If possible, sprinkle some talcum powder on the mother's belly before proceeding.
Across the mother's belly, the doctor holds the baby's buttocks with both hands, uses the strength of his wrist to lift the baby's buttocks, and turns it in the opposite direction to the baby's head. Then he protects the baby's head with one hand to keep the baby small. With the head bowed, the other hand continues to rotate the hip until it returns to the correct fetal position in the anterior occipital position. This step is known as the breech external inversion.
There is external rotation, and correspondingly there is internal inversion. Internal breech inversion requires general anesthesia, which is relatively complicated and is rarely used in clinical vaginal delivery. Sometimes doctors may use it during cesarean section.
For example, in transverse position, partial breech inversion can also be used to try to transfer the fetus. The old midwives dared to try it themselves. . Nowadays, the relationship between doctors and patients is tense in all parts of the hospital. The obstetrics department is the hardest hit area by doctor-patient conflicts. Midwives no longer dare to try. The only way to try is by doctors.
The doctor was very afraid of trying the same thing. Who would allow a place like obstetrics to kill one person and two lives to be a little unruly, and the family members would compete with each other fiercely.
It sounds amazing that transfection does not require surgery, but the actual operation has many restrictive prerequisites and the risks during the operation are high.
To perform transfer surgery, first of all, the space in the mother's uterus must be large enough to allow the doctor's hands to have room to push the baby. Secondly, there needs to be enough amniotic fluid in the mother's body, not too little, otherwise the baby will not be able to roll and it will cause certain damage to the mother's uterus.
During the transfer surgery, there may be risks such as tearing the mother's uterine wall and premature detachment of the placenta. The risk to the baby cannot be ignored either. During the fetal transfer process, it is not ruled out that the baby will be severely hypoxic due to the umbilical cord being wrapped around the neck, so the baby can only be transferred to a cesarean section in a hurry. In this way, it is not as safe as directly switching to cesarean section.
Therefore, many doctors are willing to directly recommend cesarean section to family members and patients rather than take the risk.
It can be seen from this that only doctors with strong enough skills and confidence dare to continue to perform fetal transfer surgery on mothers under difficult conditions in order to ensure a smooth delivery. In the doctor's opinion, what is the best situation if transcarnation surgery is necessary? Of course, the doctor himself does not force the baby to change position. It is most secure if the baby can turn back to the correct position in the mother's womb. This can avoid any damage to the mother and child caused by brute force from the outside.
Instead of forcing the baby to turn, how to let the baby turn on his own? The baby cannot understand what the doctor and mother say. Letting babies understand the messages sent by doctors and mothers is indeed a very advanced knowledge, and it is a knowledge that many medical people are working hard to explore.
Clinically, in summary, there is still some experience accumulated by the predecessors that can be used as a reference for on-site doctors to perform operations.
The baby lying in the mother's womb can be thought of as a self-conscious sphere. If there is a relatively spacious space, it will be more comfortable for the ball to roll in, and the baby will naturally turn around on its own. Based on this idea, after clinically detecting abnormal fetal position as early as the third trimester of pregnancy, prenatal doctors will first teach mothers to do posture exercises to correct the fetal position. The most common is the knee-chest lying position mentioned earlier.
After figuring out the whole idea, Xie Wanying said to Extra Bed No. 3: "Come, let me help you change positions and teach the baby how to turn back to the correct position."
Her eyes were firm and her tone was sonorous and powerful.
Extra bed No. 3 felt that her clenched hand injected a strong force into himself, and he couldn't help but nodded.
