Chapter 1714： 【1713】Causes of dystocia
Chapter 1714 [1713] Causes of Dystocia
The doctor's fingers sticking into that place is sour and refreshing for the mother, and it is impossible to feel nothing. It can only be said that the six-bed patient may be really painful and numb.
Anyway, Dr. Peng asked the student, "What's the result after you checked her?"
"Gong Kai is almost eight fingers." Xie Wanying said, "her problem is not the problem of fertility, but the problem of the birth canal, which belongs to the disproportion of the head and the pelvis, and must have a cesarean section. Her external diameter of the sacrum is less than 16 cm. About 15.5, the anteroposterior diameter of the pelvic entrance is less than 8 or about 7.8, the fetal biparietal diameter is 9.3, and obvious cephalopelvic disproportion. The fetal head cross-pubic sign should be positive.
The causes of maternal dystocia are roughly divided into three categories. The first type of labor problems mainly refers to weak uterine contractions, and the mother cannot use her own strength to push the child out of the body. The second category is birth canal problems. The most common clinical abnormalities of the birth canal are pelvic abnormalities. The third category is abnormal fetal position. Bed number six is the obvious reason for the second category. The mother's pelvis is small, the fetal head development is relatively normal, and the fetal head cannot penetrate the mother's pelvic entrance, which is an obvious cephalopelvic disproportion.
Also, laymen call it a cesarean section, and medical academics must call it a standard operation called 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 find you." Dr. Zheng replied.
There are many patients, and Dr. Peng cannot remember all the clinical data of all patients. She took the six-bed medical record and opened it again, and found that the value Xie said was almost the same as the examination report in the medical record.
Dr. Peng raised his head and looked at the student's face with Dr. Zheng with four eyes: Strange, what's going on?
According to the visual estimation, this patient is thin, and the positions of many bony protrusions are obvious, which are easy to see. Even so, I can really guess that it is almost the same as what was measured by the instrument. It can be said that few medical students can do it clinically. The old doctor's words can also be guessed by experience.
Putting down the medical records, Dr. Peng wore gloves to review the patient's cervix. It was really open to seven or eight fingers. trouble. If this continues, the mother and the fetus will be in danger. He hurriedly took out his mobile phone and communicated with Director Yu, and ran out of the delivery room to call his family to talk.
Dr. Zheng took two classmates out with him, worried that Dr. Peng would be weak in the face of those family members who might be unreasonable by himself.
"Li Taoli's family, which one, come here." Out of the door of the delivery room, Dr. Peng looked at the family members in bed number 6.
Soon a young man and two women came over. The three are the patient's husband, mother-in-law and his mother.
"What's wrong with my wife, doctor? Did she give birth?" the patient's husband asked.
"Director Yu talked to you about her situation before and said that there is no way to give birth naturally. Now Gong Kai Qi Bazhi will enter the second stage of labor immediately."
"Let her give birth quickly. We're waiting."
"Her fetal head is too big and her pelvis is too small. The fetus will never come out and will die in her womb due to dystocia."
"I don't understand." The patient's husband waved his hand to tell Dr. Peng to stop talking, "If she has a small pelvis, how could the child stay in her stomach. Don't think that I don't know what a pelvis is, and the pelvis is the bone of the stomach."
Dr. Peng wanted to scold the streets, and wondered why he would come back to popularize these medical knowledge for the patient's family when he had no time at this juncture. In fact, this situation is one of the problems that the state stipulates for the prevention of regular obstetric examinations for pregnant women. It should have been discovered during the obstetric examination during pregnancy, and the obstetrician will remind the mother and the patient's family to request a cesarean section.
(end of this chapter)
The doctor's fingers sticking into that place is sour and refreshing for the mother, and it is impossible to feel nothing. It can only be said that the six-bed patient may be really painful and numb.
Anyway, Dr. Peng asked the student, "What's the result after you checked her?"
"Gong Kai is almost eight fingers." Xie Wanying said, "her problem is not the problem of fertility, but the problem of the birth canal, which belongs to the disproportion of the head and the pelvis, and must have a cesarean section. Her external diameter of the sacrum is less than 16 cm. About 15.5, the anteroposterior diameter of the pelvic entrance is less than 8 or about 7.8, the fetal biparietal diameter is 9.3, and obvious cephalopelvic disproportion. The fetal head cross-pubic sign should be positive.
The causes of maternal dystocia are roughly divided into three categories. The first type of labor problems mainly refers to weak uterine contractions, and the mother cannot use her own strength to push the child out of the body. The second category is birth canal problems. The most common clinical abnormalities of the birth canal are pelvic abnormalities. The third category is abnormal fetal position. Bed number six is the obvious reason for the second category. The mother's pelvis is small, the fetal head development is relatively normal, and the fetal head cannot penetrate the mother's pelvic entrance, which is an obvious cephalopelvic disproportion.
Also, laymen call it a cesarean section, and medical academics must call it a standard operation called 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 find you." Dr. Zheng replied.
There are many patients, and Dr. Peng cannot remember all the clinical data of all patients. She took the six-bed medical record and opened it again, and found that the value Xie said was almost the same as the examination report in the medical record.
Dr. Peng raised his head and looked at the student's face with Dr. Zheng with four eyes: Strange, what's going on?
According to the visual estimation, this patient is thin, and the positions of many bony protrusions are obvious, which are easy to see. Even so, I can really guess that it is almost the same as what was measured by the instrument. It can be said that few medical students can do it clinically. The old doctor's words can also be guessed by experience.
Putting down the medical records, Dr. Peng wore gloves to review the patient's cervix. It was really open to seven or eight fingers. trouble. If this continues, the mother and the fetus will be in danger. He hurriedly took out his mobile phone and communicated with Director Yu, and ran out of the delivery room to call his family to talk.
Dr. Zheng took two classmates out with him, worried that Dr. Peng would be weak in the face of those family members who might be unreasonable by himself.
"Li Taoli's family, which one, come here." Out of the door of the delivery room, Dr. Peng looked at the family members in bed number 6.
Soon a young man and two women came over. The three are the patient's husband, mother-in-law and his mother.
"What's wrong with my wife, doctor? Did she give birth?" the patient's husband asked.
"Director Yu talked to you about her situation before and said that there is no way to give birth naturally. Now Gong Kai Qi Bazhi will enter the second stage of labor immediately."
"Let her give birth quickly. We're waiting."
"Her fetal head is too big and her pelvis is too small. The fetus will never come out and will die in her womb due to dystocia."
"I don't understand." The patient's husband waved his hand to tell Dr. Peng to stop talking, "If she has a small pelvis, how could the child stay in her stomach. Don't think that I don't know what a pelvis is, and the pelvis is the bone of the stomach."
Dr. Peng wanted to scold the streets, and wondered why he would come back to popularize these medical knowledge for the patient's family when he had no time at this juncture. In fact, this situation is one of the problems that the state stipulates for the prevention of regular obstetric examinations for pregnant women. It should have been discovered during the obstetric examination during pregnancy, and the obstetrician will remind the mother and the patient's family to request a cesarean section.
(end of this chapter)
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