Chapter 475 Lecture 5: Abnormal childbirth (dystocia)
After delaying a lecture at Wenpo School last time because Li Sanniang needed to be busy with her own affairs, during this holiday, Li Sanniang was I got up early today as I prepared according to the post I sent out earlier.
Following Li Erlang and Xiao Sanlang to move around in the yard, after running a few laps, they lifted the Huizi Shisuo again, and Li Sanniang was covered in a thin sweat.
"Okay, stop practicing.
Hurry up, wash your hands and come over for breakfast."
Sister-in-law Li's words were very effective. Li Sanniang and the others lined up and washed their hands and wiped their faces. After sitting down and waiting for a while to eliminate their sweat, they ate meat grilled with homemade pickles.
After breakfast, those who should be on duty went to school, and those who should go to school went to school. Li Sanniang, for example, took the homework collected from the school and went to the school next door.
Before Sizheng (9:00), all the students from Wenpo Academy came.
“It’s been two decades since I last saw you. I miss you all very much. I wonder if you miss me?”
Li Sanniang showed her true feelings as soon as she came up and sat down at the table. The Li family members have long been accustomed to Li Sanniang being so mischievous, but outsiders who are not very familiar with Li Sanniang are really surprised. They did not expect that Li Sanniang is such an interesting person.
"Haha, haha," Li Sanniang smiled and walked around the room, then winked at the girls under the stage and said, "Seeing your surprised expressions, don't blame me. < br>
However, I have to say that I really miss you. Time flies, and we should cherish every time we meet.
I’ll treat you to lunch today. Just go to that restaurant on the street, you can’t go.
Okay, let’s talk about what happened last time.” (Chapter 444, Lecture 4: Normal pregnancy and delivery. )
After Li Sanniang enlivened the classroom atmosphere and reduced the unfamiliarity and awkwardness between herself and these girls, she began the formal lecture.
The girls in the audience who were still a little reserved, especially the younger ones like Yu Xuanniang, Jin Zhenbao and Sun Chunlan, now became active and looked at them actively. Li Sanniang, I hope to be asked questions.
In two quarters of an hour, Li Sanniang led everyone to review the content of the last lecture, and then started to talk about the highlight of this class.
“This is how ordinary girls give birth. When it is unusual, it is an abnormal birth that needs to be solved by Wen Po.
There are four main points related to birth. The first is the force of labor, which is the force that forces the fetus and placenta out of the uterus;
The second is the birth canal, which is divided into the bony birth canal and the soft birth canal. The bony birth canal is the female pelvis. "
Li Sanniang took out a jujube branch, pointed at the picture that had been hung up a long time ago, and then reached out and patted her anterior superior iliac spine to signal everyone to take a look.
“As for this soft birth canal, if you look at the picture, that’s what it is.
The third aspect is the abnormal fetal position.
A normal fetus has the fetal head entering the pelvis first. If the baby comes out not head first, it is abnormal.
If the baby comes out first, buttocks first, and if the baby comes out first, it will cause dystocia.
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As for the last mental and psychological aspect, most of them are primiparous women, that is, women who give birth for the first time. Because it is their first time to give birth, it takes a long time from pain to delivery, they sleep less, are very tired, and If you don't eat in time to replenish your strength, you will also be afraid of pain, which will cause physical reactions from the mind and psychology, leading to dystocia. ”
Women such as Li Mu, Sun Wenpo, and Yao Qingqing, who already have rich experience in delivering babies, all felt enlightened after listening to the four aspects explained by Li Sanniang.< br>
They all felt that Li Sanniang’s summary was really wonderful!
The reason why knowledge is fascinating is that summarizing practical experience can make people easy to understand and teach people. .
Mr. Li and Po Sun Wen, who have delivered babies for decades, are more experienced than Li Sanniang in practice.
But what makes them inferior to Li Sanniang is that they can't summarize, they can't summarize experience into knowledge, and they can't impart knowledge to more people, so that knowledge can be used, passed on, and advanced.
