The reason why longitudinal incision is easier to perform is that the fetus is usually in the head-down position in the mother's womb as mentioned before, and the doctor's vision looking down is relatively wide, unlike transverse incision where the doctor's vision and operation are restricted everywhere.
Since beauty is very important to women, most obstetricians and gynecologists will continue to take on the challenge of transverse incision to remove the fetus for the sake of their female patients. If they encounter difficulties in removing the fetus, they can only use clever methods to solve the problem.
For example, if you know that the fetal head is high and difficult to remove, you can move the surgical incision upwards first.
Today, the fetal head of this patient floated high, and it was a little far from the incision. If the doctor reached into the patient's uterus, it would not only be difficult to grasp, but it would also be easy to push the fetal head back into the uterus. The problem is that after the surgical incision is moved up, the chance of being exposed on the belly increases, and the scar will also look very ugly. It is better to just cut vertically. Therefore, an obstetrician who dares to challenge will not move the incision up casually. Director Yu, who performed the surgery today, is experienced and will definitely not do this.
If the surgical incision is not moved upward, other methods will be needed to solve this problem.
Lin** has summarized a lot of experience and methods in this regard.
If the fetal head is floating high away from the incision, the fetal head can be pushed down to the designated position. So Dr. Peng’s hand on the bottom of the uterus is pushing, hoping to bring the fetal head down to the incision so that the surgeon can take it out more easily. If the space in the uterus is large enough, the doctor can even push the fetus half a circle. If the fetal head cannot be exposed, the doctor can simply expose the fetal buttocks first. The doctor can also pull the baby out and separate it from the mother by grabbing the baby’s feet.
Doctor Peng pushed hard, and after two pushes, he found that the baby didn't seem to respond to the doctor's hand push and didn't want to come out. It would take a long time to push the fundus like this, and there was not enough time, so he quickly shouted, "Forceps, forceps."
The doctor can't push hard enough, like a cart, so he can only rely on the force from the front to pull the baby forward. The forceps can clamp the baby's head to do forward traction. The only problem is that the forceps may hurt the baby's head.
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Director Yu did not immediately use the forceps, but inserted two fingers into the patient's uterus to feel whether she could use her hands to pull the baby's head. It turned out that her hands were too big and it was difficult to get in and operate.
"Don't worry, don't worry." Director Yu said to the other doctors, they must stabilize the situation.
The anesthesiologist came over, and Dr. Peng couldn't push the machine by himself, so he asked someone else to help.
Director Yu shouted to the anesthesiologist: "No, just keep an eye on the patient's vital signs."
This patient is a little malnourished, and we are worried that something unexpected might happen during the operation. The anesthesiologist is too busy, so it is best to keep an eye on him alone.
Then Director Yu gave instructions to the two students: "You, go help Dr. Peng."
After receiving the teacher's order, Xie Wanying immediately walked to Dr. Peng to help push the fundus.
"Put your s-hook in there."
Geng Yongzhe's whole body stiffened. No matter how calm he was, he was afraid.
The hook should be placed under the child's head. If you are not careful, it may hurt the baby's head. Anyone who has studied medicine knows that the baby's head is relatively fragile compared to an adult's. The fontanelle is not closed and the neck is very soft.
"Come." Director Yu held his hand and released the hook.
The S hook is put in to press the bottom of the uterus, using the lever principle to make the fetus descend. At this time, the other two doctors will add more force to push it more quickly. However, in clinical practice, many babies do not follow the rules and do not listen to the doctor.
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