Da Song a knife

Chapter 3 Instinct
Zhang Sijiu stretched out his finger and pressed it against the mother's neck.

According to the weak beating of blood vessels, she judged that the mother was still alive, but her heart rate was lower than normal.

So she tried to wake it up: "Can you hear me? Can you hear me?"

She even patted each other on the cheek.

The mother's eyeballs rolled a few times, as if she wanted to open them, but she was still a little bit weak.

Seeing this, Zhang Sijiu's heart sank: The mother's condition is very bad, her body is already extremely weak, I'm afraid...

After lifting the quilt on the parturient, Zhang Sijiu knew the reason: hemorrhage.The quilt was covered just now, and it was not obvious, but in fact, half of the quilt had been soaked in blood, and the whole body of the parturient seemed to be soaked in blood.

In Zhang Sijiu's mind, he quickly screened the methods that could be used at this time.

In the end, I chose a method that I had learned in the hands of old Chinese medicine: stimulating the Yongquan point on the sole of the foot.

For unconscious people, it is a good way to stimulate the Yongquan point on the sole of the foot, but for those who have not learned it, they can only tap it with their fingers and do not mess around.

As for what I have learned - the effect of acupuncture points with silver needles is better.

Silver needles... Zhang Sijiu quickly searched the room with his eyes.

In the end, the silver needle was not found, but she found a substitute: an embroidery needle.

Taking what looked like the thinnest embroidery needle, Zhang Sijiu began to look for the Yongquan acupoint on the sole of the mother's foot.

As for disinfection - I searched around, but couldn't find anything that could be used for disinfection, so Zhang Sijiu couldn't care less about it.

Yongquan point is located in the first third of the line connecting the head of the second and third toe seams and the heel in the depression on the front of the foot. After Zhang Sijiu found it, he pierced it with an embroidery needle without hesitation.

At the moment of piercing, the parturient had already reacted.

Maybe it was pain, maybe it was the effect of stimulating acupuncture points, she moved her feet.

Zhang Sijiu called her again: "Wake up! Don't sleep! Don't sleep!"

Under the continuous calling, the mother finally opened her eyes this time.

The moment she saw Zhang Sijiu, the parturient seemed to gain a little bit of strength, grabbed Zhang Sijiu's arm, looked at Zhang Sijiu fixedly, and then tried to speak: "And... and ..."

With difficulty, she moved her other hand to her stomach.

Because of too much force, Zhang Sijiu was a little hurt.

But at that moment, Zhang Sijiu understood what she meant, and was startled: "Is there another one in my stomach?"

She immediately reached out to touch the mother's belly.

Based on years of experience, she also felt that there was indeed a child in her stomach!

But just now, when she was looking for a needle, she clearly saw a swaddling baby.It's just that the baby in the swaddle was covered in bruises, without breathing or heartbeat, and was completely cold.

That's why she didn't have any rescue measures, she just hugged the mother first.

Now that she knew there was another child in her belly, she also understood why it was difficult to deliver—the chance of twins giving birth naturally was lower than that of singletons, and the probability of dystocia was much higher.

Without hesitation, Zhang Sijiu shouted to the mother: "Let go, I'll deliver the baby for you! Work hard to deliver the baby!"

Only after giving birth can the mother live!

At this time, she could no longer consider whether the child in her womb was dead or alive.

Maternal life is the priority at all times.

Zhang Sijiu had no way to sterilize, so he didn't dare to reach in and touch the cervix rashly.She just spread the mother's legs apart and let her push as hard as she could.

However, the fetal head was never visible.Instead, a small foot suddenly fell out.

The feet are also purple, which means that the fetus has been starved of oxygen—possibly even dead.

The parturient screamed terribly, not knowing whether it was because of the pain or something else.

Zhang Sijiu yelled sharply: "Don't shout, save your strength to give birth! Your feet are down, hold your breath, don't use your strength! I will push the child back!"

