Episiotomy is familiar to medical students who have studied obstetrics and gynecology. It is a very common knowledge point in obstetrics. Different from cesarean section, it is a surgery often seen in obstetrics and midwifery. Purpose
In order to prevent the mother from having an oversized fetus squeeze her perineum during delivery, causing perineal tearing and damaging the mother's pelvic floor muscles, a wide incision of the perineum is carried out in advance to expand the volume of the perineum.
Some pregnant women don't understand this. They only hear that the doctor suddenly wants to perform a knife on a good part of their body. They don't understand it and are afraid of leaving scars.
In fact, the wound of episiotomy heals much easier than the uneven tear caused by perineal tear due to the neat fracture surface, and basically does not leave any big scars. Moreover, if the pelvic floor muscles are really injured during labor,
, it will cause considerable sequelae to the maternal health and life in the future.
It is even more impossible for a doctor to perform a knife on a patient casually. An extra knife would be a big trouble for the doctor. The doctor is responsible for the healing of the knife. He will only perform it when the mother's condition is necessary.
Operation.
Episiotomy can generally be performed by a midwife, not necessarily a doctor, which further illustrates that the risk of this operation is very low.
It can be seen from the above that the mother's worries are mainly caused by the doctor's failure to explain the mother well before the operation, which leads to the mother's complaints.
The suspicion between doctors and patients is often reflected in these details.
Many domestic clinical doctors do not do enough in doctor-patient communication and are unwilling to pay. There is only one reason. Domestic doctors have to deal with too many patients every day and do not have time to do detailed medical science popularization.
Furthermore, there are many clinical patients who are suspicious, and there are many patients who are very suspicious. If you say it in advance but don't do it in the end, I'm afraid it will make the mother doubt again and again.
"It's not that I don't know. I'm trying to test your senior sister's current condition and the need for side surgery." Lin Hao gritted his teeth and asked Li Qian not to get too confused.
Determining when a mother needs lateral incision is a technical job, rather than memorizing it by rote from a textbook. I am afraid this needs some clinical internship experience to support. Li Qian has seen many cases in the obstetrics department. After thinking about it, he said: "Maybe
Because senior sister is a first-time mother?"
Here, Li Xiaobing heard that the big boss suddenly wanted to give her a knife, and she couldn't help but be as nervous as other pregnant women, and wondered why she wanted to have a side cut.
Seeing this, Dr. Tang tactfully helped her husband give the patient a comforting explanation: "Xiao Bing, don't be nervous. Side incisions are normal." Immediately following, without any unnecessary medical terminology, Dr. Tang directly gave his own example:
"When I gave birth to my son, I also had a sideectomy. Who told us that this was our first child?"
For first-time mothers, first-time mothers are more likely to have a tight perineum that cannot be opened than for multiparous women. There is a greater chance that the mother's perineum will be burst when the baby comes out, causing perineal tears. In most cases, side incision is required.
In this way, is classmate Li Qi'an's guess correct? No, it is only about half right. Lin Hao narrowed his eyes, and the silence on the faces of the bosses at the scene indicated that something was fishy. Classmate Li Qi'an noticed the subtle atmosphere and was equally surprised.
Dare to show off your ordinary talents.
In Li Xiaobing's case, doctors may need to consider other special factors. For example, if the mother has heart disease and needs to shorten the second stage of labor, lateral incision can make the delivery faster. In addition, breech delivery is difficult to deliver, so lateral incision is inevitable.