Chapter 2044 [2044] Surprised
"Doctor Huang, don't shake your hands. Go a little further in this place and push some more medicine." Du Haiwei carefully observed Huang Zhilei's movements with his eyes while giving accurate and important instructions.
If it wasn't for the purpose of blocking the buttocks, one of the two hands could not be used to administer the anesthetic, otherwise, as a rule, the midwife would have to administer the anesthetic himself. For local anesthesia in this area, the doctor needs to feel for the ischial spine in the "cause" channel with one hand to guide the needle, so as to prevent the wrong injection.
According to the route guidance of Mr. Du, Huang Zhilei carefully adjusted the direction of the needle and the speed of the injection. Finally finished the anesthetic, it takes three to five minutes for the anesthetic to fully take effect. During this period of time, the rescue work continued in an orderly manner.
Maybe seeing everyone so calm, Li Xiaobing became less and less nervous, the pain returned to the pain, and he did not forget to have fun in the bitterness and complained to Cao Yong: "When my husband comes back, I think I will have finished giving birth."
It is a good thing that the maternal mood improves. The problem is - a bunch of people may be trying to force their composure.
Huang Zhilei stepped back after taking the anesthetic, took the towel from his junior brother and wiped his sweat fiercely, and was shocked when he heard Li Xiaobing's words. I heard that Fu Xinheng complained about Zhu Huicang and Li Xiaobing behind his back. There may be some reason why this couple is different from ordinary people.
Dr. Tang handed the surgical scissors to her husband.
The real situation of episiotomy may not be cut with a scalpel, but with surgical scissors.
What surgical instruments a doctor uses is always based on actual needs.
The perineum is not a vagina, it is a piece of soft tissue, mainly composed of skin and some muscles. The perineum in the broad sense and the perineum in the narrow sense are divided into different areas.
In a broad sense, it will include all areas such as the urethra and anus. In a narrow sense, it refers to the part between the anus and vulva. The place where the episiotomy should be performed is the perineum in a narrow sense, usually at the five o'clock direction.
The five o'clock direction is difficult to understand. You can look at the wall clock on your wall and compare it to the left side of the operation area, which is almost marked at five o'clock, which is where the doctor will start.
Due to the nature of soft tissue and the doctor's hands-on perspective, it is better to use surgical scissors than to use a scalpel to cut.
When cutting, the doctor who delivered the baby also needs to sense the position of the fetus before cutting.
If you cut it in advance, because the perineum is rich in blood vessels, it will cause more bleeding and increase the chance of infection. Delayed cutting is afraid that it will not be effective in time, which is also not good.
It is time to test the technical experience of an obstetrician in order to cut at the right time.
The most suitable time for this kind of breech midwifery is when the intertrochanteric diameter of the fetus reaches the ischial spine of the parturient. The tuberosity here refers to the tuberosity of the baby's femoral head. The tuberosity means the thick and protruding place. Many bones in the human body have protruding bony signs called the tuberosity, not just the femoral head. The doctor can feel the ischial spine of the parturient by hand in the "cause" of the parturient. On weekdays, the doctor feels the distance between the two ischial spines to judge the size of the transverse diameter of the mother's pelvis.
The small buttocks of the fetus fall to the position of the mother's pelvis, which is equivalent to the baby can begin to deliver.
The most important reason why Du Haiwei had to push the fetus back was that the mother was not ready. The lack of experience of the two young doctors in this area led to deviations that caused the mother to exert force prematurely. Fortunately, she realized that she made a mistake at the beginning and corrected it in time. Now that the boss is in place, he is ready for the side cut again.