The door was blocked by family members. Suddenly, Dr. Zheng's face appeared in the gap and waved to the two rookies. Xie Wanying and Geng squeezed through the crowd and followed Dr. Zheng's instructions to go to the medical staff's dressing room next door to change clothes, slippers, put on hats and masks, and then enter the delivery room.
Just like working in other places in the hospital, the medical staff in the delivery room mainly consists of doctors and professional nursing staff. Anesthesiologists appear when needed. The nursing staff in the delivery room include ordinary nurses and midwives. Midwives need to obtain a special midwifery certificate.
The doctor in the ward is responsible for the doctor's words. The midwife usually monitors the mother. If there is any problem during the delivery, the midwife will call the doctor in time to report it and ask the doctor in the obstetrics ward to come and deal with it quickly. If the patient is a natural birth, the midwife will deliver the baby under the supervision of the doctor. This money is on the midwife's head. Therefore, the midwife hopes that the pregnant woman can have a natural birth more than anyone else.
As newcomers, the two students did not dare to walk around. The area in the delivery room is not just one area behind a door as people outside think, but is divided into many areas. Medical students know that if you are not familiar with the internal area division of the hospital, you must not walk around randomly, which will violate the aseptic operation rules, and you will not be able to solve it by being scolded.
According to Teacher Zheng, the room that can be seen as soon as you enter the door is large in area and has the most beds. It is the main time-consuming battlefield in the delivery room: the delivery room for many people.
The patients here are mainly first-stage labor women sent from the ward or emergency clinic. The first stage of labor takes the longest time, especially for first-time labor women, some of whom have a labor lasting almost a day. According to the common clinical indications, pregnant women can be sent to the delivery room when they start regular uterine contractions and their cervix is two fingers dilated before delivery. The doctor's finger is about one centimeter wide, so two fingers dilated means two centimeters.
In other special cases, such as when the fetal heart rate is monitored to be decreasing, emergency artificial rupture of membranes is required, and then attempts will be made to allow the pregnant woman to give birth naturally. Such patients will also be sent to the delivery room for delivery.
In each hospital, the specific medical indications for pregnant women to be sent to the delivery room may be slightly different. This needs to be determined based on the number of births in the delivery room and the ratio of medical staff in each hospital.
In the Beidu No. 3 hospital, the 20 beds in the multi-person delivery room are often insufficient, and a mobile bed has to be temporarily placed in the corridor to accommodate the pregnant women. Even so, after some pregnant women are sent up, their cervix is always hesitant to open or not open to two fingers because their prenatal contraction index is at the critical value. Maybe the doctor below checks that it is two fingers, but the doctor above feels it is not, so the pregnant woman is asked to go back to the obstetrics ward to continue waiting. The patient will be sent up when it is almost enough, otherwise there will not be enough beds for the patient.
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This shows how unbalanced the supply and demand relationship is in the delivery room. The supply and demand are unbalanced, there are more patients and fewer medical staff, so in order to serve more patients, medical staff can be seen walking like flying people everywhere in the delivery room.
Sometimes in the corridor, voices calling each other for colleagues could be heard, like loud speakers. In the hospital, if there were too many people, they had to shout to get through, and no one could hear what anyone else was saying.
In such a complex environment, the first thing to do is not to disturb colleagues' work. Dr. Zheng led the two students as if they were walking in a gap, carefully walking close to the wall.
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