Chapter 2042 【2042】

Episiotomy is familiar to medical students who have studied obstetrics and gynecology. It is a very common knowledge point in obstetrics. Unlike a cesarean section, it is a procedure often seen during obstetric delivery. The purpose is to avoid tearing of the perineum and damage to the pelvic floor muscles of the mother caused by the excessive size of the fetus running on the perineum during the delivery process. For this reason, the volume of the perineum is enlarged by cutting the perineum in advance.

Some puerperas don't understand these things. They only hear that the doctor suddenly wants to cut their good body parts. They don't understand, and they are afraid of leaving scars.

In fact, because the fracture surface of the episiotomy is neat, the wound of the episiotomy heals much better than the irregular tear wound caused by the tear of the perineum, and basically no big scars are left. Moreover, if the pelvic floor muscles are really injured during labor, it will cause considerable sequelae to the maternal health and life in the future.

It is even more impossible for a doctor to casually stab a patient. The extra cut is a big trouble for the doctor, and the doctor is responsible for the healing of the cut. Surgery will only be performed when it is necessary to judge the maternal condition.

Episiotomy can generally be performed by midwives, and it does not need to be a doctor, which further shows that the risk of this operation is very low.

It can be seen from the above that the mother's worries are more due to the doctor's failure to explain the work to the mother before the operation, which leads to the mother's complaints.

The suspicion between doctors and patients is often reflected in these details.

Many domestic clinical doctors do not do enough in doctor-patient communication and are unwilling to pay. There is only one reason. Domestic doctors have to deal with too many patients every day and have no time to do detailed medical science.

In addition, there are clinical patients who are suspicious, and there are many suspicious patients. If I said it in advance and didn't do it in the end, I'm afraid it will make the mother doubt again and again.

"It's not that I don't know, I'm trying to test your senior sister's current situation that needs to be cut sideways." Lin Hao gritted his teeth and asked Li Qi'an not to panic.

Judging when a parturient needs a side cut is a technical job, rather than memorizing it from a textbook. This point may need some clinical practice experience to support. Li Qi'an had seen many cases in the obstetrics department, thought about it, and said, "Maybe it's because the senior sister is a primipara?"

Here, when Li Xiaobing heard that the boss was about to cut her suddenly, he couldn't help feeling nervous like other women in labor, and questioned why he had to cut her sideways.

Seeing this, Dr. Tang skillfully helped her husband comfort and explained to the patient: "Xiao Bing, don't be nervous. The lateral incision is normal." Immediately after, leaving aside the redundant medical terminology, Dr. Tang directly cited his own example: "When I gave birth to my son, I also had a side cut. Who made us the first child."

For first-time mothers, primiparous women are more likely to have a tighter perineum than multipara mothers. When the fetus is born, the mother’s perineum will be ruptured, causing perineal tears. In most cases, lateral incision is required.

In this way, Li Qi'an's guess is correct? No, only about half right. Lin Hao squinted his eyes, and the expressions of the bosses on the scene were silent, indicating that something was wrong. Li Qi'an noticed the subtle atmosphere, and he also didn't dare to show off his ordinary talents.

In Li Xiaobing's case, doctors may have to consider other special factors more. For example, if a mother has heart disease and needs to shorten the second stage of labor, lateral incision can make the delivery faster. Furthermore, breech midwifery is a dystocia, and lateral incision is inevitable.