"Doctor Huang, don't shake your hands. Go a little deeper into this area and push some more medicine." Du Haiwei carefully observed Huang Zhilei's movements with his eyes while giving accurate and important instructions.
If it is not for the purpose of blocking the buttocks and the two hands cannot be used to inject anesthesia, otherwise the delivery doctor will have to inject the anesthetic himself as a rule. To inject local anesthesia here, the doctor needs one hand to "cause"
The ischial spines are explored inside to guide the needle to prevent it from being missed.
According to Mr. Du's route guidance, Huang Zhilei carefully adjusted the direction of the needle and adjusted the speed of the injection. Finally, he finished injecting the anesthetic, which took three to five minutes to take effect. During this time, the rescue work continued in an orderly manner.
Maybe seeing everyone so calm, Li Xiaobing became less and less nervous, and the pain returned to pain. He did not forget to enjoy the pain and complained to Cao Yong: "When my husband comes back, I will probably be done giving birth."
It's a good thing that the mother's mood has improved. The problem is - some people may be trying to force themselves to be calm.
After taking the anesthesia, Huang Zhilei stepped aside, took the towel from his junior brother's hand and wiped his sweat violently. He was shocked when he heard Li Xiaobing's words. I heard that Fu Xinheng complained about Zhu Huicang and Li Xiaobing behind his back, and there may be some truth to the fact that this couple is different from ordinary people.
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Dr. Tang handed her husband the surgical scissors.
The actual situation of episiotomy may not be performed with a scalpel, but with surgical scissors.
The surgical instruments a doctor uses are always based on actual needs.
The perineum is not a vagina, it is a piece of soft tissue, mainly composed of skin and some muscles. The perineum in the broad sense and the perineum in the narrow sense are divided into different areas.
In a broad sense, it will encapsulate the entire area such as the urethra and anus. In a narrow sense, it refers to the part between the anus and the vulva. The place where the episiotomy is performed here is the perineum in a narrow sense, usually at the five o'clock direction.
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The five o'clock position is difficult to understand. You can look at the wall clock on your wall and compare it to the left side of the surgical area, which is almost marked with five o'clock, which is where the doctor will start.
Due to the nature of soft tissue and the doctor's hands-on perspective, it is better to cut with surgical scissors than with a scalpel.
When cutting, the doctor who delivers the baby also needs to sense the position of the fetus before cutting.
If you cut it in advance, because the perineum is rich in blood vessels, it will easily bleed, which will increase the chance of infection. If you delay cutting, you are afraid that it will be too late and will not be effective, which is not good either.
To cut at the right time, it tests the technical experience of an obstetrician.
The most suitable time for assisted delivery in the breech position is when the diameter of the fetus' trochanter reaches the mother's ischial spine. The trochanter here refers to the trochanter of the baby's femoral head, which means thick and protruding.
Many bones in the human body have raised bony signs called trochanter, which refers to more than just the femoral head. The doctor can feel the ischial spine of the mother with his hands in the maternal canal. Usually, the doctor feels the distance between the two ischial spines.
Used to determine the transverse diameter of the mother's pelvis.
When the baby's buttocks fall to the position of the mother's pelvis, the baby can begin to be delivered.
The most important reason why Du Haiwei had to push the fetus back was that the mother was not ready. The two young doctors had no experience in this area, which caused the mother to exert force prematurely. Fortunately, she realized that she had made a wrong start and corrected it in time.
.Now that the boss is in place, he is ready to perform the side cut again.