Cesarean section in natural delivery should not only experience pain before delivery, but also experience postpartum recovery pain after cesarean section. Not only that, after the "delivery door" has been opened, the baby's head has been drilled down, the trauma of the operation may be greater, the uterine contractility may decrease, and the probability of postpartum hemorrhage is very high.
After giving birth to a baby, the possibility of bad wounds and even infection will increase. Therefore, it is not only pregnant women who are worried about antegrade dissection, but also doctors don't want to see it. I can't comment on the reasons for the above-mentioned maternal tragedy, but I can share with you a few points:
1. The purpose of anterograde cesarean section is to ensure the safety of the baby and the mother. It is to evaluate the future decisions in real time according to the dynamic changes in the labor process, rather than the decisions made by doctors and nurses slapping their heads or being lazy and rushing off work. In a hospital, there must be more people who are most concerned about the safety of patients than their families. Doctors and nurses will always be on the patient's side when they go to work in the morning, at night and even at home. Safety and security are our first considerations!
2. The straightforward interception is definitely not for "cheating money". Many times, pregnant women and their families will be suspicious or even hostile to medical staff, thinking that hospitals should "cheat money", the cost of surgery will definitely be sky-high, and red envelopes should be prepared for doctors. Admittedly, China is so big, this may really happen in some places, but should doctors emphasize that this will never happen in regular public hospitals, and the cost of surgery is clearly marked?
For example, the hospital where the monk is located is a tertiary specialized hospital, which is famous for its low price and good quality in Shanghai. If you give birth to a child in a general ward (triple room), the cost of nursing is tens of yuan a day, the cost of surgery is more than 2,000 yuan, and the discharge examination may not be as high as 5,000 yuan (total cost)! Yes, I'm promoting that childbirth is actually not expensive, and the price of natural delivery may be lower than this 1000 or so. Therefore, medical workers are really "conscience price"!
Ok, the above content belongs to the part of whether the medical monk vomits. Next, let's talk about some dry goods. What exactly is the requirement of smooth cutting? Many times, pregnant women are pulled and scratched before they fully realize what has happened. Indeed, in an emergency, pregnant women may be in a daze, and doctors may also communicate with their families to sign more. Let's have a look. When it comes to why the cutting direction is right, there are actually only two requirements: 1. Adults are in danger; The baby is in danger.
Adults are in danger:
1. Progress in medical diseases of pregnant women: Will hypertension be born by itself? Can diabetes be born by itself? Can asthma be born by itself? However, all pregnant women with medical complications, whether they are sick before pregnancy or find abnormalities after pregnancy, can mostly give birth on their own as long as their condition is successfully controlled and evaluated regularly. However, if these diseases suddenly worsen sharply during delivery, cesarean section is needed immediately. Pregnant women with pregnancy-induced hypertension in the delivery room suddenly have high blood pressure or even convulsions and become eclampsia, liver function suddenly deteriorates, the whole body suddenly turns yellow and becomes carrots, heart patients suddenly have heart failure, and asthma patients suddenly have asthma. This situation must be terminated immediately and surgery should be performed immediately. For what? To save mom's life!
2, pregnant women are infected during labor: childbirth is a very exhausting process, sometimes many pregnant women will break water in advance, and they will have a fever for a long time after birth. This condition is also likely to be called prenatal fever. If the pregnant woman's temperature does not rise much, there is no sign of infection, and the baby's heartbeat is normal. In fact, she can continue to give birth on her own. It's a pity to give up this marathon. However, if the baby's heartbeat continues to accelerate, or even lack of oxygen, it is necessary to have a cesarean section. On the one hand, we must avoid the baby's lack of oxygen. On the other hand, persistent infection may lead to serious infection in pregnant women, resulting in poor wound growth and even systemic infection!
3. Problems in the delivery process of pregnant women: During the delivery process, there are sometimes some unexpected situations, the most famous of which may be amniotic fluid embolism, and for pregnant women with previous uterine scars (having undergone hysteromyomectomy and cesarean section before), the uterus may also rupture during the delivery process. In the process of labor, once similar manifestations are found, the medical staff will immediately prepare for the operation and save the life of pregnant women in minutes!
