Chapter 265: Having inner demons about cesarean section
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The childbirth process is divided into three major stages of labor, the first, second and third stages of labor.
The first stage of labor refers to the official onset of labor until the cervix is fully dilated, that is, the cervix is dilated to 10cm. The clinical manifestations include regular uterine contractions, dilation of the cervix, decreased fetal presentation, rupture of fetal membranes, etc.
Generally, first-time mothers need 10-12 hours, and multiparous women need about 6-8 hours.
The second stage of labor is also called the fetal delivery period, which is from the full dilation of the cervix to the delivery of the fetus. It usually takes 1-2 hours. It is characterized by the natural rupture of the fetal membranes, the mother has a reflexive defecation feeling, and the fetus is delivered.
The third stage of labor is called the placenta delivery period, which takes about 5-15 minutes from the delivery of the fetus to the delivery of the placenta, no more than 30 minutes.
At this time, the obstetrician also needs to clean the newborn's respiratory tract, handle the umbilical cord, and assist in the delivery of the placenta.
Only when these three stages of labor are over can we say that the delivery was successful. Everyone can set off firecrackers and eat red eggs to celebrate. Generally, there will be no major accidents.
Now the mother-in-law Linghua of Wei Village Chief’s family is in the first stage of labor.
It usually takes about 12 hours from the onset of cervix to the time when the cervix opens to 10cm. If it exceeds this time, the risk will gradually increase. At this time, the doctor will use some oxytocin injections.
If the first stage of labor lasts for more than 20 hours, it is called prolonged first stage of labor, and it is already a yellow alert.
By the afternoon, the mother was still screaming, and she was already a little weak. Wang Adi began to have a bad premonition.
It has been 17 hours since contractions and abdominal pain started last night, which is beyond the normal standard.
Wang Adi was a little anxious at this time, but she didn't show it on the surface. She used a tool to open the pregnant woman's lower body, and when she saw it, she broke out in a cold sweat.
When she came in the morning, the cervix was dilated to 4cm. Now, almost a day has passed, and the cervix has only been dilated to 6cm. This is a typical "stagnation of active labor".
Two words instantly appeared in Wang Adi's mind: "dystocia"!
Now Wang Adi was anxious and quickly hung up the oxytocin needle and observed the cervix from time to time.
Women in the countryside are very experienced in observing words and expressions. When they saw the invited Dr. Wang, who was chatting and laughing, suddenly became silent, had a serious expression, and even had a "big needle" hung up, it must have been
Something went wrong.
The village chief’s wife asked weakly:
"Doctor Wang, what's going on? It's been a long time and the child still hasn't responded at all?"
Wang Adi was still a bit stubborn at this time, and felt that it was still very possible to give birth even after taking oxytocin:
"It's okay, it's okay. The mother's strength is a little weak. I put on oxytocin to help her a little. After a while, the cervix will be healed."
Once the oxytocin was administered, the strong pain caused the already weak mother to start screaming again: "Ah, it hurts~~~"
Tomato
When the family members nearby heard the screams rang out again, they breathed a sigh of relief, but they were still worried. Many of them had already clasped their hands to pray to the Bodhisattva.
For people in the mountains, giving birth to a child is definitely a trip to hell.
Oxytocin is still effective, and the cervix dilates to 10cm immediately. Entering the second stage of labor, the cervix is dilated, which is equivalent to the door opening wide, and the baby is about to be born.
As a result, things went as planned, and it was still difficult for the fetus to enter the basin.
The pregnant woman screamed as if she had been beaten severely by her husband, one sound louder than the other, "Ah~~It hurts to death~~Ah~~Help~~~"
The family members inside and outside the house were extremely anxious, the people outside were spinning in circles, and the girls in the house almost knelt down.
Wang Adi was sweating profusely at this time. She was an experienced doctor. She knew at a glance that the car was going to overturn today. The fetal head could not come down. It was obviously not because the head was too big and stuck.
Needless to say, it was difficult to give birth.
"It's over, it's over, it's difficult to give birth. The fetus's head is too big and it can't be born."
"Ah~~~"
As soon as these words came out, the mother fell to the ground, covering her mouth and not daring to cry, but her eyes were filled with fear.
The mother-in-law of the mother-in-law first stayed at the scene, and then hurriedly hugged Wang Adi’s arm:
"Doctor Wang, Doctor Wang, please save my grandson. This is the first born. This is my first grandson~~~oooooo~~~~"
After Wang Adi panicked, she quickly calmed down. If the fetus was in an abnormal position, she could still think of a way to take the risk of turning the fetus out of the fetal position with her bare hands, but now she encountered a huge baby.
The tire head is too big and cannot enter the mouth of the basin. It is equivalent to a large container truck trying to pass through a small door. It will never be able to pass.
But the mother cannot wait, and neither can the fetus. Once the second stage of labor is delayed, the final outcome will be a stillbirth, one dead and two dead, with no chance of saving lives.
At this moment, "Chen Qi's" young face and the 100% success rate of the operation flashed through Wang Adi's mind.
