"Doctor Huang, don't shake your hands. Push a little further into this place 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 not being able to free one hand to give the anesthesia, the midwife will usually have to give the anesthesia herself. To give the local anesthesia here, the doctor needs to use one hand to feel for the ischial spine in the anus to guide the needle to prevent the needle from going off the target.
According to the route instructions given by Mr. Du, Huang Zhilei carefully adjusted the direction of the needle and the speed of the injection. Finally, the anesthetic was injected. It takes three to five minutes for the anesthetic to take full effect. During this period, the rescue work continued in an orderly manner.
Perhaps seeing how calm everyone was, Li Xiaobing became less nervous. Although she was in pain, she managed to have fun while suffering and complained to Cao Yong: "I think I will have given birth by the time my husband comes back."
It's a good thing that the mother's mood has improved. The problem is that some people may be trying to be calm.
Huang Zhilei stepped aside after the anesthesia was administered, and took the towel from his junior brother to wipe his sweat. He was shocked to hear what Li Xiaobing said. It was said that Fu Xinheng's complaints about Zhu Huicang and Li Xiaobing behind their backs might have some truth.
Dr. Tang handed the surgical scissors to her husband.
**The actual episiotomy may not be done with a scalpel, but with surgical scissors.
The surgical instruments doctors use are always based on actual needs.
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**This place is not a muscle, it is a piece of soft tissue, mainly composed of skin and some muscles. The broad sense of muscle and the narrow sense of muscle are divided into different areas.
In a broad sense, it will include the entire urethra, anus and other areas. In a narrow sense, it refers only to the part between the anus and the vulva. The place where the episiotomy is performed here is the narrow anus, usually at the five o'clock position.
The five o'clock direction is difficult to understand. You can look at the wall clock at home and compare it to the five o'clock position on the left side of the operating area, which is where the doctor will operate.
Due to the nature of soft tissue and the doctor's hands-on perspective, it is better to use surgical scissors rather than a scalpel to cut.
When cutting, the midwife also needs to sense the position of the fetus before cutting.
If you trim it too early, the rich blood vessels in the vagina will cause bleeding and increase the chance of infection. If you delay trimming, you may end up cutting too late, which is also not good.
To cut at the right time is a test of an obstetrician's technical experience.
The most appropriate time for breech delivery is when the fetal intertrochanteric diameter reaches the maternal ischial spine. Trochanter here refers to the trochanter of the fetal head of the baby. Trochanter means the protruding part of the femur. Many bones in the human body have protruding bony marks called trochanter, not just the femoral head. The doctor can feel the maternal ischial spine by hand in the maternal vagina. Usually, the doctor feels the distance between the two ischial spines to judge the transverse diameter of the mother's pelvis.
The fetus's buttocks fall to the position of the mother's pelvis, which means that the baby can start to be delivered.
The 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 led to the mother's premature exertion. Fortunately, they realized that the beginning was wrong and corrected it in time. Now the boss is in place and they are ready to perform episiotomy again.
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