Chapter 2042： 【2042】A knife

Chapter 2042 [2042] Come to a knife

Episiotomy is no stranger to medical students who have read obstetrics and gynecology. It is a very common knowledge point in obstetrics. Unlike cesarean section, it is a procedure that is often seen during obstetrics. The purpose is to prevent the fetus from overrunning the perineum during the production process, which will lead to perineal tearing and damage to the pelvic floor muscles of the mother.

Some mothers don't understand this. They only hear that the doctor suddenly wants to cut a good part of their body. They don't understand and are afraid of scarring.

Actually, the wound of the lateral episiotomy, because the fracture surface of the wound is neat, heals much better than the uneven torn wound caused by the perineal tear, and basically does not leave any major scars. Moreover, if the pelvic floor muscles are really injured during labor, it will cause a lot of sequelae to the mother's future health and life.

Doctors are even less likely to stab patients casually. The extra knife is a big trouble for the doctor, and the doctor is responsible for the healing of the knife. Surgery will only be performed when it is judged that the maternal condition requires it.

Episiotomy can generally be done by midwives, and does not need to be a doctor, which means that the risk of this operation is very low.

From the above, it can be seen that the worry of the mother is more due to the doctor's failure to explain the mother before the operation, resulting in the mother complaining.

The suspicion between the doctor-patient relationship is often reflected in these details.

Many domestic clinicians do not do enough in doctor-patient communication and are unwilling to pay. There is only one reason. There are too many patients to be dealt with by domestic doctors every day, and there is no time to do detailed medical science popularization.

There are many clinical patients who are suspicious, and there are many patients with serious suspicion. If you say it in advance and don't do it in the end, I'm afraid it will make the mother doubt again and again.

"It's not that I don't know, I'm trying to test your senior sister's current situation and need a side cut." Lin Hao gritted his teeth, asking Li Qi'an not to mess up.

Determining when a woman needs a lateral cut is a technical task, not rote memorization according to textbooks. This may require some clinical experience to support. Li Qi'an had seen many cases in the obstetrics department. After thinking about it, he said, "Maybe it's because my sister is a primipara?"

Here, Li Xiaobing heard that the boss suddenly wanted to give her a knife, so he couldn't avoid being nervous like other mothers, and wondered why he had to cut sideways.

Seeing this, Dr. Tang skillfully helped her husband to comfort the patient and explained: "Xiaobing, don't be nervous. Lateral cuts are normal." Following the unnecessary medical terms, Dr. Tang directly cited his own example: "When I was born, my son was also cut sideways. Who made us the first child?"

For the first child, primiparas are more likely to have a tighter perineum than multiparous women. When the fetus comes out, the mother's perineum is more likely to be ruptured, causing perineal tearing. In most cases, lateral incision is required.

Having said that, is Li Qi'an's guess correct? No, only about half right. Lin Hao squinted his eyes, and the bosses at the scene were silent, indicating that something was wrong. Li Qi'an was aware of the delicate atmosphere, but also did not dare to show off his general talent.

On Li Xiaobing, the doctors may have to consider other special factors more. For example, if the mother has heart disease and needs to shorten the second stage of labor, lateral cutting can make the production faster. Furthermore, breech midwifery is a dystocia, and lateral cutting is inevitable.

(end of this chapter)