"Doctor Huang, don't shake your hands. Go a little deeper into this area and push some more medicine." Du Haiwei carefully observed Huang Zhilei's movements with his eyes while giving accurate and important instructions.
If it wasn't for the purpose of blocking the buttocks and I couldn't use one of my hands to inject anesthesia, otherwise, as a rule, the midwife would have to inject the anesthesia himself. To inject local anesthesia here, the doctor needs to use one hand to feel the ischial spine in the "Yin" tract to guide the needle and prevent it from being injected incorrectly.
According to Mr. Du's route guidance, Huang Zhilei carefully adjusted the direction of the needle and adjusted the speed of the injection. I finally finished the anesthetic. It takes three to five minutes for the anesthetic to take effect completely. During this period, rescue work continued in an orderly manner.
Perhaps seeing everyone so calm, Li Xiaobing became less and less nervous, and the pain returned to pain. He did not forget to enjoy the pain and complained to Cao Yong: "When my husband comes back, I will probably be done giving birth."
It's a good thing that the mother's mood has improved. The thing is - a bunch of people might be trying to force their composure.
After taking the anesthesia, Huang Zhilei stepped aside, took the towel from his junior brother's hand and wiped his sweat violently. He was shocked when he heard Li Xiaobing's words. I heard that Fu Xinheng complained about Zhu Huicang and Li Xiaobing behind his back, which may make sense.
Dr. Tang handed her husband the surgical scissors.
The actual situation of episiotomy may not be performed with a scalpel, but with surgical scissors.
What surgical instruments a doctor uses is always based on actual needs.
The perineum is not a vagina, it is a piece of soft tissue, mainly composed of skin and some muscles. The perineum in the broad sense and the perineum in the narrow sense are divided into different areas.
In a broad sense, it will encapsulate all areas such as the urethra and anus. In a narrow sense, it refers to the part between the anus and vulva. The episiotomy here is performed on the perineum in the narrow sense, usually at the five o'clock position.
The five o'clock position is difficult to understand. You can look at the wall clock on your wall and compare it to the left side of the surgical area, which is almost marked with five o'clock, which is where the doctor will start.
Due to the nature of soft tissue and the doctor's hands-on perspective, it is better to cut with surgical scissors than with a scalpel.
When cutting, the doctor who delivers the baby also needs to sense the position of the fetus before cutting.
If you cut it in advance, the perineum will be prone to bleeding due to the rich blood vessels, which will increase the chance of infection. Delaying the cutting is because you are afraid that it will be too late and will not be effective, which is also not good.
To cut at the right time, it tests the technical experience of an obstetrician.
The most appropriate time for assisted breech delivery is when the fetus' intertrochanteric diameter reaches the maternal ischial spine. The trochanter here refers to the trochanter of the baby's femoral head. The trochanter means the thick and protruding place. Many bones in the human body have a raised bony sign called the trochanter, which refers to more than just the femoral head. Doctors can feel the maternal ischial spines with their hands in the maternal canal. Doctors usually feel the distance between the two ischial spines to determine the transverse diameter of the mother's pelvis.
The baby's small buttocks fall to the position of the mother's pelvis, which is equivalent to the birth of the baby.
The most important reason why Du Haiwei had to push the fetus back before was that the mother was not ready. The two young doctors had no experience in this area, which led to deviations and caused the mother to exert force prematurely. Fortunately, they realized that they had made a mistake in the beginning and corrected it in time. Now that the boss is in place, he is ready to perform a side cut again.
