When the doctor puts his fingers into the area, it feels sore and refreshing to the mother, and she cannot feel it at all. It can only be said that the patient in the sixth bed may be in real pain and numbness.
In any case, Dr. Peng asked the student: "What was the result after you examined her?"
"The dilation is almost eight fingers." Xie Wanying said, "Her problem is not a productivity problem, but a birth canal problem. It is a cephalopelvic disproportion. A cesarean section must be performed. The outer diameter of her sacro-pubic cavity is less than 16 centimeters.
About 15.5, the anteroposterior diameter of the pelvic inlet is less than 8 and about 7.8, the biparietal diameter of the fetus is 9.3, and there is obvious cephalopelvic disproportion. The fetal head cross-pubic sign should be positive. The fetus cannot enter the pelvis and enter the birth canal, and natural delivery is impossible."
The causes of maternal dystocia can be roughly divided into three categories. The first category is productivity problems, which mainly refers to weak uterine contractions. The mother cannot use her own strength to push the baby out of the body. The second category is birth canal problems. Common clinical problems include abnormalities of the bone birth canal and other causes.
Pelvic abnormalities are the main ones. The third category is abnormal fetal position. Bed No. 6 is obviously the second category cause. The expectant mother's pelvis is small, the fetus' head development is relatively normal, and the fetus' head cannot drill out of the mother's pelvic entrance, which is obvious.
Cephalopelvic disproportion.
Also, laymen call it caesarean section, but medical academics definitely call the standard surgery caesarean 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 see you." Dr. Zheng replied.
There were so many patients that Dr. Peng could not remember all the clinical data of all the patients. She took the six-bed medical records and looked at them again, and found that the values mentioned by Xie were almost consistent with the examination reports in the medical records.
Dr. Peng raised his head, and together with Dr. Zheng, he looked at the student's face with four eyes: Strange, what is going on?
According to visual estimation, this patient is thin, and many bony protrusions are obvious and easy to see. Even so, the guess is almost the same as what the instrument measured. It can be said that few medical students can do it clinically. Old
The doctor's words can be guessed based on experience.
Putting down the medical records, Dr. Peng put on gloves to recheck the patient's cervix. It was really dilated to seven or eight fingers. This is troublesome. If this continues, both the mother and the fetus will be in danger. He quickly took out his mobile phone and communicated with Director Yu before running out.
The delivery room calls for family members to come and talk.
Dr. Zheng took two classmates out with him, worried that Dr. Peng would be weak alone in the face of a group of family members who were afraid of being unreasonable.
"Li Taoli's family members, whoever, come here." Walking out of the door of the delivery room, Dr. Peng looked at the family members in bed No. 6.
After a while, a young man and two women came over. The three were the patient's husband, mother-in-law and biological mother respectively.
"What's wrong with my wife, doctor? Is she in labor?" the patient's husband asked.
"Director Yu told you before about her situation that she can't have a normal delivery. Now that her uterus is seven or eight fingers open, she will immediately enter the second stage of labor."
"Let her give birth quickly. We are waiting."
"The head of her fetus is too big and the pelvis is too small. The fetus will never come out and will die in her belly 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 belly? Don't think that I don't know what a pelvis is. The pelvis is the bone of the belly."
Dr. Peng wanted to scold the public, wondering why he would educate the patient's family on medical common sense when he has no time at this juncture. In fact, this situation is one of the problems that the country requires for regular prenatal check-ups for pregnant women. It should have been discovered during prenatal check-ups long ago.
, the prenatal doctor will remind the mother and the patient’s family to request a cesarean section.
