If possible, sprinkle some talcum powder on the mother's belly before proceeding.
Across the mother's belly, the doctor holds the baby's buttocks with both hands, uses the strength of his wrist to lift the baby's buttocks, and turns it in the opposite direction to the baby's head. Then he protects the baby's head with one hand to keep the baby small.
With the head bowed, the other hand continues to rotate the hip until it returns to the correct fetal position in front of the occipital bone. This step is the famous breech external inversion.
There is external rotation, and correspondingly there is internal inversion. Breech internal inversion requires general anesthesia, is relatively complicated, and is rarely used during normal clinical delivery. Sometimes doctors may use it during cesarean section.
For example, in the transverse position, partial breech inversion can be used to try to transfer the fetus. In the past, veteran midwives dared to try it on their own. Nowadays, the relationship between doctors and patients is tense everywhere in the hospital. The obstetrics department is the hardest hit area by doctor-patient conflicts. Midwives no longer dare to try it. They have to try it.
Only a doctor can try it.
The doctor was very afraid of trying the same thing. Who would allow a place like obstetrics to kill one person and two lives to be a little troublesome, and the family members would compete with each other fiercely.
It sounds amazing that transfection does not require surgery, but the actual operation has many restrictive prerequisites and the risks during the operation are very high.
To perform transfer surgery, first of all, the space in the mother's uterus must be large enough to allow the doctor's hands to push the baby. Secondly, the mother's amniotic fluid needs to be enough, not too little, otherwise the baby will not be able to roll, and it will cause certain damage to the mother's uterus.
s damage.
In the process of fetal transfer, there may be risks such as tearing the mother's uterine wall and premature detachment of the placenta. The risk to the baby cannot be ignored. During the fetal transfer process, it is not ruled out that the baby may be severely hypoxic due to the umbilical cord being wrapped around the neck.
, the only option is to rush to a cesarean section. In this case, it is not as safe as directly switching to a cesarean section.
Therefore, many doctors are willing to directly recommend cesarean section to family members and patients rather than take the risk.
From now on, it can be seen that only doctors with strong enough skills and confidence dare to continue to perform fetal transfer surgery on mothers under difficult conditions in order to ensure a smooth delivery. In the eyes of doctors, what is the best situation for fetal transfer surgery? Of course it is
Doctors do not force the baby to change positions. It is most secure if the baby can turn back to the correct position in the mother's womb. This can avoid any damage to the mother and child caused by brute force from the outside.
Instead of forcing the baby to rotate, how to let the baby rotate on his own? The baby cannot understand the words of the doctor and mother. It is indeed a very advanced knowledge to let the baby understand the information sent by the doctor and mother, and it is a knowledge that many medical people are working hard to explore.
In clinical terms, in summary, there are still some experiences accumulated by the predecessors that can be used as a reference for on-site doctors to perform operations.
The baby lying in the mother's womb can be regarded as a sphere with self-awareness. If there is a relatively spacious space for the ball to roll in, it will be more comfortable. Naturally, the baby will turn around on its own. Based on this idea, early clinical practice
After an abnormal fetal position is discovered in the third trimester of pregnancy, the prenatal doctor will first teach the mother to do posture exercises to correct the fetal position. The most common one is the knee-chest recumbent position mentioned earlier.
After figuring out the whole idea, Xie Wanying said to Extra Bed No. 3: "Come, let me help you change positions and teach the baby how to turn back to the correct position."
Her eyes were firm and her tone was sonorous and powerful.
Extra bed No. 3 felt that her clenched hand injected a strong force into him, and he couldn't help but nodded.