Chapter 1714 【1714】Causes of Dystocia
The place where the doctor's finger is inserted is sour to the parturient, and it is impossible to feel nothing. It can only be said that the six-bed patient may be really painful and numb.
Anyway, Dr. Peng asked the student: "What's the result after you checked her?"
"The uterine dilation is almost eight fingers." Xie Wanying said, "Her problem is not a labor force problem, but a birth canal problem. It belongs to cephalopelvic disproportion, and a cesarean section must be performed. Her sacral pubic diameter is less than 16 centimeters. About 15.5, the anteroposterior diameter of the pelvic entrance is less than 8 and about 7.8, the fetal biparietal diameter is 9.3, and the cephalopelvic disproportion is obvious. The fetal head cross-shame sign should be positive, and the fetus cannot enter the birth canal without entering the pelvis, and cannot give birth naturally."
The causes of maternal dystocia can be roughly divided into three categories. The first category of labor problems mainly refers to weak uterine contractions, and the mother cannot use her own strength to push the baby out of the body. The second category is birth canal problems. The most common clinical abnormalities are bone birth canal abnormalities and pelvic abnormalities. The third category is abnormal fetal position. Bed six is the obvious reason for the second category. The mother-to-be has a small pelvis, and the development of the fetus' head is relatively normal. The fetus's head cannot penetrate the mother's pelvic entrance, which is an obvious cephalopelvic disproportion.
Also, laymen call it cesarean section, and medical academics must call it the standard operation name cesarean section.
After Dr. Peng and Dr. Zheng heard what she said, Dr. Peng immediately asked Dr. Zheng, "Has she seen the patient's medical records?"
"How is that possible. I just brought her in to find you." Dr. Zheng replied.
Taking over a lot of patients, Dr. Peng couldn't remember all the clinical data of all the patients. She took back the six-bed medical record and looked it over, and found that the value that Xie said was almost the same as the inspection report in the medical record.
Dr. Peng raised his head, and together with Dr. Zheng, looked at the student's face with four eyes: Strange, what's going on?
According to visual estimation, this patient is thin, and many bony protrusions are obvious, which is easy to see. Even so, it can really be guessed that it is similar to the one measured by the instrument. It can be said that few medical students can do it clinically. The old doctor's words can also be guessed by experience.
Putting down the medical records, Dr. Peng re-examined the patient's cervix with gloves on. trouble. If this continues, both the mother and the fetus will be very dangerous. He hurriedly took out his mobile phone to communicate with Director Yu, and ran out of the delivery room to call his family members to talk.
Dr. Zheng took two classmates out with him, worried that Dr. Peng would be weak in the face of those unreasonable family members alone.
"Li Taoli's family members, which one, come here." Walking out of the gate of the delivery room, Dr. Peng looked at the family members on the sixth bed.
After a while a young man and two women came over. The three are the patient's husband, mother-in-law and his own mother.
"What's the matter with my wife, doctor? Did she give birth?" the patient's husband asked.
"Director Yu talked to you about her situation before and said that it is impossible to have a normal delivery. Now Gongkai will enter the second stage of labor soon."
"Give her birth quickly. We'll wait."
"Her fetus' head is too big and her pelvis is too small. The fetus will never come out and will die in her stomach due to dystocia."
"I don't understand." The patient's husband waved his hand to ask Dr. Peng to stop talking, "If she has a small pelvis, how can the child stay in her stomach. Don't think that I don't know what a pelvis is. The pelvis is the bone of the stomach."
Dr. Peng wanted to scold the public in his heart, wondering why he came to popularize medical knowledge to the patient's family when he had no time at this juncture. In fact, this kind of situation is one of the problems that the state stipulates for pregnant women to have regular check-ups to prevent it. It should have been discovered during the check-ups during pregnancy.