At this time, there was no way to disinfect it. Zhang Sijiu saw the clear water next to him, went up to wash his hand, then directly held the little foot, and sent it back without hesitation!
Fortunately, the child's hands are small, so it is easy to pass through the birth canal, pass through the cervix, and send the child back.

But that alone is not enough.The fetal position must be corrected.

Zhang Sijiu adjusted the child's position little by little, and finally touched the child's head, exhaled immediately, and shouted without hesitation: "Strength! Give birth to the child in one breath!"

The moment her hand was withdrawn, the mother also exerted all her strength.

Accompanied by a burst of scarlet, the wet fetal hair finally appeared in Zhang Sijiu's sight.

Zhang Sijiu supported the back of the baby's head and neck with his hands, and exerted force from side to side to help the baby slide out of the birth canal.

In fact, it is complicated to say, but the whole process takes about one or two seconds.

The baby is a baby girl.Still attached to the umbilical cord.The placenta then slides out along with it.

She was covered in bruises and was not breathing.

But the pulse in the neck was still beating weakly.

When the parturient was exerting strength just now, her upper body was slightly supported, but now that she had finished giving birth, she fell straight down.Obviously exhausted.

Zhang Sijiu watched those strands of bright red rushing out. At this moment, what he was thinking desperately was what he could do.

Two lives.

Maternal hemorrhage needs to be stopped immediately.

A newborn baby, in respiratory distress, required immediate first aid.

But she was alone.

Zhang Sijiu has never hated making choices so much.

But in the end, she still took a deep breath, suppressed all her emotions, and only analyzed from the most rational point of view, which of the two had a better chance of surviving.

That's what being a doctor is all about.If a serious injury is compared with a minor injury, the serious injury must be considered first.

And if there are two serious injuries, under limited conditions, you must choose the one with a higher chance of survival.

Before Zhang Sijiu could make a choice, the mother's angry voice came: "My child."

"Save the child."

In fact, it doesn't need to be said by her, Zhang Sijiu has also finished his judgment, and has already reached out to pick out the baby's mouth - if a newborn baby is in distress, the priority is whether it has choked on the amniotic fluid, etc. At this time, it is necessary to clean up the foreign objects in the mouth and nose .Moreover, if you want to do cardiopulmonary resuscitation, you must first clean your mouth.

After confirming that there is no foreign object in the baby's mouth, Zhang Sijiu put his index finger and middle finger together, hugged his thumbs, and pressed the baby's 1/3 below the sternum to a depth of 1/3 of the anterior-posterior diameter of the thorax. Every time he pressed 3 times, he took a breath.

After repeating this for about [-] seconds, the baby suddenly choked, started breathing by itself, and even cried aloud.

At the same time, there is also an independent heartbeat.

She slowed down.

Zhang Sijiu stopped, counted his breathing and heartbeat, and after confirming that the frequency was normal, he let out a long breath of relief.It was also at this moment that she felt that her muscles were tense and she was indescribably tired.

But soon she remembered the mother, and hurried to check the mother's condition.

The mother's eyes are still open, and her mouth is moving slightly, but she can't make any sound.

She turned her eyes and looked at Zhang Sijiu fixedly. She tried hard to speak, but she couldn't say anything.

Zhang Sijiu's eyes were sour, he went to carry the baby, put it gently in the mother's arms, and told the mother: "The child has been rescued. It's a daughter."

The baby also seemed to feel something, and began to cry softly.

The corner of the parturient's mouth twitched, but her eyes kept looking at Zhang Sijiu.

Zhang Sijiu hesitated for a moment, and finally promised softly: "Don't worry, she is my own sister. I will take good care of her."

The mother's chest no longer rises and falls.

Zhang Sijiu stood where he was, raised his sleeves to wipe away the tears streaming down his cheeks, and then got busy without stopping - the baby's umbilical cord hadn't even had time to deal with it!Where is the time to be sad now!
After working in the emergency department for so many years, one of the truths she has experienced the most is: never be swayed by emotions and delay any second!Because one second is likely to be a life!

(End of this chapter)