Chapter 1758 【1758】Return
If you can, sprinkle some talcum powder on mom's belly before doing it.
Across the mother's belly, the doctor holds the baby's buttocks with both hands, supports the baby's buttocks with the strength of the wrist, turns it in the opposite direction to the baby's fetal head, and then protects the baby's head with one hand to keep the baby's head small. The head is bowed, and the other hand continues to rotate the hip until it returns to the correct fetal position in the front of the occipital bone. This step is known as external breech reversal.
There is external rotation, and there is corresponding internal inversion. Internal breech reversal requires general anesthesia, which is relatively complicated, and is rarely used in normal clinical delivery. Sometimes it may be used by a doctor during a cesarean section.
Partial breech inversion can also be used to try to rotate like a transverse position. The old midwives dared to try it themselves. Now the relationship between doctors and patients in the hospital is tense, and the obstetrics department is the hardest hit area for doctor-patient conflicts. Midwives dare not try it. Doctors can only try it.
Doctors are very afraid of trying the same thing. Whoever makes a place like obstetrics where there are two dead people is a bit disturbing, and the family members are more violent than anyone else.
It sounds miraculous that no surgery is required, but the actual operation has many restrictive prerequisites, and the risk is very high during the operation.
To carry out the transfer operation, the space of the mother's uterus must be large enough to allow the doctor's hand to push the baby to have room to operate. Secondly, there needs to be enough amniotic fluid in the mother's body, not too little, otherwise the baby will not be able to roll, and it will cause certain damage to the mother's uterus.
In the process of transferring fetuses, there may be risks such as tearing the mother's uterine wall and causing the placenta to fall off prematurely. The risk to the baby cannot be ignored either. In the process of fetal transfer, it is not ruled out that the baby is severely hypoxic due to the umbilical cord around the neck, so he can only be transferred to cesarean section in a hurry. In this way, it is not as safe as a direct cesarean section.
Therefore, many doctors prefer to directly advise family members and patients to adopt cesarean section instead of taking this risk.
It can be seen from this that only doctors with strong enough skills and confidence dare to continue to perform abortion on pregnant women under difficult conditions in an effort to ensure a smooth delivery. In the doctor's eyes, what is the best situation to have an abortion. Of course, the doctor does not force the baby to change the position. It is safest if the baby can turn back to the correct position in the mother's womb by itself, so as to avoid any damage to the mother and the baby caused by external brute force.
Don't force the baby to turn, how to let the baby turn by itself, the baby can't understand what the doctor and mother say. It is indeed a very advanced knowledge for babies to understand the messages sent by doctors and mothers, and it is a knowledge that many medical professionals have worked hard to explore.
In clinical practice, summed up, there is still some experience accumulated by predecessors, which can be used as a reference for on-site doctors.
Think of the baby lying in the mother's womb as a self-conscious sphere. If there is a relatively spacious space, it is more comfortable for the ball to roll in, and naturally, the baby will turn around by itself. Based on this assumption, clinically, after the abnormal fetal position is found as early as the third trimester of pregnancy, the obstetrician will start to teach the mother to do gymnastics to correct the fetal position. The most common is the knee-chest position exercise mentioned earlier.
After clearing up the whole idea, Xie Wanying said to the extra bed No. 3: "Come on, let me help you change the body position and teach the baby how to turn back to the correct position."
Her eyes were firm and her tone was forceful.
Extra bed No. 3 felt that her clenched hand injected a strong force into herself, so she couldn't help but nodded.