This doctor is not short of money

Chapter 300 External Inversion

With Zhao Bin leading the way, the speed of several people accelerated again.

After entering the yard, Zhao Bin pointed to a room and said, "The mother is in this room, you go in quickly."

The three of Huoyinhua followed Zhao Bin's finger and rushed in, and then heard the sound of Huoyinhua arranging an inspection from inside.

Du Heng did not follow up for the time being, but put the stretcher under his feet and waited outside.

In rural areas, it is very taboo for a man to enter the delivery room for the mother's family.

Especially when delivering babies, no man has ever entered the delivery room.

In order to avoid some unnecessary troubles, Du Heng chose to wait outside. If it was not necessary, he would try not to enter the delivery room.

"Zhao Bin, our ambulance has a flat tire. Hurry up and find someone to help the driver change the spare tire quickly. We will send the pregnant woman away at any time."

"I'll go now."

Du Bin agreed, and immediately turned around and ran out again.

As soon as Zhao Bin left here, two old women came out from the delivery room, one tall and one short.

The tall one is alright, but has a worried look on his face, while the short one is completely despondent.When he came out, he looked inside step by step, and kept muttering, "Doctor, please, please."

Looking at the state of the short woman, Du Heng guessed that she might be the mother-in-law of the parturient.

As the two women approached, Du Heng wanted to ask about the mother's situation, but the curtain that had just been lowered behind her was lifted again, and Huo Yinhua came out anxiously.

"Dean, the mother is very weak, her blood pressure and pulse are very low, she has already shown symptoms of uterine weakness, and most importantly, the fetus is in a transverse position."

Fearing that Du Heng would not understand what a full breech position is, he quickly explained, "A transverse position means that the fetus is lying on the pelvic opening..."

Du Heng hurriedly interrupted, "No need to explain, I understand what a transverse position is, so you just ask if you can adjust the fetal position now and give birth smoothly?"

Huoyinhua's face was gloomy, "The best way now is to send the mother to the hospital and have a cesarean section. I don't know how to adjust the position of the fetus inside and out, and I don't think there are many people who will."

This is not Huoyinhua nonsense.

Internal and external reversal surgery, as the name suggests, is to adjust the abnormal fetal position of the fetus to a normal fetal position with the fetal head down by pure manipulation outside the body of the pregnant woman or inside the body.

However, with the development of technology and the popularization of obstetric examination, it is possible to find the abnormal fetal position before delivery, and then intervene in advance to avoid the abnormal fetal position to the greatest extent.

And even if early intervention is not enough, caesarean section can completely solve this troublesome matter.

Although we all know that after caesarean section, mothers will have various follow-up problems, such as intestinal adhesions, slow postpartum recovery, etc.

But it is undeniable that the emergence of caesarean section has greatly reduced the production hazards caused by problems such as abnormal fetal position and umbilical cord around the neck; at the same time, because caesarean section has an anesthetist participating in the whole process, the mother will not feel pain during the delivery process. The speed is fast, and it has become the first choice for many new mothers.

The widespread use of caesarean sections has made inversion less important.

Du Heng didn't rush to answer Huo Yinhua, but picked up the phone and called the driver.

"What's the matter, have you changed the tires yet? The pregnant women here are going to be sent to the hospital."

The driver on the other side of Diana said angrily, "Dean, I can't go anymore, and I don't know that bastard buried nails in the cracks of the bricks on this slope. Not only did one burst, but the rear tire also leaked." gas."

Suddenly, Zhao Bin's voice came again, "Dean Du, I'll look for a car now, if it doesn't work, let's use three horses to pull it down."

Du Hengqi's teeth itch, those who can do this kind of thing are either those brats, or bad pus, who want to do harm to others.

But Du Heng guessed that 99% of them were the pranks of those brats, because when he was a child, he also sprinkled glass shards on the road.

As for Zhao Bin's proposal, Du Heng has automatically ignored it.The cervix of the parturient is wide open, and the three horses are going down all the way, fearing that both the pregnant woman and the fetus will be gone.

Hanging up the phone, he turned to Huo Yinhua and said, "I can't go anymore, two tires are broken."

Huoyinhua looked anxious, "Then what should I do?"

Du Heng took a deep breath, took out his mask and put it on, "I'll go in and have a look."

As soon as he took a step, he was grabbed by the tall woman, "What do you look like when you run in, you men are so angry that you will attack pregnant women and children, and you let this little daughter-in-law How can I see people, can I live?"

