The doctor's finger inserted into that place was painful for the parturient, it was impossible for her to not feel anything. It can only be said that the patient in bed six was really numb to the pain.
Anyway, Dr. Peng asked the student, "What was the result of your examination of her?"
"Her cervix is almost eight fingers dilated," Xie Wanying said. "Her problem is not labor force, but birth canal problem. It is cephalopelvic disproportion, and she must have a cesarean section. Her sacral pubic external diameter is less than 16 cm, about 15.5, the anterior-posterior diameter of the pelvic inlet is less than 8, about 7.8, and the fetal biparietal diameter is 9.3, which is obvious cephalopelvic disproportion. The fetal head crossing the pubic sign should be positive. The fetus cannot enter the pelvis and cannot enter the birth canal, so natural delivery is impossible."
The causes of dystocia can be roughly divided into three categories. The first category is labor force problems, which mainly refers to weak uterine contractions, and the mother cannot use her own strength to push the baby out of the body. The second category is birth canal problems. The most common clinical abnormalities are bone birth canal abnormalities, mainly pelvic abnormalities. The third category is abnormal fetal position. Bed No. 6 is obviously the second reason. The expectant mother's pelvis is small, the fetus's hair development is relatively normal, and the fetus's head cannot get out of the mother's pelvic entrance, which is an obvious head-pelvic disproportion.
Also, laymen call it cesarean section, but medical scholars must call it the standard surgical name, cesarean section.
After Dr. Peng and Dr. Zheng heard what she said, Dr. Peng immediately asked Dr. Zheng: "Has she seen the patient's medical records?"
"How is that possible? I just brought her in to see you." Dr. Zheng replied.
Dr. Peng couldn't remember all the clinical data of all the patients because she had taken over so many patients. She took the medical record of bed 6 again and opened it to find that the values mentioned by Xie were almost the same as the examination report in the medical record.
Doctor Peng raised his head, and together with Doctor Zheng, they looked at the student's face: Strange, what's going on?
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It was estimated by visual inspection. The patient was thin and had many obvious bone protrusions, which were easy to see. Even so, it was not easy to guess that the result was similar to the result measured by the instrument. It can be said that few medical students can do it in clinical practice. Old doctors can also guess it to be almost accurate based on their experience.
Putting down the medical records, Dr. Peng put on gloves and checked the patient's cervix. It was really dilated to seven or eight fingers. It was troublesome. If it continued like this, both the mother and the fetus would be in danger. He quickly took out his cell phone and communicated with Director Yu while running out of the delivery room to call the family to talk.
Doctor Zheng took two classmates with him, worried that Doctor Peng would be powerless to face those unreasonable family members alone.
"Family member of Li Taoli, whoever comes here?" Walking out of the delivery room, Dr. Peng looked at the family member of bed number six.
After a while, a young man and two women came over. They were the patient's husband, mother-in-law and her biological mother.
"What's wrong with my wife, doctor? Has she given birth?" asked the patient's husband.
"Director Yu has discussed her situation with you before and told you that she can't have a natural birth. Her cervix is now 7 or 8 fingers dilated and she is about to enter the second stage of labor."
"Hurry up and let her give birth. We are waiting."
"Her fetus' head is too big and her pelvis is too small. The fetus will never come out and will die in her belly due to dystocia."
"I don't understand." The patient's husband waved his hand to ask Dr. Peng to stop talking. "If her pelvis is small, how can the baby stay in her belly? Don't think I don't know what the pelvis is. The pelvis is the bone in the belly."
Dr. Peng wanted to curse in his heart, wondering why he didn't have time to educate the patient's family about these medical common sense at this critical moment. In fact, this situation is one of the problems that the state stipulates that pregnant women should have regular prenatal checkups to prevent. It should have been discovered during the prenatal checkup, and the prenatal doctor would have reminded the mother and the patient's family to request a cesarean section.
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