So she quickly shouted to Wei's family:
"Quick, you must use a tractor as quickly as possible to invite Director Chen from our health center. Now he is the only one who can ask for help from the mother. You must hurry. If you are late, it will be too late."
When the mother-in-law and mother heard this, they immediately got up from the ground and said, "Doctor Wang, can Dean Chen really save my daughter?"
"Yes, he can operate. He can even remove three tumors as big as the size of his belly. Let him do a caesarean section, and there will be no problem."
The village chief’s wife quickly wiped her tears, opened the door and ran out:
"Old man, hurry up, drive the tractor and go to the health center to pick up Director Chen. He said there is a dystocia here and a caesarean section is needed. There is still hope, but if it is too late, it will be too late~~~"
When Village Chief Wei heard this, he kicked his son in the butt:
"Why are you still standing there? Hurry up and start the tractor. I'll go to the health center to ask Director Chen in person!"
"Okay, good dad, I'm going now, I'm going now!"
At this time, Chen Qi was still in the guest house, spending his own money to treat the new Vice President Liang to dinner.
It turned out that he and Yan Quanxin worked very harmoniously together. Without Yan Quanxin's strong support, Huang Tan would not have been able to found the Department of Surgery and open the operating room.
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Without the credit for the operation, Chen Qi would be completely blind now and would be of no use in this mountain. Not to mention becoming the dean, he would not even be paid his full salary, and it would be impossible to transfer him outside the mountain.
Therefore, Chen Qi really hopes to have a good relationship with this new vice president, so that everyone can work together to build the hospital.
Liang Junling also wanted to build a good relationship with his two superiors.
Before he came to Huangtan, Director Qiu made it clear to him that he must cooperate with Dean Chen Qi's work and that everything should be based on Dean Chen Qi's opinion, which is the position of an "assistant".
Liang Junling is an honest person and does not want to engage in office struggles, so he can naturally accept this position.
While these people were eating and chatting, Jin Linlin, who was on duty, hurried in from outside the door:
"Dean Chen, there is an emergency!
”
Upon hearing that it was an emergency, the three people in the guest house stood up and put down the tachyon.
At this time, Chen Qi asked: "What emergency? Is the patient in the health center?"
Jin Linlin panted and held on to the door frame:
"It's a dystocia. The village chief's daughter-in-law in Mantou Shi Village has a dystocia. Dr. Wang Adi is already here. She asked the village chief to pick you up for an emergency cesarean section. Now the villagers are waiting, and the tractor hasn't turned off."<
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Cesarean section?
Chen Qi's scalp went numb as soon as he heard these three words, and his whole body suddenly felt bad.
You must know that because of this surgery in Hengluli, he was forced by his family to fall into the rolling flood and almost died. This incident became his "inner demon".
He has seen how conservative the mountain people are. Even if he had a hemorrhoidectomy and said he had stained the innocence of the female patient, if something happened again, how many lives would he have left?
Seeing Chen Qi's hesitant expression, his steps stopped. Liang Junling was anxious and suspicious.
He was new here and didn't know much about Dean Chen's past, so he thought it was because Chen Qi couldn't perform a cesarean section.
"Dean Chen, how about this? Although I have never had a cesarean section, I can give it a try. How about I go first..."
Only then did Chen Qi realize that if something unexpected happened, it would be no different if Chen Qi went there than if Liang Junling went there. They are both big men. Besides, if you are new to the country, you can't trick others, right?
Having this attitude is enough.
"I'd better go, I won't be so unlucky every time, right?"
Yan Quanxin knew why Chen Qi was in trouble, so he waved his hand:
"Stop arguing. We doctors can't just ignore it because of our own ideas. Let's all go. If something happens, I'll take care of it."
Several people ran out of the guest house, not even having time to pay for the meal.
The tractor drove awkwardly on the mountain road for almost an hour before arriving at Mantou Shicun. The winding mountain roads and cliffs along the way made the driver almost drift in some sections, which made Liang Junling so scared that he broke into a cold sweat.
On the other hand, Chen Qi and Yan Quanxin are much more calm and have long been used to it.
This made Liang Junling admire his two superiors even more, especially Chen Qi. It was not easy for a technical secondary school student to make a career in the mountains, and he had to learn from it.
When the tractor arrived at Mantou Stone Village, Village Chief Wei's house was one of the few houses with lights on, and the yard was full of people.
The mother's screams have filled the whole yard and echoed in the village for a long time, making many villagers feel unbearable.
Many older women are already talking to each other, pointing and talking quietly:
"Trouble, the village chief's daughter-in-law has a difficult delivery..."
"Yes, even Dr. Wang Adi can't fix it, so it's definitely impossible to save her..."
"It's pitiful. What was originally a happy event has turned into a funeral. Why are we women having such a hard time..."
The relatives of the Wei family were all as anxious as ants on a hot pot. From time to time they looked towards the entrance of the village. When they saw the light and the sound of the tractor, many people ran over to greet them.
The mother's husband has already driven the tractor like a Ferrari, but it still feels slow.
After finally arriving at the entrance of the village, I saw a group of people running towards me and swiping the car, my face turned pale.
"Linghua, ah Linghua, you died so miserably~~~~"
Chapter completed!