4, pregnant women are exhausted, and the PH value is close to 0: pregnant women have limited energy. If they have been born for two days in a row, do you think she still has strength? I really have no strength, and the labor process has not progressed. You should listen to the doctor. You work so hard, the baby hasn't come out yet. There must be something wrong. At this time, you have to listen to the doctor's analysis. If the PH is really close to 0, if you don't have surgery, even if the baby can give birth smoothly, the uterine contractility of pregnant women will be weakened after delivery, and other people's uterine classmates will not have the strength to contract. Postpartum uterine contraction is bad, shouldn't it bleed?
5, the birth canal of pregnant women and the baby's head are not completely consistent: this may be the case with the above news! You must know the baby's size after birth. Prenatal evaluation is an estimate for reference only. And where is the limit of mom? There is no conclusion! No medical monk has ever met a pregnant woman of 150cm who gave birth to a big fat son weighing more than nine kilograms, but there are also a few who can't have a second child. A baby needs to go through a long birth canal during the labor process. This birth canal is not a cave, and the diameter around it is the same. This road is round for a while and oval for a while. Smart babies will adjust their heads, turn left and right, and cross this road. Sometimes, when the baby is halfway through, he finds himself stuck and has no way out.
Babies are in danger:
1, the baby has the possibility of hypoxia, which is extremely likely: the baby's heartbeat will be monitored all the time during delivery. If fetal heart monitoring suggests that the baby has the possibility of hypoxia, and this possibility is increasing, the doctor will evaluate whether it is short-term hypoxia or the baby is in danger. During childbirth, the baby is under the pressure of contractions. In fact, there will be some small hypoxia, which is normal and recoverable. If it is short-term hypoxia, the doctor may give you oxygen and adjust the position to avoid the umbilical cord from being compressed. However, if the baby still suffers from hypoxia after adjustment, it is necessary to listen to the doctor, otherwise the baby may be affected by long-term hypoxia after birth!
2, there is a problem with the placenta: after the baby is born, the placenta will fall off after a while. But what if the baby is not born yet and the placenta has been stripped? Occasionally, this happens (we call it placental abruption). If this happens, you need to operate immediately! Once the placenta is detached, the baby has no source of livelihood and no umbilical cord for blood supply, so the baby's life must be saved immediately. Once it is late, the mother's life will also be threatened! Some people say that since it is so terrible, how can we avoid it? If this happens, the amniotic fluid may turn bright red, and the baby may show signs of hypoxia. After seeing it, the doctor will evaluate it, and if there is any problem, he will also do a B-ultrasound to see if there is any problem. Be sure to cooperate with the doctor.
3, there is a problem with the umbilical cord: during childbirth, the baby is constantly "drilling". If there is a gap between the birth canal and the baby during drilling, and the gap is not small, then the umbilical cord may fall off! Once the umbilical cord falls off, it is easy to be pressed by the baby's head. Once crushed, it will cut off the blood supply to the umbilical cord. Is it dangerous for the baby without blood supply? No, this is very, very dangerous! This is another situation in which it takes minutes to have a caesarean section to get the baby out! !
Okay, how many minutes did the doctor say? Many times, doctors may be in a hurry, nurses may be in a hurry, and even teachers and aunts who push patients are in a hurry. Pregnant women and their families may not fully understand what the doctor said in "minutes", and the doctor's attitude at this time is definitely not gentle. I hope pregnant women and their families can understand doctors and nurses. The "fierce" at this time is really for your own good.
Childbirth is different from usual walking. It is an exercise that consumes physical strength and challenges the limit. For an inappropriate example, if the usual life is a merry-go-round, it is like bungee jumping when giving birth to a child. Therefore, pregnant women need to constantly evaluate, adjust, reevaluate, adjust and reevaluate during childbirth ... Until the baby gives birth smoothly, the old hen may become a duck at any time, so the delivery room is a very dramatic place. Doctors and nurses in the delivery room may go crazy in minutes. If they are crazy, they usually ask pregnant women to push hard, or if they are crazy, they usually contact the operating room pediatrics and emergency surgery. ...