Since 1981 Health School

The childbirth process is divided into 3 major stages of labor, the first, second, and third stages of labor.

The first stage of labor refers to the period from formal labor to full dilation of the cervix, that is, the dilation of the cervix to 10 cm. The clinical manifestations are regular uterine contractions, dilation of the cervix, decreased fetal presentation, and rupture of membranes.

Generally, primiparous women need 10-12 hours, and multiparas need about 6-8 hours.

The second stage of labor is also called the fetal delivery period, that is, it usually takes 1-2 hours from the dilation of the cervix to the delivery of the fetus.

The third stage of labor is called the placental delivery period, that is, from the delivery of the fetus to the delivery of the placenta, it takes about 5-15 minutes, no more than 30 minutes.

At this time, the obstetrician also needs to clear the newborn's airway, handle the umbilical cord, and assist in the delivery of the placenta.

These three stages of labor are all over, and the delivery can be said to be successful. Everyone can set off firecrackers and eat red eggs to celebrate. Generally, there will be no major accidents.

Now Linghua, the mother of Weicun Chang's family, is in the first stage of labor.

It usually takes about 12 hours from the start to the opening of the cervix to 10cm. If this time is exceeded, the risk will gradually increase. At this time, the doctor will use some oxytocin injections.

If the first stage of labor exceeds 20 hours, it is called prolonged first stage of labor. At this time, it is already a yellow alarm.

By the afternoon, the mother was still screaming and screaming, and she was a little weak, and Wang Adi began to have a bad feeling.

It has been 17 hours since the contraction and abdominal pain started last night, which is beyond the normal standard.

At this time, Wang Adi was a little anxious, but she didn't show it on the surface. She opened the pregnant woman's lower body with a tool, and when she saw it, cold sweat broke out.

When she came in the morning, the dilation of the cervix reached 4 cm. Now it has been almost a day, and the cervix has only dilated to 6 cm. This is a typical "stagnation of active labor process".

Two words instantly appeared in Wang Adi's mind: "dystocia"!

Now Wang Adi became anxious, and quickly hung up the oxytocin needle, observing the cervix from time to time.

The women in the countryside are very experienced in observing words and expressions. When they saw that Dr. Wang was joking and laughing, but now he suddenly kept silent, with a serious expression, and even hung up the "big needle", it must be a There is a problem.

The village head's wife asked weakly:

"Doctor Wang, what's the matter? It's been a long time, and the child hasn't responded yet?"

At this time, Wang Adi's mouth was still a little hard, and she felt that it was very possible to give birth after taking oxytocin:

"It's okay, it's okay, the mother's strength is a little weak, I hung up oxytocin to help her, and the cervix will have a meeting in a while, and it will be fine."

After a dose of oxytocin, the intense pain caused the weak mother to start screaming again: "Ah, it hurts~~~"

The family members next to me breathed a sigh of relief when they heard the screams again, but they were always worried. Many of them had already folded their hands together and begged the Bodhisattva.

For mountain people, giving birth to a child is definitely a hell.

Oxytocin is still effective, and the cervix dilates to 10cm immediately, and enters the second stage of labor. The opening is dilated, which is equivalent to opening the door. At this time, the baby is about to be born.

As a result, things didn't work as expected, and the fetal head was difficult to enter the basin.

The scream of the pregnant woman was like being beaten by her husband, one louder than the other, "Ah~~It hurts to death~~ah~~help~~~"

The family members inside and outside the house were all in a hurry, the people outside were circling in a hurry, and the female family members in the house almost knelt down.

Wang Adi was already sweating profusely at this time. She is an experienced doctor, and she knew at a glance that the car was going to roll over today, and the fetal head couldn't even come down.

Needless to say, it was difficult to give birth.

"It's over, it's over, it's a dystocia, the baby's head is too big, it can't be born."

"Ah~~~"

As soon as these words came out, the mother of the parturient fell down and sat on the ground, covering her mouth and not daring to cry, but her eyes were terrified.

The mother-in-law stayed at the scene first, and then hurriedly hugged Wang Adi's arm:

"Doctor Wang, doctor Wang, please save my grandson, this is the first child, this is my first grandson~~~ woo woo woo~~~~"

After Wang Adi panicked, she quickly calmed down. If the fetal position was incorrect, she could still think of a way to take the risk of turning the fetal position with her bare hands, but what she met now was a huge baby.

The fetal head is too big to enter the mouth of the basin, which is equivalent to a large container truck trying to pass through a small doorway, which is absolutely impossible.

But the mother can't wait, and neither can the fetus. Once the second stage of labor is delayed, the final outcome must be stillbirth, one dead body and two lives, and there is no chance of saving lives.

At this moment, the youthful face of "Chen Qi" and the 100% success rate of the operation flashed through Wang Adi's mind.

So she hurriedly shouted at Wei's family:

"Hurry up, you must use a tractor to invite Director Chen from our hospital as quickly as possible. Now he is the only one who can beg for puerpera. Hurry up, or it will be too late."

