Start as an Emergency Physician
Chapter 170
The amniotic water breaks, and there is a possibility that a dangerous situation can occur.
Although Zhou Yuan is not an obstetrician and gynecologist, he still knows some about these basics.
Amniotic fluid is a colorless, transparent liquid encapsulated in fetal membranes that contains small white pieces of vernix and fetal hair. During the whole pregnancy, the fetus can move freely in the mother's womb, free from the squeeze of external forces, and alleviate the collision of external forces, so it has a good protective effect on the fetus.
During labor, as the uterus continues to contract, the fetal membranes at the opening of the uterus cannot withstand the greater pressure and rupture, causing the amniotic fluid to flow out of the yin, which is the breaking of the amniotic water.
Under normal circumstances, the rupture of amniotic water is a precursor to childbirth, but there is also the phenomenon of premature fetal birth, the fetal membrane is the protective membrane of the fetus, if the fetal membrane is prematurely ruptured because of an accident, the amniotic fluid will also flow out, the fetus loses protection, and it is easy to die after premature birth.
Moreover, there is also a situation where intrauterine distress occurs.
It is not yet the time of labor, but the amniotic fluid breaks, and the umbilical cord will prolapse out with the flow of amniotic fluid, causing the fetus to be urgent in the womb, thus causing fetal hypoxia and so on.
When Zhou Yuan arrived at the scene, He Jianyi, Sun Meng, and Liu Kai had also arrived.
Zhou Yuan stepped forward and moved the pregnant woman to the emergency bed together, intending to push her into the observation room for examination.
"Wait!"
At this time, the pregnant woman's husband was a little unhappy.
"So many of you male doctors... Is it okay to let this female doctor come?" the pregnant woman's husband pointed to Sun Meng.
Zhou Yuan was stunned.
All he had in his mind was the thought of saving people, and he didn't even notice it.
"In the eyes of doctors, there is no distinction between genders. Zhou Yuan said slowly.
However, he still respected the wishes of the pregnant woman's husband, and after he Jianyi and Liu Kai helped push the pregnant woman into the observation room, he waited outside with the pregnant woman's husband.
"If there's a danger going on, you've got to let us in and deal with it. He Jianyi sighed and said, "In the eyes of our doctors, there is only a difference between patients and normal people. "
Zhou Yuan thought for a while, stood up, and said, "Teacher, I'll go to the obstetrics and gynecology department to see if there are any doctors on duty at night." "
He Jian was stunned.
Just now, I was so full of thinking about saving people, I actually forgot that there were still people on the night shift in the obstetrics and gynecology department...
"Let's go. "He Jianyi.
Zhou Yuan nodded and quickened his pace.
On the other side, Sun Meng lifted the blanket covering the pregnant woman's lower body.
Because during pregnancy, a woman's yin tract produces a lot of secretions, so in the case of suspected amniotic water rupture, the first thing to determine is whether it is amniotic fluid, urine, or secretions that are expelled from yin.
The main thing is to distinguish between urine and amniotic fluid.
The difference between the two is very big, first of all, the smell, the smell of urine is generally stronger and pungent, but the taste of amniotic fluid is natural and somewhat sweet.
Sun Meng moved his nose, and the smell in the air was not easy to distinguish.
This situation is very troublesome, if the smell is prickly, you can judge that it is urine, but the taste is very light, almost invisible, unless you taste it, you can't distinguish it. Because some people's urine is likewise odorless.
"What is the love when the amniotic water breaks" Sun Meng can only judge by other phenomena.
In the late stages of pregnancy, because the bladder is compressed so much, it is sometimes normal to miss a few drops of urine, and there are often nervous pregnant women who think this is a break in the amniotic water.
But when the amniotic fluid breaks, it is like running water, and the pregnant woman can't control it at all, and it is one by one, and a few strands come out every once in a while, and the abdomen will have a throbbing sensation at the same time, and the amniotic fluid can be felt obviously hot.
This is often the case when the baby is about to be delivered.
"I don't know... Where do I remember so much? I remember that it broke, my stomach hurts, doctor! I'm not going to die!"
Sun Meng smiled helplessly.
Looks like a novice pregnant woman.
Sun Meng walked out of the observation room, "Director He, please help take a test strip." "
He Jianyi immediately understood what Sun Meng was going to do, ran to the pharmacy to get some test strips, and handed them to Sun Meng.
Sun Meng closed the door again and pasted the test strip on the pregnant woman's outer yin.
The pH of amniotic fluid is around 7.0~7.5, while the urine is around 5.5~6.5, and if it is amniotic fluid, the test strip will turn dark green.
As soon as I put it on, the dark green color is revealed.
Sun Meng ran out: "Director He, the patient is about to give birth!"
"I..."
He Jianyi is the deputy director, and after so many years in the emergency department, he still knows how to deliver babies. But just as he was about to say that he was coming, he was interrupted by the pregnant woman's husband.
"Didn't you have a doctor go to the obstetrics and gynecology department to call someone! Let the female doctor from the obstetrics and gynecology department come!"
He Jian was stunned one by one, sat down again, and said, "There are also male doctors in the obstetrics and gynecology department... In addition, it is you who refuse our treatment, and you will be responsible for any consequences that occur at that time. "
"What will happen... You don't scare people!" the pregnant husband frowned.
Soon, Zhou Yuan came back with He Jing.
It was He Jing who was on duty at night, and there was another old director in his fifties, but because he was a man, Zhou Yuan was not invited.
"Doctor, my wife is about to give birth, go and see!"
He Jing nodded, glanced at He Jianyi and other male doctors who were gathered outside the observation room, and immediately understood what was happening.
"Sister Sun Meng, you come in with me to deliver the baby. "
Sun Meng nodded and said eagerly, "The fetal head has been exposed, and I can't care so much, just deliver the baby in the observation room!"
He Jing put on a mask, "Zhou Yuan, please help us prepare disinfection items, it's a little too late!"
After speaking, He Jing also walked in.
Although Zhou Yuan didn't know why everyone liked to call himself to work, he still stood up, took the alcohol, etc., knocked on the door after careful disinfection, and handed it to Sun Meng and He Jing inside the door.
The observation room soon became a delivery room, and it was suddenly busy.
The cry of the pregnant woman sounded, and He Jianyi and the others subconsciously covered their ears.
Sure enough, the degree of pain of natural childbirth can only be compared to the pain of the egg... Even more than egg pain.
The doors of the observation room are not soundproofed, and the occasional sound of scissors and other instruments can be heard.
"The fetal head is out!"
"Sister Sun Meng, you gently squeeze up from the fetus's neck and chin, and gently squeeze down from the nose to squeeze out the mucus and amniotic fluid in the fetal mouth!"
"The fetus's shoulder came out... The fetus has successfully fallen out! Scissors sterilize and cut the umbilical cord!" This is Sun Meng's voice.
After a while, He Jing walked out with the newborn who was tightly wrapped.
"Congratulations. It's a boy. He Jing smiled and said this extremely familiar sentence.
It was a remarkably smooth natural birth.
Natural childbirth has more benefits than caesarean section, so many mothers choose painful natural childbirth for the sake of their children's health. _
Feilu reminds you: there are three things to read - collection, recommendation, and points
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