70 Obstetrics and Gynecology Holy Hand
Even if you can't turn around, you may not be able to give birth. If you can't, take a forceps. Yu Qiu put on gloves and gave the man an internal examination after disinfection, and the position of his head was indeed relatively high. She reached out to touch the mother's stomach and felt that the contractions were not very good, the intensity and duration were not enough. Are you in pain? While doing abdominal palpation, Yu Qiu asked the mother, "Do you want to relieve yourself? When was the last time you relieved yourself?" The puerpera cried, "Oh, doctor, I haven't had a rest because of the pain. When did you give birth?"? I really can't stand it. I don't know when I urinated, but I haven't had a small stool since I came to the hospital. Yu Qiu smiled and said, "All right, I'll give you a urine guide.". You're almost ready now. It doesn't hurt enough. The puerpera died of grievance: "I gave birth to the eldest child and the second child, but it didn't hurt so much." Yu Qiu laughed fiercely: "You forgot the pain after the scar was healed.". When you just gave birth, you said that you would never give birth to a second child in your life. As a result, you are still giving birth to a third child. Listen to my advice, after giving birth to this, put on the ring. Otherwise, if you just raise and take care of your children day by day, you will be exhausted. Puerpera repeatedly nodded: "Ring, this time in any case you have to give me the ring, I do not want to regenerate.". The vomiting never stopped from the beginning to the end, but it made me feel terrible. As she spoke, she felt sick again and turned her head to vomit. Yu Qiu looked at her weak appearance and felt that if this person had had birth control surgery earlier, he would not have suffered this crime. Baby, it's enough to give birth to two babies. It's easy to have uterine prolapse if you give birth to too many babies. It takes a lot of effort to raise a baby. She took a catheter to catheterize the puerpera, and as soon as the urine flowed out, her relaxed smile was swept away. Red urine is not a lighting effect, and what the puerpera flows out is absolutely bloody urine. What does this mean? Hematuria is often a precursor of diseases of the urinary system and its adjacent organs or systemic diseases. Leukemia, hemophilia, thrombocytopenia, allergic purpura, lupus erythematosus, polyarteritis nodosa and other diseases will produce hematuria. Hematuria can also occur with kidney stones, glomerulonephritis, ureteral stones, and urinary tract infections. Poor urination, hematuria and other phenomena suggest urethral calculi or bladder cancer. In addition, such as rhubarb, anti-dysentery drugs, anthelmintics, anti-tuberculosis drugs can also cause urine to turn red. So what is the reason for the multipara in front of us? "Teacher Zhou, what's her blood pressure?" While touching the upper abdomen of the big belly, Yu Qiu greeted the midwife, "Please help me to re-measure my blood pressure and call the nurse to come in to check the blood routine, urine routine, coagulation function and liver function." Midwife is a little at a loss: "Blood pressure is good, when be admitted to hospital, collapsible pallet box ,plastic pallet manufacturer, 118/72mmHg.". I think the reports of blood routine, urine routine and coagulation function are all normal and nothing special. Yu Qiu smiled bitterly: "It may not be normal now." The midwife came over with a sphygmomanometer and a stethoscope and was startled to see the patient's bloody urine. Had it not been for Dr. Xiaoqiu, who inserted the catheter, she would have suspected that the catheter had been inserted into the shade, which was why it had such an obvious soy sauce color. The nurse came in in a hurry, drew two tubes of blood and urinated to let the family members rush to the laboratory. She really couldn't spare time, because Yu Qiu asked her to open the venous access immediately. The puerpera who is about to give birth has a normal urine condition in the past. She has not taken medicine for nearly half a year. She seldom eats carrots, pumpkins, beets, peppers and tomato leaves. Now she suddenly has hematuria. Her first consideration is HELLP syndrome. This is a serious complication of hypertensive disorder complicating pregnancy, characterized by hemolysis, elevated liver enzymes and thrombocytopenia, which often endangers the lives of mothers and infants. Yu Qiu immediately checked the sclera of the puerpera, and the sclera was already faintly yellow. This symptom may have existed before, but unfortunately, they ignored it. Prepare magnesium sulfate. Yu Qiu began to get nervous, "ready to rescue eclampsia at any time." As she spoke, she shouted outside, "Is the family there?"? If the family members are here, push the delivery door open and don't come in. I can only explain the situation to you while dealing with the big belly inside. There may be danger now. We are ready to rescue at any time. You should also have a mental preparation.
You have to take the results of the examination from the laboratory. We really can't tell the difference now. The mother and mother-in-law of the puerpera immediately answered, and there was a child crying outside, not knowing if she was frightened. The midwife had taken the blood pressure, but it was normal, a very standard 120/76mmHg, which was not high by any means. Yu Qiu slightly frowned, most patients have the basic characteristics of severe preeclampsia, the most common manifestation is a significant increase in blood pressure. Is it not HELLP syndrome, but acute fatty liver of pregnancy? The patient had nausea, vomiting, epigastric pain, and hematuria, which were consistent with the diagnosis of acute fatty liver of pregnancy. But no matter what kind of disease it is, it is true to find a way to get the little guy out of the mother's stomach now, otherwise, after a long time, the little thing is prone to fetal distress. Yu Qiu did not dare to delay, hurriedly gave the puerpera artificial rupture of membranes, one is to check the amniotic fluid properties to judge the intrauterine situation of the fetus, the other is to help adjust uterine contractions to accelerate the progress of labor, and the third is to help the fetal head descend. After the amniotic fluid trickled out, Yu Qiu knew that it was not good. The amniotic fluid was like excrement, and the child did not know how long it had been in it. She did not dare to delay time, nor did she dare to let the midwife take over. This is a median forceps. In fact, the risk factor is not small. Even in the provincial hospital, not all attending doctors dare to do so. Because once problems occur, medical disputes will be very serious. But now Yu Qiu has no time, this situation is the fastest to pull forceps, and I'm afraid it's too late to wait for someone to come over for anesthesia. Yu Qiu was not very lucky. After the forceps could not be closed, the cold sweat on her body came out immediately, and her back was wet. She forced herself to calm down and adjust the forceps up and down. Very not easy to feel can move, the puerpera suddenly ah, and then teeth closed,plastic pallet price, foaming at the mouth, the whole person lost consciousness. Yu Qiu really collapsed, but at this time the puerpera had eclampsia. binpallet.com
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