When the doctor puts his fingers into that area, it feels sore and refreshing to the mother, and she cannot feel it at all. All I can say is that the patients in bed six may be really in pain and numb.
Anyway, 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 fertility 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 entrance 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 type of fertility problem mainly refers to weak uterine contractions, and the mother cannot use her own strength to push the baby out of the body. The second category is birth canal problems. Common clinical abnormalities are bony birth canal abnormalities, mainly pelvic abnormalities. The third category is abnormal fetal position. Bed six is obviously the second reason. The expectant mother's pelvis is small, but the fetus' head development is relatively normal. The fetus' head cannot drill out of the mother's pelvic entrance, which is an 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 are so many patients that Dr. Peng cannot remember all the clinical data of all patients. She took the six-bed medical records and looked at them again, and found that the values said 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's going on?
According to visual estimation, this patient is thin and has many bony protrusions that are very obvious and can be easily seen. Even so, it can be said that the guess is almost the same as what the instrument measures. Clinically speaking, it can be said that few medical students can do it. The old doctor's words can be guessed based on experience.
Putting down the medical records, Dr. Peng put on gloves to check the patient's cervix. It was really dilated to seven or eight fingers. Trouble. If this continues, both the mother and the fetus will be in danger. He hurriedly took out his cell phone and communicated with Director Yu, while running out of the delivery room to call his family members to talk.
Dr. Zheng took two classmates to follow him out, 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, any of them, 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 people are the patient's husband, mother-in-law and biological mother.
"What's wrong with my wife, doctor? Is she in labor?" the patient's husband asked.
"Director Yu has told you before about her situation that she cannot have a normal delivery. Now that her uterus has been dilated at seven or eight, she will immediately enter the second stage of labor."
"Let her give birth quickly. We are waiting."
"Her fetus's head is too big and her 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 curse in his heart, wondering why he would educate the patient's family members about medical common sense when he had 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 the prenatal check-up during pregnancy. The prenatal check-up doctor will remind the mother and the patient's family to request a cesarean section.
