Chapter 492: I Have a Way
The purser also regained his composure at this moment and said, "I remember, I have a first-aid kit on the plane, so I'm going to get it for you." ”
When Wang Ming, Li Xiaowan and others lifted the woman to the first-class cabin and let her lie flat on the seat, it didn't take long for her to start exhaling pain in a cold sweat again. And looking at the painful expression on her face at the moment, you can determine the extent of the pain coming from her lower abdomen. I'm afraid it's much stronger than just now. She screamed in pain and pulled her husband's arm tightly to relieve the pain she had never felt before.
Seeing the appearance of the mother, Wang Ming hurriedly put his hand on her wrist to take the pulse, and said after more than ten seconds: "She is about to give birth, we must start helping her deliver immediately!" With that, he took out two pairs of sterile gloves from the first aid kit brought by the purser, one was handed to Han Qian, and the other was put on by himself.
At this time, Han Qian also taught the mother how to breathe and exert herself according to the midwifery knowledge she had learned before. Li Xiaowan and Wei Ying, as well as several other flight attendants who were guarding here as assistants, all opened their eyes nervously, held their breath, and kept praying in their hearts, while also following Wang Ming's instructions.
After everyone's efforts, Han Qian suddenly shouted happily and excitedly: "Okay, okay, the fetus's head has come out, and with more effort, the fetus can be completely delivered."
Hearing Han Qian's words, not only the mother and her husband were relieved, but Li Xiaowan, Wei Ying and the rest of the flight attendants were also relieved, and even the other passengers on the plane also let go of their hanging hearts. If it weren't for the fear of disturbing the mother, Wang Ming, and Han Qian, I was afraid that they would start applauding and cheering.
At this moment, everyone on this plane is paying attention to this mother and her soon-to-be-born child. These people are not similar to each other. Not only is it softly cheering for the mother, but at the same time, they are also praying to the gods in their hearts. I hope they will be able to manifest themselves and bless the mother and son with safety. However, not long after everyone relaxed, they heard Han Qian screaming again. This time, there was a slight tremor in her voice, and the content was not good, and even made everyone's faces change: "Oops, no, this is shoulder dystocia!"
The so-called shoulder dystocia. Also known as shoulder delivery difficulties, it refers to the situation that the head of the fetus has been delivered out of the body during childbirth, but the anterior shoulder is stuck above the pubic symphysis and cannot be delivered by conventional midwifery methods.
Because the baby's shoulder is stuck in the birth canal, it compresses the umbilical cord and prevents it from supplying blood to the fetus properly. If the fetus is not delivered within a few minutes, the blood and oxygen supply will be insufficient, and the fetus's intelligence will be impaired. Or even death. In the process of assisted delivery, it is also easy to cause fetal clavicle fracture or brachial plexus damage. It can be said that shoulder dystocia is one of the last difficult births that obstetricians and midwives want to do.
Even in a well-equipped delivery room, shoulder dystocia can cause obstetricians and midwives to break out in a cold sweat. And now. Encountering shoulder dystocia on this plane with neither relevant equipment nor relevant drugs will make Han Qian exclaim.
In just an instant, a dripping cold sweat poured out all over Han Qian's body. He kept muttering, "What should I do," what should I do now?"
Wang Ming shouted in a deep voice: "Calm down." Don't panic. If you, as a medical worker, are panicked, what do you want to do?"
Wang Ming's shout. It was like a slap in the face of Buddhism, which made Han Qian calm down immediately. She immediately began to recall the midwifery techniques she had learned about shoulder dystocia, and instructed the mother: "Sister, you hold your thighs with both hands and curl your thighs as hard as you can, so that it fits against your abdominal wall, yes, that's it, good, very good." ”
The method taught by Han Qian to the mother is called the thigh flexion method, which can reduce the curvature of the lumbar spine, reduce the pelvic inclination, and raise the pubic symphysis to increase the exit plane, so that the anterior shoulder of the fetus can be released from above the stuck pubic symphysis. It is also the clinical method of choice for shoulder dystocia. However, Han Qian soon discovered that this method would not work at all.
Subsequently, Han Qian and Wang Ming tried to deal with shoulder dystocia such as the method of pressing the front shoulder, rotating the shoulder, holding the hind arm and giving birth to the back shoulder, etc., but what is frustrating is that these methods have not been able to play their due role.
In such a situation, Han Qian could only put forward a choice for Zuihou: "The front shoulder of the fetus is too tight to get up from above the pubic symphysis, in order to save the life of the fetus, it can only break his collarbone, let him deliver it from the birth canal first, and wait until the plane lands, and then send him to the hospital for treatment of broken bones! Although doing so is likely to hurt the fetus's brachial plexus, but in order to save his life, there is nothing else to worry about." Dr. Wang, what do you think?"
As soon as Han Qian's words came out, the expressions of everyone present immediately became painful.
However, in order to save the life of the fetus, the husband of the mother finally gritted his teeth and said in a crying voice: "Doctor, if you should break the collarbone, you can break it, as long as you can save the child's life."
However, just when a pessimistic mood enveloped everyone's heads, Wang Ming said after thinking for a few seconds: "The methods used just now are not completely useless, the front shoulder of the fetus stuck has been loosened a little. I think I've been able to get his stuck front shoulder out of the pubic symphysis. ”
No parent wants to see their child injured, if the mother and her husband had no other choice, in order to save their lives, they would break their collarbone, but now when they heard Wang Ming say that there was another way to save the fetus stuck in the birth canal, they immediately changed their attention, and pleaded in unison with a crying voice: "Doctor Wang, please, you must save our child!"
The emotional husband knelt in front of Wang Ming even more "plop", and kept kowtowing and begging.
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