I really don't want to take shortcuts anymore
Chapter 271: Systematic Treatment of Shoulder Dystocia
Chang Xi'er looked at the young lady in front of her. She was obviously several years younger than herself. Her expressions and words contained a calming power. After a few words, her previous panic and anxiety were relieved. Quite a few.
"I want to live. I will be obedient and will not give up." Her previously dull eyes suddenly became gleaming.
Luo Qianhuai is actually not as optimistic as he seems on the surface. The mother was short in stature, but the fetus was somewhat large. After the fetal head was delivered, the front shoulders were embedded behind and above the pubic symphysis. Conventional midwifery techniques could not deliver the fetus's shoulders. In the previous life, it was also a rare emergency dystocia, and it was also called It's called shoulder dystocia.
If shoulder dystocia is not handled properly, it can lead to serious consequences such as neonatal asphyxia, brachial plexus injury, clavicle fracture, maternal cervical tear, uterine rupture, and postpartum hemorrhage. In this era, it is almost impossible to save.
To put it more cruelly, even if the woman just continued, she might not be able to successfully take out the child. She did not have an imaging auxiliary device beside the bed, and cutting or pulling would injure the fetus. When the mother's side bleeds heavily, and the baby becomes embedded in it and suffocates to death, there is no solution at all.
Luo Qianhuai's brain was working rapidly, recalling all the emergency treatment methods for shoulder dystocia. There are various techniques such as thigh flexion, front shoulder pressing, shoulder rotation, hip pulling and shoulder pulling, all fours on the ground, clavicle breaking technique, etc. It is common practice to choose two techniques and use them together repeatedly.
But she was facing the same dilemma. Without color ultrasound images, she couldn't see the specific position of the fetus, so it was difficult to make a choice.
Another important point is that although she is the chief resident of the emergency department, when encountering pregnant women with difficult labor, she will summon the general resident of the obstetrics and gynecology department who is also on duty to take charge of the overall situation. There are also experienced Full cooperation between nurses and anesthesiologists.
Modern emergency medicine is a professional team system, and it simply cannot work alone.
But now she was alone, and the difficulty of treatment immediately increased like a rocket.
She calmed down and carefully groped and checked the position of the fetus, only to see that the mother's complexion was getting paler, she was sweating profusely, her pulse was weak and fast, and she had symptoms of qi deficiency and blood loss.
Normally, you should immediately take "Shengzhi Dabu Decoction" to replenish qi and consolidate Chong, absorb blood to stop collapse, or use "Dushen Decoction" to replenish qi and consolidate detoxification.
But under the current situation, she couldn't let Xingjiu leave like this. Fortunately, she always had her medicine cabinet in hand and had made preparations in advance.
"Get ginseng slices, the century-old kind." She ordered.
Xingjiu immediately took out a rosewood box, took out two thinly sliced ginseng slices, opened the mother's mouth, and stuffed it under her tongue.
The cardiotonic effect of ginsenosides was immediate, and the mother's energy immediately recovered a lot. She was also a tolerant person, biting her lip to endure the pain without making a sound.
Luo Qianhuai knew she couldn't delay it any longer. She took a deep breath and prepared to try every method one by one. It's just that she only knows the theory of these methods, but has never actually practiced them, so she can't help but feel uneasy.
At this moment, the long-lost system prompt suddenly rang:
"It has been detected that the host has a strong desire for safe midwifery. Shortcut System version 1.3 is happy to serve you!"
Life is priceless. When it comes to the patient's life, Luo Qianhuai throws all precautions against the system aside. As long as it can ensure the health and safety of mothers and babies, what does it matter if he falls into a trap later?
"System, please let the mother and child be safe."
"The wish has been received. We are working hard to calculate the shortcut according to the host's needs..."
"Ding! The shortcut calculation was successful! Since the host's current ability is not enough to complete this plan independently, this system will enforce it!"
As soon as Xingjiu withdrew his hand from the stuffed ginseng slices, he noticed that Mrs. Luo's spirit had perked up and she exuded an extremely confident aura.
She pressed her hands above the mother's pubic symphysis and touched the front shoulders of the fetus. With a slight downward force, an invisible strength penetrated the body, narrowing the diameter of the fetus's shoulders and sliding out smoothly. Stuttering location.
With almost no effort from the mother, the fetal head came out of the birth canal with the remaining force, and the system used extremely standard delivery techniques to take out the newborn.
I don’t know if the system did something, but the newborn’s face looked normal and there was no sign of suffocation. It was like a miracle. At this time, the two dumbfounded maids next to him reacted and brought up the warm water basin, scissors and other items.
The system was now a skilled obstetrician. He cut the umbilical cord two finger widths away from the belly button, quickly sterilized the broken end with alcohol, and made a very beautiful ligation.
Then, it used warm water to clean the secretions from the baby's mouth and nose, wiped the vernix on the skin all over the body, and patted the baby's back with the soles of its feet. As soon as he finished this set of actions, the baby let out a loud cry.
When the mother heard this voice, she fell into a deep sleep with great relief. The two parties arguing outside the door also stopped and looked nervously at the door of the delivery room.
"The mother and child safety mission is completed." The system stopped: "The enforcement status is lifted. Now evaluate the effectiveness of this shortcut route. Wow, the evaluation is completed. The total score is 94, and the evaluation is above average."
"Analysis of the specific situation. This execution is divided into two parts: the system formulated a shortcut plan and implemented all the plans, with a score of 94 and excellent performance; the host did nothing and scored 0. What is particularly worthy of recognition is that this plan During the execution, the host was able to face up to his own shortcomings and immediately seek help from the system, which makes the system very gratified, and the rewards for the execution of this plan will be appropriately increased."
Luo Qianhuai was currently immersed in the joy of successfully rescuing people. He didn't care about the system's consistent style and praised him sincerely: "System, it turns out you are so powerful. I underestimated you before."
After a brief pause, the system's voice continued to sound, seemingly with a hint of unnoticeable joy: "The host has no objection to the evaluation results. The upper and mid-level execution rewards are now distributed as follows:
1. Score 1200 points. System Upgrade/
2. A fish-shaped copper casting.
3. A pair of bright moon and gold.
4. One chance for junior lottery.
"The reward is about to be distributed. Do you want to withdraw it now?"
"No!" Luo Qianhuai refused immediately. Time was running out, and she didn't forget that the mess under the mother's body was still waiting for her to clean up.
After taking control of his body, Luo Qianhuai wrapped the child in the swaddling clothes he had prepared, handed it to Xing Jiu who was standing aside, and then worked non-stop to treat the mother's wounds.
The placenta had been successfully delivered, but before Luo Qianhuai arrived, due to difficult labor, the rough movements of several women caused tears and a lot of blood.
After disinfecting with alcohol, she took out the mulberry thread and round needle that she had made earlier, and sewed them together carefully.
In order to stop the bleeding as quickly as possible, no anesthesia powder was used during suturing. Fortunately, this little pain was nothing compared to the severe pain during childbirth. The mother was still asleep and had not woken up.
After handling everything, Luo Qianhuai opened the door and walked out with Xingjiu.
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