When the Doctor Uses A Hack

Chapter 769: Chapter 769: Locked Twin Presentation

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

Zhang Yan felt it was best not to bother the head of the department, Zhang Jinfeng, so she directly contacted Li Yanli, the head of obstetrics.

Otherwise, why would people say gynecology is busy and tiring?

Li Yanli had already gone to bed late at night, and after receiving the call, she hurriedly got out of bed, to her husband’s resigned sigh.

Gynecology is actually more mentally draining than emergency medicine.

Why is that?

Because there are many women in gynecology, there are issues whether between doctors, or doctors and nurses, and even between doctors and patients.

Women tend to have more issues with one another.

Therefore, to prevent cliques and infighting within the department, head of the department, Zhang Jinfeng, made all the doctors and nurses rotate through the three floors.

With the staff shuffled around, spending three months here and the next three months elsewhere, the strategy proved quite effective.

The interpersonal relationships in gynecology are quite complex, and although the types of diseases are limited, the number of patients is very high.

Therefore, gynecologists are usually very busy, with little time to rest. It is common for surgeries to continue until 11 p.m.

After hurrying back to the department, Li Yanli found that Zhang Yuejia had fallen asleep and no longer wanted to give birth…

This left both Zhang Yan and Director Li Yanli somewhat helpless.

The patient’s family was full of apologies and as helpless as could be, sitting down on the bench at the door, they simply decided to sleep.

Giving birth is no small matter, and the whole family takes it very seriously.

Especially in the case of special high-risk pregnant women.

Generally, high-risk patients include several categories, such as being older than 35, as well as being underweight or overweight—below 45kg or above 85kg are considered high risks in pregnant women. There are also those with hypertension, heart disease, or other obstetric emergencies, and finally, those with special conditions in the fetus, such as abnormal fetal positions, and so on…

All of these factors can lead to complications during childbirth.

Just as Li Yanli was about to leave, Zhang Yuejia woke up again, crying and fussing, saying that she was about to give birth.

The attending physician, Zhang Yan, was nearly in tears, but this time, after Li Yanli examined Zhang Yuejia, she found that she might indeed be going into labor!

This was good news for everyone involved.

Zhang Yuejia, a first-time mother, was in poor mental shape at this moment, and Li Yanli began to comfort her.

After all, the labor process for first-time mothers is quite long, generally lasting between 13 to 26 hours.

So, if there are any abnormalities in the pregnant woman at this stage, it’s easy for problems to arise.

After dealing with things in the ward, Li Yanli quickly called the nurse to get Zhang Yuejia to the delivery room and prepared.

Afterward, Li Yanli began talking to the family members.

“The situation is like this, the pregnant woman is a high-risk patient, and she’s carrying twins with a somewhat unusual fetal position, which increases the risk,” she said.

“I’ve also explained to you the situation with cesarean delivery. We still have to try for a natural birth, but even with natural birth, the fetal position is a serious issue, and we cannot exclude the possibility of surgical complications. We still need the family to sign the consent form.”

These words made the family members, who had waited all night, very distressed.

Whether it was Zhang Yuejia’s parents or her husband and in-laws, they were all silent at this moment.

Now was not the time for regret, but a time to make a decision.

After hesitating for a long time, Zhang Yuejia’s husband took a deep breath, “Doctor, I trust you, I’ll sign!”

Obstetrics is not lacking in peculiar family members, but most are reasonable.

After the discussion, Li Yanli quickly instructed the nurse to get ready,

As Zhang Yuejia’s contractions were becoming increasingly intense!

Even Li Yanli, an experienced obstetrician who had personally helped deliver thousands of babies, had to take extra care at this time!

Without a doubt, the pregnant woman, Zhang Yuejia, presented another challenge in her professional career!

Holding the ultrasound probe, Li Yanli kept searching for a suitable method of delivery.

Ten minutes later, Zhang Yuejia’s contractions became more frequent.

Li Yanli took a look and said to Zhang Yan, “Get ready, the patient’s cervix is beginning to dilate!”

This was good news as the force brought about by regular contractions could gently change the position of the fetus.

The first stage of contractions could last quite a long time, and this process was also the most torturous.

A woman in labor needs her cervix to dilate to at least 10cm to successfully give birth; only then can the baby’s head be completely delivered!

At this moment, she had entered the latent phase, with the cervix dilated about 2cm.

Never think that giving birth is just a matter of minutes.

It’s a long stage, and the whole process from cervical dilation to childbirth can take several hours.

The pregnant woman’s cervix finally began to enter the active phase from midnight until eight thirty in the morning.

Li Yanli didn’t dare to go home at night, snatching a few intermittent hours of rest while on duty, and the nurse on duty was even more exhausted.

Just after nine in the morning!

Right when her cervix was dilating, Li Yanli performed another ultrasound check; however, this time, she was suddenly horrified!

Because at this time, there was some issue with the positioning of the twins.

The two fetuses, because of the changes in uterine contractions, not only did not improve, but the problem with their positions had become even more serious.

If things were to proceed this way…

Li Yanli was very worried about one thing: the possibility that the head of the first baby might get stuck by the second during its descent, leading to interlocking heads.

This is a very dangerous situation in childbirth!

This made Li Yanli immediately feel some anxiety and unease.

Twin positioning is actually quite complicated!

Small problems often arise.

And this possible interlocking of heads is one of the most serious issues. Although it’s not guaranteed to happen every time, with these positions, it’s certainly not out of the question!

Without hesitation, Li Yanli quickly contacted Director Zhang Jinfeng and other chiefs to start discussing.

In obstetrics, an interlocking of heads is considered a high-risk situation; if this were the case, generally, the choice would be a cesarean section.

But!

Now, a cesarean section was the first option being ruled out.

Several senior chiefs in the office continuously pondered the problem, spoke, and discussed…

Endlessly searching for strategies and possibilities.

Meanwhile, the family members were also tired.

“Dad, Mom, you go back and rest first; it’s been a whole night, I’ll stay here,” the man said, unable to help himself as he looked at his in-laws.

“Honey, you go back, I’ll call you when it’s time to give birth. Giving birth is not something that happens in a minute or two!”

“Let’s wait a bit longer, just hope nothing unusual happens…” Zhang Yuejia’s mother couldn’t help but pray.

Going home, they couldn’t possibly sleep anyway!

In fact, they were powerless in this situation, but as parents, they still hoped to be by their side at this time.

Everyone sighed.

The man stood up and went to buy a few breakfasts to bring in.

The father-in-law took a deep breath: “Today is the thirtieth, isn’t it?”

Everyone was stunned!

That’s right!

It was the thirtieth of the twelfth lunar month.

Tonight was New Year’s Eve.

With the new year right around the corner, they all hoped nothing would go wrong.

Everyone sat there cautiously, praying for a smooth and successful experience…

“Are the couplets for the house ready?”

“They’re ready! Once Jiajia gives birth, I’ll go home and put them up!”

“Haha, shall we spend the New Year together as a family this year?”

“Deal!”

“I’ll go home later and prepare things; let’s celebrate the New Year together!”

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