Li Sanniang paused and gave everyone below a certain amount of time to digest the four points just mentioned. "Among these abnormal births, the most common dystocia is that the mother has no energy and cannot give birth. At this time, external help is needed to help the mother give birth to the child safely."
Li Sanniang sees Everyone in the audience, including Mother Li and Sun Wenpo who have decades of experience in delivering babies, listened carefully without blinking. Li Sanniang nodded in her heart, very satisfied with this seriousness. Son.
“When encountering this situation, we must help the mother give birth in time, otherwise the delivery time will be lengthened, which will cause unpredictable consequences for the fetus and the mother.
I’ll talk to you in general first, and then I’ll cover everything. When it’s time for practice, I will take each of you to practice delivering babies. I believe that by then you will have more exposure to these things. More understanding and concepts. "
At this time, when Li Sanniang saw Jin Zhenbao raising her hand actively, she smiled and nodded to her. Jin Zhenbao then put down his hand, stood up, and looked at Li Sanniang asking with youthful vigor. : "Sir, when can we go and practice delivering babies with your husband?" "
After Jin Zhenbao finished speaking, Li Sanniang saw that many girls in the audience turned their eyes to her. Their eyes said, "I want to practice it. I want to follow her to deliver the baby as soon as possible. I want to see her as soon as possible." See how a girl gives birth? ”
Even Yao Qingqing, who is a stable mother-in-law, looked at Li Sanniang with hopeful eyes at this time, curious in her heart, if the lectures are so good, will they be the same in practice?
“If you progress quickly, I estimate that one year will be enough.
At that time, I can take you in batches to deliver babies at your home, and explain various situations to you carefully. After a few visits, it will take half a year, and you should be able to handle most situations.
At that time, I will organize an exam. Those who pass the written exam and practice will get a letter of approval from my Wenpo School. After that, you can come out of my school under the name I went out to pick up the job and delivered babies.
Moreover, if you are a very outstanding person, you can stay in this school and become a teacher.
If you have the opportunity, I can also recommend you to join the Medical Alliance or even the Imperial Medical Office, that will work.
So, the key is that you have to work hard and learn from me seriously during this period. ”
Li Sanniang is good at painting big cakes, but the prospect of being a stable mother-in-law and a strong stable mother-in-law is very good. Even Li's mother listened to it in the audience, and she was a little excited. , not to mention those young girls.
Every one of the girls in the audience had light in their eyes, and they tried their best to digest everything Li Sanniang said.
Due to any abnormal factors such as labor force, birth canal, fetus, and mental and psychological factors, the delivery process is hindered and the fetus is difficult to deliver, which is called abnormal delivery, commonly known as dystocia.
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Force is the force that forces the fetus and its appendages out of the uterus, including uterine contractions (abbreviated as uterine contractions) , the contraction force of the abdominal wall muscles and diaphragm (collectively referred to as abdominal pressure) and the contractility of the levator ani muscle. These three forces together form force production.
The birth canal is the passage through which the fetus is delivered. It is divided into two parts: the bony birth canal and the soft birth canal. The soft birth canal is a tube composed of the lower segment of the uterus, cervix, vagina and pelvic floor soft tissue.
The position of the fetus in the uterus is called fetal position.
The normal fetal position should be that the longitudinal axis of the fetal body is parallel to the longitudinal axis of the maternal body, the fetal head is at the entrance of the pelvis and flexed, the chin is close to the chest wall, the spine is slightly bent forward, and the limbs are flexed and crossed in front of the chest and abdomen. The entire carcass is oval in shape and is called occipitoanterior position.
Except for this, the rest of the fetal positions are abnormal.
The most common abnormal fetal positions are breech and occipito-posterior positions, while transverse and facial positions are less common.
Causes of abnormal fetal position include uterine dysplasia, uterine malformation, narrow pelvis, pelvic tumors, fetal malformations, polyhydramnios and other factors.
——The above is from the Internet
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I will provide pictures of the female pelvis and reproductive system, normal fetal position, etc. Put it in the book club.
(End of this chapter)