Family members were blocking the door. Dr. Zheng's face suddenly appeared in the gap, waving to the two rookies. Xie Wanying and Geng made their way through the crowd. Following Teacher Zheng's instructions, they went to the medical staff locker room next door to change clothes, slippers, hats, and masks before entering the delivery room.
Like working elsewhere in the hospital, the medical staff in the delivery room mainly consists of doctors and professional nursing staff. An anesthesiologist is available when needed. The nursing staff in the delivery room include ordinary nurses and midwives. Midwives need to obtain a specialized midwifery certificate.
The doctor's words are the responsibility of the doctor in the ward. Normally, the monitoring of maternal care is left to the midwives. If any situation occurs during the delivery process, the midwives will call and report to the doctor in time, so that the obstetric ward doctor can come and deal with it as soon as possible. If the patient has a vaginal birth, the delivery is performed by a midwife under the supervision of a doctor. This money belongs to the midwife. Therefore, midwives hope that pregnant women can have a normal delivery more than anyone else.
Being new here, the two classmates didn't dare to wander around. The area in the delivery room is not like the outside world thinking that there is only one area behind a door, but is divided into many areas. Everyone who studies medicine knows that those who are not familiar with the internal divisions of the hospital must not wander around. This will violate the rules of aseptic operation, and it will not be solved by a scolding.
According to Teacher Zheng, the room visible upon entering is large in area and has the most beds. It is the main time-consuming battleground of the delivery room: the room where many people are waiting for delivery.
The patients here are mainly mothers in the first stage of labor who are brought in from the ward or emergency outpatient department. The first stage of labor takes the longest, especially for first-time mothers, which can last almost a day. If judged according to commonly used clinical indications, generally pregnant women will have regular uterine contractions and labor pains before delivery, and they can be sent to the delivery room with the cervix dilated by two fingers. Doctors refer to the width of one finger as approximately one centimeter, so the width of a cervix as two fingers refers to two centimeters.
In other special circumstances, such as when the fetal heart rate is detected to have dropped, emergency artificial water rupture is required, and then attempts will be made to allow the pregnant woman to give birth naturally. Such patients will also be sent to the delivery room to give birth.
Each hospital may have slightly different medical indications for sending pregnant women to the delivery room. This needs to be determined based on the number of births in each hospital's delivery room and the ratio of medical staff.
Like Hokuto San, the 20 beds in the multi-person delivery room are often not enough, and mobile beds have to be temporarily placed in the corridor for extra beds for pregnant women. Even so, some pregnant women are always hesitant to open or not open the two fingers of the cervix because the prenatal uterine contraction index is at the critical value after delivery. Maybe the doctor below checks that it is two fingers, but the doctor above feels it is wrong. , and asked the pregnant woman to go back to the obstetric ward and continue waiting. Send the patients up when they are almost ready, otherwise there will not be enough beds for the patients.
This shows how unbalanced the supply and demand relationship in delivery rooms is. There is an imbalance between supply and demand, with more patients and fewer medical staff. Therefore, in order to serve more patients, medical staff can be seen everywhere in the delivery room walking like flying men.
From time to time, voices calling to colleagues could be heard in the corridor, like loud speakers. Whenever there are too many people in the hospital, you have to shout, and no one can hear what you are saying.
In such a complex environment, the first thing is not to interfere with the work of colleagues. Dr. Zheng led the two students as if they were walking in a crack, carefully following the wall.
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