Start as an Emergency Physician
Chapter 171
In the process of natural childbirth, the fetus can obtain an immunoglobulin, IgG, from the mother, and the fetus that obtains this immunoglobulin will have increased collective resistance after birth and is not prone to infectious diseases.
Moreover, because the baby born naturally from the yin canal undergoes a series of adaptive twists in the birth canal, the sensitivity of the skin and peripheral nerves will be stronger than that of the caesarean section baby, and the physical and mental coordination will be better than that of the caesarean section baby in the future.
In less than ten minutes, it can be said that He Jing has been the smoothest since she became a doctor.
The patient's husband looked excited and ran up to look at his child.
"The child also needs to be sent to the obstetrics and gynecology department to measure the weight, record information, monitor and so on. He Jing said.
Just about to lead the pregnant woman's husband to the obstetrics and gynecology department, Sun Meng in the observation room suddenly shouted.
"He Jing, the placenta of a pregnant woman cannot be delivered normally!"
He Jing's face changed.
Generally, the placenta is delivered spontaneously after delivery is complete.
Once the placenta is retained in the mother's body, it may cause heavy bleeding... This is an important cause of maternal mortality in spontaneous births.
He Jing handed over the child to the child's father and said, "Send it to the obstetrics and gynecology department for a comprehensive examination of the fetus! There is also a doctor on duty!"
After speaking, He Jing entered the observation room.
The child's father held his newborn son in his arms, a little confused: "What does it mean that the placenta has not been delivered..."
Zhou Yuan and the others glanced at each other, and finally Zhou Yuan stood up and explained: "It is not a good phenomenon that the placenta is not delivered, if the placenta is not completely detached from the endometrium, it is likely to cause heavy bleeding..."
The child's father was stunned and looked at the newborn in his arms who couldn't even open his eyes.
After hesitating for a moment, his eyes became firm, and he said, "You... If my wife is in danger, don't worry about what I said before, just go in!
After speaking, the man ran to the obstetrics and gynecology department with the child in his arms.
Zhou Yuan waited solemnly outside the observation room.
There are six causes of placental retention.
Placental ablation insufficiency.
Retention after placental ablation.
Placental incarceration.
Placental adhesions.
Placenta accreta.
Partial remnant of the placenta.
All six of these can cause bleeding, and the most painful thing is that the placenta is attached to the endometrium.
After childbirth, the placenta must be removed from the pregnant woman's body, so if the placenta sticks to the uterus of the pregnant woman, the doctor often needs to tear the placenta by hand...
This pain is a hundred times more painful than natural childbirth...
It is equivalent to peeling the skin alive, and the area near the endometrium is extremely sensitive, which is very sensitive to pain.
"Wait thirty minutes..."
After a while, He Jing, who was sweating profusely, walked out of it.
"What's the situation?" asked Zhou Yuan and the others.
"The placenta can't be delivered normally! If it doesn't come out after 30 minutes, you can only use external force to assist the placenta to prolapse..."
Soon, the child's father also came back, and when he saw He Jing, he immediately asked anxiously: "Doctor, how is my wife!"
"It's hard to have a placenta and you have to wait a few minutes. If it does not come out after 30 minutes, it is judged that the placenta is retained, and there is a high probability of postpartum hemorrhage, and we can only forcibly peel off the placenta with the help of external force. "
"Why don't you peel it off now, do you have to wait until there is a lot of bleeding?" the child's father didn't understand.
He Jing was silent for a while, and said, "The pain of placental peeling... Normal people can't stand it, and it's good that your wife doesn't pass out in a coma. "
The child's father was stunned, then sat down, bowed his head and said nothing.
He Jing returned to the observation room.
Minutes and seconds passed, and there was no movement inside.
The child's father turned on the phone with trembling hands, and thirty minutes had passed...
He Jing also walked out at this time: "The placenta needs to be peeled, please sign the informed consent form." "
Liu Kai stood up and took the child's father to sign.
He Jing returned to the observation room, changed into a pair of sterile gloves, squatted down, glanced at Sun Meng, and said, "Start?"
Sun Meng was a little unbearable, and looked at the pale pregnant woman on the hospital bed.
"Sister, you... Bear with me..."
The pregnant woman smiled weakly and said, "Doctor, you must let me live... I'm going to watch my children grow up..."
"Come on, I'll put up with it!"
Sun Meng nodded, gave the pregnant woman a strip of cloth, and said, "Bite it in your mouth, otherwise you will bite yourself." "
The pregnant woman nodded, shoved the strip of cloth in her mouth, and clenched her fists.
"He Jing, let's start. Sun whispered.
He Jing nodded, slowly put her hand into the pregnant woman's womb, and tore the placenta little by little.
"Ahh
The pregnant woman's piercing screams rang out, and after a few screams, the pregnant woman passed out.
Soon after, the placenta was finally completely pulled out.
Just when He Jing and Sun Meng were about to breathe a sigh of relief, blood flowed out of the pregnant woman's yin tract one by one...
He Jing's face turned pale: "Postpartum hemorrhage!!"
It stands to reason that although the removal of the placenta is painful, it will not cause postpartum hemorrhage... Heavy bleeding is caused by other causes!
"What should I do!" Sun Meng was a little flustered.
Pregnant women have no experience in dealing with postpartum hemorrhage!
Postpartum hemorrhage only occurs after childbirth, and it is generally delivered in the obstetrics and gynecology department, and if major bleeding occurs, it must be solved by the obstetrics and gynecology department's own doctor.
Doctors in the emergency department have no chance of encountering such a situation!
He Jing's face was extremely ugly: "The location of the bleeding must be judged immediately to stop the bleeding!"
"Find Zhou Yuan! Zhou Yuan is very good at pressing with his bare hands to stop bleeding!"
When he was in a panic, the first person that popped up in Sun Meng's mind was Zhou Yuan.
Before He Jing could react, Sun Meng ran out of the observation room and pulled Zhou Yuan in.
"Zhou Yuan, the pregnant woman has intraoperative hemorrhage, hurry up to stop the bleeding!"
"Stop the bleeding with bare hand pressure!"
Zhou Yuan looked confused.
"Bare hand pressure to stop the bleeding?!"
Bleeding in the birth canal, you let me use my hands to compress it? Where is the compression? How do I reach in and compress?
Seeing Zhou Yuan's expression, Sun Meng suddenly reacted.
At this time, you can't stop the bleeding with pressure at all...
"Then what should I do..."Sun Meng was stunned.
He Jing stood up in a panic.
She had the placenta in her hand, her hands were covered in blood, and the placenta was still dripping blood...
Zhou Yuan looked over, the pregnant woman's lower body was bleeding nonstop, according to this amount of bleeding, it would be over in less than ten minutes!
"Immediate blood transfusion!Patient's husband, what is the patient's blood type!"
"A blood!" the father of the child who had been sitting suddenly stood up and yelled.
"Sun Meng, bring the emergency blood in the emergency department!He Jing, show me the placenta!"
He Jing was stunned for a moment, and subconsciously handed over the placenta to Zhou Yuan. _
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