, but the mother's pelvis is relatively small. Comparing the two, the risk factor is much greater.

And because it is a breech position, it is very likely that the cervix will not be fully expanded, the buttocks will come out first, and the head will be stuck there.

"Then what should I do?" Miss Jun looked at Ouyang Chenhui with expectant eyes, and obviously regarded him as a pillar.

Ouyang Chenhui thought to himself, breech birth is not impossible, but the risk is relatively high.If it is in a hospital, an emergency caesarean section is completely possible. Even if the family members request a natural delivery, you can clearly explain the risks to them, and then sign and sign, so that even if something goes wrong, the doctor will not be blamed.

But now, on this fast-moving train, a caesarean section is absolutely impossible, and if she has the courage to pick it up for her, if something goes wrong, I'm afraid I can't afford it!The most important thing is that he is not an obstetrician and gynecologist now, but just a freshman.

what to do?Ouyang Chenhui hesitated a little.

"Ah! It hurts to death! I can't take it anymore!" The pregnant woman's cry was louder and louder than the last!
"Little brother, what's the matter? Why haven't they been born yet? The ones before me are all very fast!" The red nose was not nervous at all, after all, it has experienced a lot and has some experience.It's just that my wife has been calling for so long this time, why hasn't there been any movement?On this train that doesn't go to the village and doesn't go to the shop, if something happens, it will be troublesome.

"Your wife's fetal position is not correct, and the baby is very big, difficult to deliver!" Ouyang Chenhui said truthfully.

"Huh? If the fetal position is not correct, then surgery is required?"

"Disease?"

"With such a big belly, it's hard enough to give birth smoothly!"

People talked a lot, some shook their heads desperately, some looked at Ouyang Chenhui expectantly.

"What should I do?" Red Nose was really anxious now, stomping his feet non-stop.

"Little brother, you understand this, you must have a way, you save my wife and child!" Red Nose suddenly grabbed Ouyang Chenhui's arm, his voice was full of tears.

"Yes, yes! There is no gynecologist in this car, this young man seems to have a lot of skills, just give it a try!"

"Yes! Young man, just do your best!"

Everyone pleaded for the red nose.

"Uncle, just save my mother!" The big girl and the second girl seemed to understand the general meaning, and wiped away their tears, they tugged on Ouyang Chenhui's clothes from left to right.

It's hard to get over all the feelings, and besides, this family is really pitiful, so Ouyang Chenhui could only nod to them, and said: "I'll do my best!" Then he continued to squat down on the right side of the pregnant woman.

Ouyang Chenhui quickly recalled the precautions for breech delivery in his mind: breech delivery is very important, the buttocks are blocked until the cervix is ​​fully dilated, the vagina is dilated, the presenting part is completely descended, and the fetal heart rate is good during uterine contractions. The case proceeds according to the delivery mechanism.

Now the most important thing is to block it first, so as not to let the buttocks come down prematurely. He rests his right elbow on the seat, separates his right thumb from his four fingers, and uses the metacarpophalangeal joint at the root of his index finger to press the perineum. Press inward.

The contractions of the parturient became stronger and stronger one after another. After a few minutes, Ouyang Chenhui felt that it was almost done. Taking advantage of the fact that the parturient was not in contractions, he probed deeply with his hand to confirm that the cervix was fully dilated. Down.He started to loosen his grip on his perineum.

"Follow my instructions now, take a deep breath, hold it, when it hurts, and feel like defecating, just push down hard! Don't relax!" Ouyang Chenhui instructed.

The military lady stepped forward to hold the mother's hand and give her spiritual support.

It didn't take much effort, the buttocks came out smoothly, and a little JJ stood proudly between the legs.

"It's my son, my son!" The man with the red nose became excited all of a sudden, and stepped forward to grab his wife's hand, "Xiao Cui, Xiao Cui, it's my son! It's my son!"

"The head hasn't come out yet, you move it aside first!" Ouyang Chenhui felt restless for a while, the key parts haven't come out recently, so happy now!

Red Nose stepped aside obediently.

Midwifery generally ends within 8 minutes above the abdomen of the fetus, otherwise it will cause fetal asphyxia and death!Therefore, now is the most critical moment!

The mother tried hard for a few times, but the fetal head was still stuck there, without any sign of loosening!
The situation is a bit pessimistic!And the mother was obviously a little bit powerless after such a toss!

After turning around several times, but he didn't seem to find a breakthrough, Ouyang Chenhui's heart rose, and beads of sweat began to fall down.

Seeing Ouyang Chenhui's dignified expression, Sister Jun was also sweating, but with her half level, she could only look anxiously.

The delivery of the upper limbs of the fetus can be rotated or cat-washed.The fetal head is delivered in a straddle manner.

This is the experience of the head of the gynecology department when he was at work. He remembered this sentence, but he has never practiced it himself, because now in the hospital, any fetal position that is not correct is basically directly taken to the operating room for caesarean section. They are unwilling to take this risk, and doctors are even less willing to take it, so these technical knowledge is in the hands of a small number of older doctors. The younger generation of doctors, at most, only know how to do it, and the chance to practice it is very small.

However, right now, it seems that we can only try it.It's up to you whether you succeed or not!

"Wipe off your sweat!" The military lady took a delicate handkerchief and wiped the sweat from his forehead.

The handkerchief exuded a faint fragrance, and Ouyang Chenhui felt a burst of fragrance piercing his heart, and he felt refreshed all of a sudden, and his mentality became much more stable.

Taking a few deep breaths, Ouyang Chenhui got rid of all distracting thoughts, calmed down, and slowly turned the carcass while recalling the previous director's teachings.

"How is it? Why hasn't my son come out yet?" The red nose became anxious again.

Seeing that Ouyang Chenhui didn't reply, the red nose "thumped" and knelt down.

"Ancestors! You must bless the only seedling of my Meng family! This is the hope of the Meng family! Ancestors! Show your spirit!" The red-nosed man knelt down and muttered.

Ouyang Chenhui frowned.Speed ​​up the strength of the hand.

"Come out!" Sister Jun shouted!
(End of this chapter)