Du Heng was also anxious, looked at the tall woman coldly and said, "Who are you?"

"I am the midwife who was invited. I have delivered more than 40 children in my life. I can't do anything about it. What can you do as a man? Don't you think you are taking advantage of it?"

The tall woman suddenly looked at Du Heng with disgust, "You are still so dirty at this time, and you don't find it disgusting."

Du Heng was obviously pissed off, and just about to make a sound, Huoyinhua sprayed directly, "You damn old woman is spraying dung, this is the director of our health center, I don't know how many people have been saved, how could you Are you talking so dirty? Are you judging others by yourself?"

Hearing Huoyinhua speak out for him, Du Heng suddenly felt that he wanted to get her away behind his back, and felt a little sorry for her.

This thought was only fleeting, and he turned to look at the tall woman and said, "You are the midwife? Didn't you run away?"

"I....."

"She didn't run away, she went out to find the yellow paper, saying that the mother had an accident. When we first entered, she was burning the paper in front of the mother's kang."

Weed!

Du Heng really had an urge to go crazy.

I had an abnormal childbirth, and I was burning some paper, and the ashes of the paper were flying around. Is this because I am afraid that the infection will come too slowly?

Du Heng's eyes turned cold, "Let go, if there is any problem with the parturient and the fetus, you can't bear it and walk around." Then he said to the short woman, "Are you the parturient's mother-in-law?"

The short woman was flustered and helpless when she heard Du Heng's words, she nodded quickly.

"Stop standing here, hurry up and find a way to find a car, 120 from the city to your village, it will take at least half an hour."

"Okay, I'll go now."

"Also, where is your son?"

"I'm working in the city, I'm going back now."

Du Heng sighed, "I don't care about him, you go out and find a car."

After all, he took a deep breath and walked directly into the house.

At this time, I no longer care about what is sterile and whether it will be infected.

For every additional minute, the risk to the fetus increases by one point.

To put it bluntly, what would you say if in the end the fetal brain becomes mentally retarded due to too long a period of time?
After giving birth, the child and the parents will live in pain for the rest of their lives.

If it is not allowed to give birth, but that is life, a life that is about to become a brand new individual, who can take that cruel hand.

Take the present as an example, if the fetus becomes mentally retarded due to long-term hypoxia, how do you let this family live?
There were many thoughts in Du Heng's mind, but the moment he stepped into the room, his mind became clear instantly, and any complicated thoughts disappeared.

On the kang in the room, the mother's head was facing outwards, her lower body was facing inwards, her body was covered with a thin quilt, which blocked everyone's direct gaze.

Wei Wen and Wang Lili are very quick, and have already infused the mother with energy-enhancing fluids.

But because it is in her own house, there is no place to hang the bottle, so now she can only be held by Wang Lili.

Wei Wen, on the other hand, had already taken off her shoes and got on the kang, busy under the mother's lower body.

Hearing the sound of footsteps entering the door, both of them glanced at the door, seeing that it was Du Heng who came in, Wei Wen hurriedly said, "Principal, the cervix of the parturient is already dilated, but now the fetus is in a transverse position, so there is no way to have a normal delivery. "

While speaking, Wei Wen looked down at the parturient again, her eyes were full of worry and anxiety, "And the parturient is very weak now, her whole body strength has been exhausted, I'm afraid she won't last long."

Du Heng let out a long breath, stabilized his emotions and said, "Let me take a look first."

While he was speaking, perhaps because of a psychological problem, he felt his lips becoming hot and swollen again. He wanted to reach out and touch it, but he stopped forcibly.

Du Heng got up from the side of the kang, knelt down beside the mother, and began to gently explore the raised abdomen of the mother with both hands. He wanted to determine the position of the fetal head and buttocks.

Wang Lili did not become an obstetric nurse, but just watched Du Heng's movements nervously, without extra thoughts, while Wei Wen and Huoyinhua, seeing Du Heng's very skillful movements, couldn't help being a little surprised.

Especially Huoyinhua, looking at Du Heng's constantly probing hands, there was a trace of doubt in her eyes.

This action of Du Heng seemed familiar to her, as if she had seen it somewhere.

With a focused expression, Du Heng kept walking and pressing his hands lightly. After touching and pressing two places repeatedly, he said softly, "Give me a stethoscope."

