Chapter 769

Gynecology is a large department with three floors, one of which is obstetrics.

Zhang Yan felt that she should not bother Zhang Jinfeng, the chief director, so she directly contacted Li Yanli, the director of obstetrics.

Or is gynecology busy and tired?

Li Yanli has been lying down in the middle of the night. After receiving the phone, she is also in a hurry to get up. Her husband can't help sighing.

Gynecology is actually more tired than emergency.

Why do you say that?

Because there are many women in gynecology, there are problems between doctors, doctors, doctors and nurses, and even between doctors and patients.

There are many things between women.

Therefore, Zhang Jinfeng, the senior director of Gynecology, directly asked all doctors and nurses to turn around in order to prevent the intensification of factional fighting in the Department.

Anyway, the third floor has disrupted these people. The effect is quite remarkable here in the past three months and where in the next three months.

The interpersonal relationship of gynecology is complex. Although the types of diseases are single, there are a large number of patients.

Therefore, gynecologists are basically busy and have little rest time. It is common to operate until 11 o'clock at night.

After Li Yanli hurried back to the Department, Zhang Yuejia fell asleep and didn't want to have a baby

This makes Zhang Yan and director Li Yanli feel helpless.

The patient's family members are more sorry and helpless. Sit down on the bench at the door and simply sleep.

Having children is not a small problem. The whole family attaches great importance to it.

Not to mention this special high-risk maternal.

Generally speaking, there are several high-risk patients, such as those older than 35, those with too high or too low weight, those with less than 45kg and higher than 85kg are high-risk pregnant women, and those with hypertension, heart disease or other obstetric crises. Finally, the children are special, such as incorrect fetal position and so on

These are prone to problems during childbirth.

Just as Li Yanli was about to leave, Zhang Yuejia woke up again and began to cry and make noise, saying that she was about to have a baby.

Zhang Yan, the doctor in charge, was almost crying, but this time, Li Yanli found that she might really have to give birth!

This is good news for everyone.

As a primipara, Zhang Yuejia's psychological condition was relatively poor at this time, and Li Yanli began to appease her.

After all, the labor process of primipara is relatively long, generally 13-26 hours.

Therefore, if there are any abnormalities in pregnant women at this stage, it is easy to have problems.

After Li Yanli handled it from the ward, she quickly asked the nurse to deliver Zhang Yuejia to the delivery room and get ready.

After that, Li Yanli began to talk to her family.

"The current situation is like this. Pregnant women are high-risk pregnant women, and they are twins. The fetal position is not normal. In this way, the risk is still relatively high."

"I also explained to you about caesarean section. We still have to try natural delivery, but even if it is natural, the fetal position is also a serious problem. We can't rule out surgical accidents. We still need the signature of family members."

It's really hard for the family members waiting all night.

Neither Zhang Yuejia's parents nor her husband and mother-in-law's family were silent at this time.

Now is not the time to be upset. You need to make a choice.

After hesitating for a long time, Zhang Yuejia's husband took a deep breath: "doctor, I believe you, I sign!"

There is no shortage of wonderful families in obstetrics, but there are still many normal ones.

After the communication, Li Yanli quickly asked the nurse to get ready,

At this time, Zhang Yuejia's uterine contraction is getting worse and worse!

Even if she personally helped deliver thousands of children, Li Yanli, the experienced obstetric director, had to be cautious at this time!

There is no doubt that Zhang Yuejia is another challenge in her career!

Holding a B-ultrasound probe, Li Yanli kept looking for a more suitable delivery method.

Ten minutes later, Zhang Yuejia's contractions began to become frequent.

Li Yanli glanced at Zhang Yan and said, "get ready, the maternal palace is beginning to expand!"

This is good news. The strength brought by regular uterine contraction can slightly change the fetal position.

The first stage of uterine contraction will last for a long time. This process is also the most difficult time.

If the parturient wants to give birth smoothly, the uterine orifice needs to be expanded to at least 10cm. In this way, the fetal head can be completely delivered!

At this moment, it has reached the incubation period, and the uterine orifice has expanded by about 2cm.

Don't think it's just a few minutes to have a baby.

This is a long stage, from the expansion of the uterine orifice to the delivery of the fetus, the whole process takes more than ten hours.

From 12 a.m. to 8:30 a.m., the pregnant woman finally began to enter the progression period.

Li Yanli didn't dare to go home at night. She rested intermittently in the duty room for several hours, and the nurse on duty was very tired.

More than nine in the morning!

When the palace mouth expanded, Li Yanli had another B-ultrasound examination, but this time, she was suddenly shocked!

Because at this time, there are some problems in the fetal position of the two children.

Because of the change of contractility in the uterus, the two fetuses not only did not improve, but the problem of body position became more serious.

If it develops according to this situation

Li Yanli is very worried about one thing: the head of the first fetus is stuck by the second fetus in the process of falling, which will form fetal head lock.

This is a very dangerous situation in childbirth!

This made Li Yanli nervous and uneasy.

Twin fetal position is actually more complex!

There are often some small problems.

This kind of fetal head locking may be one of the most serious problems. Although I can't guarantee that it must happen 100%, but... According to this fetal position, it's not impossible!

Li Yanli ignored others at this time and quickly contacted director Zhang Jinfeng and other directors to start discussion.

This kind of fetal head locking is a high-risk situation in obstetrics. If at this time, cesarean section will be selected generally.

But!

Now cesarean section is the first to be excluded.

Several directors in the whole office began to think, speak and discuss

Constantly looking for countermeasures and possibilities.

At this time, the family members are also a little tired.

"Uncle and aunt, go back and have a rest first. It's been all night. I'll just stay here!" the man looked at his father-in-law and mother-in-law and couldn't help saying.

"Wife, go back. I'll call you when I have a baby. It's not a minute or two to have a baby!"

"Wait, don't encounter any special circumstances..." Zhang Yuejia's mother couldn't help praying.

I can't sleep at home!

In fact, they can't help it when they encounter situations, but as parents, they still hope to be around at this time.

The crowd also sighed.

The man got up and simply went to buy some breakfast.

The father-in-law took a deep breath: "it's thirty today!"

Everyone was stunned!

Yes!

It's the thirtieth of the twelfth lunar month.

Tonight is new year's Eve.

The Chinese New Year is coming. Don't do anything.

Everyone sat there and prayed carefully. Be sure to be smooth

"Is the couplet ready at home?"

"OK! When Jiajia has a baby, I'll go back and paste the couplet!"

"Ha ha, let's spend the new year together this year?"

"Yes!"

"I'll go home and get things ready. Let's celebrate the new year together!"