super anesthesiologist

Chapter 59 Umbilical cord prolapse (please recommend, please collect, thank you!)

Lin Xiaobei's alcohol disappeared immediately, and before the driver started, he said: "Master, wait for a while, I want to get out of the car."

Everyone in the car thought he wanted to go to the toilet and didn't take it seriously.Director Li Aiguo even smiled and said to the driver: "It doesn't matter. You park the car on the side of the road first. He will be back in a moment."

Only Xu Zhenzhen felt that there was something unusual. She noticed that Lin Xiaobei's expression was very serious, as if something serious had happened.

This serious expression is only seen in emergency situations in the hospital.

"What's the matter?" She asked, looking around the car window, the sight outside was not clear under the night, and there were no noisy and chaotic voices, and she felt peaceful.

Lin Xiaobei didn't know what was going to happen, but since the system prompted, there must be an emergency, and it should happen soon, and it must be very critical.

He didn't answer Xu Zhenzhen, smiled apologetically at her, and hurriedly opened the car door.

Just after getting out of the car, a table suddenly became chaotic at the previously bustling and well-ordered open-air platform. The crowd gathered together, screaming, crying, mixed together.

Lin Xiaobei rushed over and pushed through the crowd. A young pregnant woman was sitting on a chair and clutching her protruding belly. Her face was pale and her expression was extremely uncomfortable.The man on the side should be her husband supporting her, talking on the phone, flustered and anxious.

A group of people around are pointing.

"This girl is about to give birth."

"It's really desperate to run out with such a big belly."

"Hurry to the hospital."

……

Lin Xiaobei frowned, these people watching the show on the wall are purely adding to the chaos.

He stepped forward and said to the man, "Put her down and lie on her back, it's not a good sitting posture."

His words seemed convincing, and immediately someone arranged a few chairs in a row to form a wooden bed.

The man immediately put his wife down gently, her wide pregnant dress was completely wet.

Lin Xiaobei squatted down to help, and bent the pregnant woman's legs so that her buttocks would be too high, which could slow down the flow of amniotic fluid.

"Did you hit 120?" he asked.

"No, I called my parents and told them to go to the hospital. Brother, please look after me for a while, I will drive here, and my car is parked on the side of the road." The man pointed to the entrance of the supermarket across the street and asked Road, there is a row of cars parked there.

"What are you driving here for?"

"Send my wife to the hospital." The man said hastily.

People who don't understand medicine may be very enthusiastic to help him.

Lin Xiaobei didn't move.

"Don't worry." He calmly comforted the man and his wife.

The man looked at him in surprise, did he come to help or make trouble?
"Trust me, I'm a doctor." Lin Xiaobei said frankly.

The space in the private car is so small, and the fetal membranes of the pregnant woman have been ruptured. Even if the co-pilot is turned flat, she can't bear the curled position, and this position is also very unfavorable to the fetus in the womb.

The ambulance not only has a moving bed, but also has complete rescue equipment and professional medical personnel.It takes 10 minutes to get to the nearest hospital from here, and it takes even faster to call 120 for an ambulance to arrive.

That option is better without a doubt.

Lin Xiaobei didn't know the specific situation of the pregnant woman at the moment, but the amniotic fluid was almost flowing, and it would definitely not get better.

What is even more worrying is that the fetus may be incarcerated in the birth canal, which is commonly known as "dystocia". In this case, the pregnant woman will be given a cesarean section immediately in the hospital.

In the case of inoperable cases, the truly effective measure is to immediately change the position of the pregnant woman to reduce the pressure suffered by the incarcerated fetus and buy time for the operation.

If it was a male patient, Lin Xiaobei would immediately step forward to check and take corresponding measures.But this is a woman, her private parts are involved, and she is still under the public court, so she can't be free from scruples like in the hospital.

"You know how to deliver?" the man asked hopefully.

"I'm an anesthesiologist." Lin Xiaobei revealed his identity, neither saying yes nor no.

The man snorted, showing a sarcastic expression while disappointed.

"It's dangerous for you to drive your wife to the hospital like this."

"Then what should I do?" The man became irritable. If I don't send my wife to the hospital, why should I give birth here?You are not a midwife, isn't this making trouble?
"What he said is right, how can your wife ride in a car like this?" Xu Zhenzhen said.Director Li Aiguo and Bian Wengang stood behind them, and they also came down when they heard the noise.

The man glanced at her, ignored her, and was about to help his wife walk to the car.

The pregnant woman has been moaning in pain. The simple premature rupture of membranes will not be so uncomfortable, which means that the fetus in her stomach is really "incarcerated". It may be breech or shoulder presentation, while normal The natural delivery is head first.

At this time, if the correct posture guidance is not given in time, it will easily lead to fetal distress, which will cause severe ischemia and hypoxia, and cause cerebral palsy in children.

"Ms. Xu, please take a look." Lin Xiaobei signaled Xu Zhenzhen to lift the skirt of the pregnant woman. She is a woman, and the husband of the pregnant woman will not care.