When the mother-in-law and mother heard this, they immediately got up from the ground, "Doctor Wang, can Dean Chen really save my daughter?"

"Yes, he can operate. He can even take out three tumors as big as in his stomach. Let him have a caesarean section. There is absolutely no problem."

The wife of the village head quickly wiped her tears, opened the door and ran out:

"Old man, hurry up, drive the tractor quickly, go to the health center to pick up Dean Chen, and say that there is a dystocia here, and a caesarean section will be delivered. There is still rescue, it will be too late~~~"

Upon hearing this, Village Chief Wei kicked his son's ass:

"Why are you still standing there, start the tractor quickly, I'll go to the health center to ask Dean Chen!"

"Okay, good dad, I'm going now, I'm going now!"

At this time, Chen Qi was still in the guest house, paying out of his own pocket to treat the new Vice President Liang to dinner.

It turned out that he and Yan Quanxin had a very harmonious team. Without Yan Quanxin's strong support, Huang Tan would not have been able to establish surgery and operate an operating room.

If there is no credit for the operation, Chen Qi would be completely blind now, useless in this mountain, let alone be the dean, he would not even be paid his salary, and it would be an impossible task to transfer outside the mountain.

So in Chen Qi's heart, he very much hopes to have a good relationship with this new vice president, and everyone will work together to build the hospital.

Liang Junling also intends to build a good relationship with the two superiors,

Before he came to Huangtan, Director Qiu had clearly told him that he must cooperate well with Dean Chen Qi's work, and everything was subject to Dean Chen Qi's opinion, which was the position of an "assistant".

Liang Junling is an honest person, and he doesn't want to engage in any office struggles, so he can naturally accept this position.

While these people were eating and chatting, Jin Linlin, who was on duty, hurried in from the door:

"Dean Chen, there is an emergency!!!"

As soon as they heard that it was an emergency, the three people in the guest house stood up and put down their chopsticks.

At this time, Chen Qi asked, "What emergency? Is the patient in the hospital?"

Jin Linlin held the door frame out of breath:

"It's a dystocia. The village head's daughter-in-law of Mantoushi Village has a difficult labor. Dr. Wang Adi is already here. She asked the village head to pick you up for an emergency cesarean section. Now the villagers are waiting, and the tractor is still on."

Cesarean section?

As soon as Chen Qi heard these three words, his scalp went numb, and his whole body became ill instantly.

You must know that because of this operation in Hengluli, he was forced by his family to fall into the rolling flood, and almost died. This incident became his "inner demon".

He has experienced the conservativeness of the mountain people. He even cut a hemorrhoid and said that he has tarnished the innocence of the female patient. If something happens again, how many lives can he live?

Seeing Chen Qi's hesitant expression, his footsteps stopped, and Liang Junling was anxious and suspicious.

He was a newcomer, and he didn't know much about the past of this little Dean Chen, so he thought it was embarrassing because Chen Qi couldn't perform the cesarean section.

"Dean Chen, how about this, although I have never had a cesarean section, I can give it a try, or I will go first..."

Only then did Chen Qi realize that something unexpected was going to happen. There was no difference between his Chen Qi going and his Liang Junling's going. They are both old men. Besides, if you are a newcomer, you can't cheat him, right?

This attitude is enough.

"Let me go, I won't be so unlucky again and again, right?"

Yan Quanxin knew why Chen Qi was embarrassed, so he waved his hand:

"Stop arguing. As doctors, we can't just ignore death because of our own thoughts. Let's all go. If something happens, I will bear it."

A few people just ran out of the guest house, and it was too late to pay for the meal.

The tractor chugs and chugs on the mountain road for almost an hour before arriving at Mantoushi Village. The driver almost drifted on some sections of the winding road and cliffs along the way, and Liang Junling was so frightened that he broke into a cold sweat.

On the other hand, Chen Qi and Yan Quanxin are much calmer and have long been used to it.

This made Liang Junling admire the two superiors more in his heart, especially Chen Qi, a technical secondary school student who made a career in the mountains. It was not easy, and he had to learn from it.

When the tractor came to the end of Mantoushi Village, the head of Weicun's house was one of the few houses with lights on, and the yard was full of people.

The mother's screams have been heard throughout the yard, echoing in the village for a long time, making many villagers feel unbearable.

Many older women have already met each other, pointing and discussing quietly:

"It's troublesome, the village head's daughter-in-law has a difficult delivery..."

"Yeah, even Dr. Wang Adi can't handle it, so it must be impossible to save her..."

"Poor thing, this good happy event is about to turn into a mournful one. Why is it so difficult for us women..."

The relatives of Wei's family were all anxious like ants on a hot pot. They looked towards the entrance of the village from time to time, and when they saw the lights and chug of the tractor, many people ran over to greet them.

The husband of the pregnant woman has already driven the tractor out of Ferrari, but it still feels slow.

After finally arriving at the entrance of the village, I saw a group of people rushing over, swiping their cars one by one, their faces turned pale.

"Linghua, oh Linghua, you died so badly~~~~"