Huo Yinhua, who was fine for the time being, quickly took the stethoscope and handed it to Du Heng, wanting to ask something, but seeing Du Heng's serious demeanor, she didn't dare to ask.

Taking over the stethoscope, Du Heng moved the stethoscope head over the abdomen of the parturient, finally stopped at one place, held his breath and listened carefully for a few seconds.

"Everyone, the fetal heart rate is normal. I am now adjusting the position of the fetal body. After the adjustment, can you deliver the baby well?"

Wei Wen breathed out first, and then said calmly, "Xiao Heng, don't worry, I can do it."

Huoyinhua also took a step forward, "Dean, I'm fine."

"Then I'll start."

After Du Heng finished speaking, he inserted the stethoscope tip in his hand into his clothes, groped with both hands again, and after confirming the fetal head and buttocks, he pinched the fetal head with one hand and the fetal buttocks with the other, pushed the head down and the buttocks up, And push it twice, you have to stop for a while, and then adjust the position.

Wang Lili has never participated in the work of delivering babies, so she can't see the way in it.

But Wei Wen and Huo Yinhua were knowledgeable people. Seeing Du Heng's technique, the two of them immediately widened their eyes. They didn't expect a doctor of traditional Chinese medicine to be able to do things that obstetricians don't even know.

Huoyinhua even yelled out directly, "Dean, are you using the external inversion technique?"

Du Heng responded lightly, "Yes."

As Du Heng began to push again, Huoyinhua didn't dare to speak anymore.

As the saying goes, the human heart is separated by the belly, and now the fetus is also separated by a layer of belly. It is impossible to see where the fetal head is and where is the fetal buttocks, let alone without any machine assistance.

To find out the fetal head and buttocks, you must rely on experience and hand feeling, and you must be bold and careful.

If the wrong position is pinched, the fetus will be injured, which is a medical malpractice.

If the technique of pushing is wrong, it will also lead to injury or medical malpractice.

And it is a medical malpractice that revokes the qualification to practice.

In fact, Du Heng was forced to do nothing at this meeting. Now is not the best time to do internal and external inversion at all, let alone the time for him to show off his skills.

Because the maternal cervix is ​​wide open, the amniotic fluid must flow out, and the amniotic fluid in the uterine cavity cannot guarantee the smooth progress of the inversion operation.

But at this time, the hospital car broke down, and they couldn’t find a car. The mother was so weak that she couldn’t open her eyes, and the 120 ambulance needed to go to Zhaojiawa from the city, and it didn’t take much time. short.

Just now Du Heng said for half an hour, it was the result of a hundred yards without pressing the car all the way, and it was what he said to comfort the old woman.It is conservatively estimated that it takes at least an hour to arrive at 120, plus one hour back, it will add up to seven or eight hours. At that time, who can guarantee whether the fetus is healthy or not?

So, now he can only take the risk to try the external inversion technique.

As for the internal inversion technique, although it is the best choice to put the woman in a horizontal position, it will cause too much harm to the mother, and the current conditions are not enough to allow Du Heng's hand to move inside the mother's uterine cavity.

In this environment, it is guaranteed that the mother will be infected before it is finished.

Therefore, the external inversion technique became Du Heng's only and best choice.

However, although it is an adventure, it is only relative to the sufficient amniotic fluid.

For Du Heng, who has already specialized in women and children, it is a little bit more troublesome to perform the external inversion technique slowly, carefully, and without much risk.

Under the nervous and surprised gazes of Wei Wen and Huo Yinhua, Du Heng held the hands that raised his head and fetal hips, gradually changing from one left to one right to one up and one down.

When Du Heng pushed, Wei Wen and Huo Yinhua could even hear their breath suppressed by tension.

It wasn't until Du Heng stopped that they breathed a sigh of relief quietly. At this time, Du Heng's forehead was already covered with sweat, and his back was completely soaked in sweat.

Du Heng wiped the sweat from his forehead with his arm, then quickly took out the stethoscope head, and began to listen carefully to the fetal heartbeat.He felt relaxed when he heard the fetal heartbeat was still beating normally.

Just when he was completely relaxed, three sensations of burning, swelling and pain completely occupied around his mouth.

Du Heng understood that the feeling when he entered the door just now was not an illusion.

He understood better that he was going to work for a while with his mouth full of blisters under the strange eyes of everyone.

Even if he can prepare the antidote for the fire poison himself, it will take at least three days to completely eliminate it.

(End of this chapter)