Start with an emergency physician
Chapter 170
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If the amniotic fluid breaks, there may be a dangerous situation.
Although Zhou Yuan is not an obstetrician and gynecologist, he still knows some of these basics.
Amniotic fluid is a colorless and transparent liquid wrapped in the fetal membrane, which contains small white pieces of vernix and fetal hair. During the entire pregnancy, it allows the fetus to move freely in the mother's uterus, free from external force squeeze, and relieves the collision of external forces, so it has a good protective effect on the fetus. During labor
, as the uterus continues to contract, the fetal membrane at the opening of the uterine mouth cannot withstand the greater pressure and ruptures, causing the amniotic fluid to flow out of the vagina. This is the amniotic fluid breaking.
Under normal circumstances, the rupture of amniotic fluid is a precursor to delivery, but there is also the phenomenon of premature birth of the fetus. The fetal membrane is the protective membrane of the fetus. If the fetal membrane ruptures prematurely due to an accident, the amniotic fluid will also flow out, and the fetus will lose protection. It is easy to die after premature birth.
In addition, there is another situation where intrauterine distress occurs.
The due date has not yet arrived, but the amniotic fluid has broken, and the umbilical cord will prolapse with the amniotic fluid, causing the fetus to be in a state of tension in the uterus, which will cause fetal hypoxia, etc.
When Zhou Yuan arrived at the scene, He Jianyi, Sun Meng, and Liu Kai had also arrived.
Zhou Yuan stepped forward and moved the pregnant woman to the emergency bed, intending to push her into the observation room for examination.
"Wait!"
At this time, the pregnant woman's husband was a little unhappy.
"You have so many male doctors... Can we let this female doctor come?" The pregnant husband pointed at Sun Meng.
Zhou Yuan was stunned.
The only thing in his mind was to save people, and he didn't pay attention to this at all.
"In the eyes of doctors, there is no gender distinction." Zhou Yuan said slowly.
However, he still respected the wishes of the pregnant woman's husband. After helping He Jianyi and Liu Kai push the pregnant woman into the observation room, he waited outside with the pregnant woman's husband.
"If there is any danger, you must let us in to deal with it."He Jianyi sighed and said,"We doctors only distinguish between patients and normal people." Zhou Yuan thought for a moment, stood up, and said,"Teacher, I will go to the obstetrics and gynecology department to see if there are any doctors on night duty."
He Jianyi was stunned.
Just now, he was so busy saving lives that he even forgot that there were people on night duty in the obstetrics and gynecology department.……
"Go quickly." He Jian said.
Zhou Yuan nodded and quickened his pace.
On the other side, Sun Meng lifted the blanket covering the lower body of the pregnant woman.
Because during pregnancy, the female vagina will produce a lot of secretions. Therefore, if there is a suspected rupture of amniotic fluid, the first thing to do is to determine whether the fluid discharged from the vagina is amniotic fluid, urine, or secretions.
The main thing is to distinguish between urine and amniotic fluid. The difference between the two is very large. First of all, the smell. The smell of urine is generally strong and pungent, but the smell of amniotic fluid is very natural and a little sweet.
Sun Meng moved his nose, and the smell in the air was not easy to distinguish.
This situation is very troublesome. If the smell is pungent, it can be judged as urine, but the smell is very light and almost inaudible. Unless you taste it, you can't identify it. Because some people's urine is also odorless.
"What happens when the amniotic fluid breaks? Sun Meng can only judge by other phenomena.
In the late pregnancy, because the bladder is under great pressure, it is normal to miss a few drops of urine sometimes. Often, nervous pregnant women will mistake this for the amniotic fluid breaking.
But when the amniotic fluid breaks, it is like flowing water. Pregnant women can't control it at all, and it flows out in streams, a few streams every once in a while, and the abdomen will have cramps at the same time, and the amniotic fluid can be felt to be obviously hot.
This situation is often the fetus is about to be delivered.
"I don't know... How could I remember so much! I just remember that my stomach was broken and it hurt so much, doctor! Am I going to die!"
Sun Meng smiled helplessly.
It seemed that she was a new pregnant woman.
Sun Meng walked out of the observation room,"Director He, please help me get a test strip."
He Jianyi immediately understood what Sun Meng was going to do, ran to the pharmacy to get some test strips, and handed them to Sun Meng.
Sun Meng closed the door again and stuck the test strips on the pregnant woman's vulva.
The pH value of amniotic fluid is around 7.0~7.5, while that of urine is around 5.5~6.5. If it is amniotic fluid, the test strip will turn dark green.
As soon as it was put on, the dark green color appeared.
Sun Meng ran out:"Director He, the patient is in labor!"
"I……"
He Jianyi is the deputy director. He has been in the emergency department for so many years that he knows how to deliver babies. But just as he was about to say he was coming, he was interrupted by the pregnant woman's husband.
"Didn’t you have a doctor go to the obstetrics and gynecology department to call for help? Let the female doctor from the obstetrics and gynecology department come!"
He Jianyi was stunned, sat down again, and said,"There are male doctors in the obstetrics and gynecology department... In addition, it was you who refused our treatment. You will be responsible for any consequences."
"What will happen... Stop scaring people!" The pregnant woman's husband frowned.
Soon, Zhou Yuan came back with He Jing.
It was He Jing who was on duty that night, and there was another old director in his fifties, but because he was a man, Zhou Yuan did not invite him over.
"Doctor, my wife is about to give birth, please go and have a look!"
He Jing nodded, glanced at He Jianyi and other male doctors standing outside the observation room, and immediately understood what was happening.
"Sister Sun Meng, come with me to deliver the baby."
Sun Meng nodded and said anxiously,"The fetal head has been exposed. I can't care so much. I will deliver the baby in the observation room!"
He Jing put on a mask and said,"Zhou Yuan, please help us prepare disinfection items. It's a bit too late!"
After that, He Jing also went in.
Although Zhou Yuan didn't know why everyone liked to ask him to work, he still stood up, took alcohol and so on, carefully disinfected it, knocked on the door, and handed it to Sun Meng and He Jing inside the door. The observation room soon became a delivery room and became busy all of a sudden.
The crying of the pregnant woman sounded, and He Jianyi and others subconsciously covered their ears.
Sure enough, the pain of natural childbirth can only be compared to the pain in the balls... or even more than the pain in the balls.
The door of the observation room is not soundproofed well, and occasionally the sound of scissors and other tools hitting can be heard.
"The baby's head is out!"
"Sister Sun Meng, please gently squeeze upwards from the fetus' neck and chin, and gently squeeze downwards from the nose to squeeze out the mucus and amniotic fluid in the fetus's mouth!"
"The fetus's shoulders are out... The fetus has been successfully expelled! Sterilize the scissors and cut the umbilical cord!"This is Sun Meng's voice.
After a while, He Jing came out holding the tightly wrapped newborn.
"Congratulations. It's a boy."He Jing smiled and said this very familiar sentence.
This was an extremely smooth natural delivery.
Compared with caesarean section, natural delivery has more benefits. Therefore, many mothers choose painful natural delivery for the health of their children._Feilu reminds you: Three things to do in reading - collection, recommendation, and sharing
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