Du Haiwei used the surgical scissors to cut downwards neatly, making a vertical incision. Although it was also an episiotomy, the direction of the scissors was closer to the six o'clock position.
The doctor always has to decide where to make the cut based on the patient's specific situation. What is described in the textbook is just the conventional practice. Clinical medicine is a very flexible job. It has to emphasize principles and be flexible.
After her husband finished the incision, Dr. Tang helped him use gauze to suppress the blood coming out of the incision.
"Push." Fully prepared, the doctor gave instructions to the woman in labor to push.
The second stage of labor officially begins.
"Take a deep breath." Cao Yong stood beside the woman in labor and gave her instructions.
Li Xiaobing took a deep breath, and while waiting for the moment of contraction pain, she increased her strength to push the baby.
The others all kept a close eye on the production situation.
Mr. Du's hands are guiding the baby's buttocks. One thing to distinguish here is that doctors will not use traction unless it is necessary. On the contrary, they will only use their hands to help the baby adjust his position so that he can adapt to the mother's birth canal and leave the mother's body. Casually forcing traction can easily hurt the baby and the mother.
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It seems that in this case, the doctor does not need to use force. This is also wrong. Doctors always use force at a precise location, just like Xie is using fingertips to apply force at only one point, which is more difficult and more physically demanding.
This is why surgeons need good physical strength.
As they watched, Lin Hao and Li Qi'an, who were standing on tiptoe at the back, suppressed a low cry. Finally, they saw the baby's buttocks exposed again. What was different from the last time the baby's body posture was exposed was that this time it was not just one side of the baby's buttocks that was exposed.
The baby guidance done by the big guys is as neat as a formula, and there will never be irregularities such as one side of the buttocks coming out first. Just as the formula is not derived regularly, the answer will be wrong, and the doctor's irregular posture in guiding the baby out will also lead to dystocia. Young doctors have learned their lesson.
In breech delivery, the baby's buttocks are exposed in two halves, with the front and back halves exposed neatly. In this way, the baby's body is like a lotus emerging from water, beautiful and safe. The buttocks are horizontal when they come out. The doctor's hands reach out to assist the fetal buttocks to rotate outward to deliver the two lower limbs. The doctor's hands are now fully put in, helping the baby to do a graceful turn like a gymnast, while the buttocks are pulled out, the baby's left calf and then the right calf, until the baby's lower body is completely exposed.
During this time, the doctor instructed the woman to cooperate: "Breathe in, exhale, push hard..."
The sweat on Li Xiaobing's face flowed like a river.
Cao Yong, who was standing next to her, wiped the sweat off her face from time to time. His brows were solemn, and he occasionally looked at the situation across the street with a hint of worry.
The baby's umbilical cord is also of utmost importance during the birthing process. It must not be cut off halfway and block the cervix. If such an accident happens, it will become an emergency on the spot.
Xie Wanying, who was in charge of grabbing the umbilical cord through her belly, had already felt her fingers go numb, and the feeling of her fingers was almost not her own. However, now was not the time to relax, on the contrary, it was an increasingly important stage.
The most special thing about breech delivery is that it becomes increasingly difficult during the delivery process. Unlike head delivery, which is almost smooth as soon as the front fetal head comes out.
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