The man was hesitant, and the young man in front of him acted like an experienced doctor in every word and deed, which made him dare not believe it.And with his wife's current state, it might not be the best choice to drag her to the hospital by car. What if she gave birth on the way?

He hesitated for a moment before putting down his wife again. With such a slight change in position, the pregnant woman screamed "Ah", "It seems to be coming out."

Xu Zhenzhen quickly turned on the flashlight in her mobile phone, squatted down, lifted the hem of her skirt slightly, and lowered her head to check.

The man followed closely with his coat outside, and several women also stood in a circle on the outside, forming a simple fence.

"It's not good, Dr. Lin, her umbilical cord has come out." Xu Zhenzhen said "hiding" in her skirt.

Lin Xiaobei gave a "boom" to his head, and finally understood why the system prompted "urgent mission".

The umbilical cord prolapses, and the fetus can't breathe as if it is strangled in the abdomen.

This is not an ordinary emergency, it is very critical!
Umbilical cord prolapse is when the umbilical cord protrudes and is exposed in the vulva, while the fetus is still in the uterus or stuck in the birth canal, forming extrusion.Due to the compression of the umbilical cord, the blood supply of the fetus is obstructed, causing fetal distress and even endangering the life of the fetus.

This kind of complication is rare in obstetrics, but the rate of death and disability is very high, which is far more dangerous than the often said umbilical cord around the neck.

"Your wife and children are in danger, call 120 immediately!" Lin Xiaobei warned the man.

"Any mats or pillows or something?"

Someone next to me quickly delivered a pillow.

Lin Xiaobei padded the pregnant woman's buttocks, and put his hand on the pregnant woman's belly. Through the clothes, he could still clearly hear the fetus' heart rate was only 80 beats per minute.

Symptoms of hypoxia have occurred!

Without further ado, Lin Xiaobei said to the man: "Your child is very dangerous now and needs to be dealt with urgently."

"Whatever you say, do whatever you want, quickly save my wife and children." The man said with a mournful face.

Lin Xiaobei instructed the pregnant woman: "Don't be nervous, take a deep breath slowly, don't force yourself, try to relax yourself. Yes, that's it, take a deep breath and relax."

Then he squatted down again, stuck his head into the skirt of the pregnant woman, and squeezed together with Xu Zhenzhen, like a child playing hide-and-seek under a table.

The uninformed may even mistake them for stealing together.

The pregnant woman wore only a pair of underwear under her skirt, which was already soaked through. A black and blue umbilical cord flowed out from the edge of the underwear, at least 20cm long, dark in color and dry on the surface.

Lin Xiaobei asked Xu Zhenzhen to peel off the pregnant women's underwear to check the cervix, which was less than a finger wide open.According to common sense reasoning, this pregnant woman will have to wait at least 6 hours before she can fully open up and give birth to the baby. If she is a primipara, she may have to wait even longer.

But the stuck umbilical cord can't last long.

Lin Xiaobei touched it, the pulse was very weak, and the blood flow had been severely hindered. He seemed to see the cramped hands of a pregnant woman clutching her neck and desperately sucking oxygen when the fetus was asphyxiated in the womb.

Life and death are in this brief moment.

It must be treated as soon as possible to relieve the compression of the umbilical cord.

If you are in a hospital at this time, you only need a steel pipe to cover the umbilical cord that is flowing out, and then send the steel pipe in like a cervical dilator.In this way, the birth canal squeezes the steel pipe, and the umbilical cord can be safe and sound.

But now it is in a hotel far away from the hospital, in the "wild", without any usable medical equipment except for the hands.

But you can't just wait and watch a living life about to disappear.

"Xu Zhenzhen, support her sacrum." Lin Xiaobei said.

There was no time to worry, he had to take immediate action.

　This is a real case, and it happened not long ago in a super large hospital in China, where the author once stayed and studied.

　　It was reported at that time that the umbilical cord prolapse of pregnant women occurred in the ward and was discovered in time.The protruding part is more than 30 centimeters, how to describe it, woo woo, I don’t know if anyone has seen how noodles are processed.

　　The obstetrician directly put his hand into the pregnant woman's uterus to prevent the contraction of the birth canal from squeezing the umbilical cord, because the pregnant woman's cervix had already dilated several fingers, and the umbilical cord fell out after being sent in.

　　There are good equipment in the hospital. The obstetrician inserts the steel pipe with a hole at the bottom as a sleeve to relieve the pressure on the umbilical cord. Then he kneels down and holds the prolapsed umbilical cord with both hands and escorts him to the operating room.

　　 You can guess how difficult the situation is, even a little bit. . . . . .

　　The final result is very encouraging, because both mother and child are safe.This pregnant woman really has accumulated virtue in her previous life.

　　Well, not much to say, the idiot will continue to work hard on coding.

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(End of this chapter)