Premature birth has many factors. The most damning thing is that medicine can never predict all premature births, nor can we understand all the causes of premature births.
It is equivalent to saying that clinically a large proportion of premature births are premature births with unknown specific causes. Even if doctors make medical speculation afterwards, they cannot determine whether the cause is 100% correct. The only way to make a medical diagnosis is to make a diagnostic question mark.
What the doctor can do is, for example, Dr. Tong answered the phone and asked a few questions. If he can ask, forget it. If he can’t, forget it.
The most important thing is to do what a large group of doctors are doing now, hurry up, save people is the most important thing, they don’t care about anything and everything, whatever means can be used, and they don’t care about the reasons.
This situation is a bit like rescuing a patient who has suffered an unexplained cardiac arrest. Cardiopulmonary resuscitation comes first and other things are not considered.
Maternal resuscitation is like cardiopulmonary resuscitation, which requires a countdown.
This point was something that Dr. Xie experienced during his obstetrics internship earlier.
The reason for the countdown is that the fetus has a time limit in the mother's body. If it does not come out within a certain period of time, both the fetus and the mother's body will be destroyed. This is the correct interpretation of one corpse and two lives.
You can answer the above questions from here. It may be too late to wait for the ambulance to arrive. Especially for such a patient, the time for the amniotic water to break may be longer than doctors expected.
There was someone waiting at the door of the patient's house. He was the husband of the mother.
“How does your wife feel now?” Dr. Tong took two steps forward to meet the family members and asked, “When did she feel that her amniotic water had broken?”
"She couldn't explain it herself. At first, she felt like she had peed. Later, my mother went to see her and said it was not the case." The mother's husband was very angry when he said these two sentences. Maybe he realized it after being angry with his wife. Didn't know I was going to give birth.
The mother seems to be a first-time mother with no birth experience, so it is normal for her to have misunderstandings about her physical condition.
Doctor Tong patted the family members on the shoulders and told them not to speak to patients like this from now on. Think about it, your wife is on the verge of life and death in order to give you and her a child, how can you complain about her? Even if she has made any negligence, it cannot be said to be her fault.
Doctor Tong’s prestige as a village doctor is demonstrated here.
The patient's husband did not dare to talk nonsense anymore, but he saw that except Dr. Tong, all the other doctors who came with Dr. Tong were staring at him with eyes as bright as knives.
It is not impossible to complain when there is trouble, but it must be done according to the occasion. The doctor reminded the family members that the purpose is not to be gossiped about by the world.
After receiving the latest patient information, the doctors can feel that things are getting more and more difficult. The mother does not know when her amniotic fluid will break, which is very likely to delay the delivery opportunity, and the fetus may die of hypoxia in the environment where the amniotic fluid is lost.
How long a fetus that has lost amniotic fluid can live depends on the individual case, but it is definitely better to deliver the baby within a short time after the amniotic fluid breaks. This is because it takes about ten hours for the mother to have all the amniotic fluid flow out.
Now this mother can't say whether it was more than ten hours before her amniotic water broke.
Village clinics are not specialized hospitals for obstetrics and gynecology. They do not have relevant specialized equipment and generally do not receive babies.
Doctors know before departure that they don’t need a fetal heart rate monitor to detect fetal heart rate, and they don’t need an ECG monitor to monitor maternal heart rate and blood pressure.
Nothing?
There was a pair of forceps, which Dr. Tong specially sterilized and wrapped in case they were needed.
Dr. Shen Xifei and other doctors from the capital: This condition—
