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   If it wasn’t for the purpose of blocking the hips, one of the two hands could not be taken out to give the anesthetic, otherwise, as a rule, the midwife doctor would have to give the anesthetic by himself. For local anesthesia in this place, the doctor needs to **** the ischial spine with one hand in the "cause" road to guide the needle, so as to prevent wrong hits.

  According to Du’s route guide, Huang Zhilei carefully adjusted the direction of the needle and the speed of the injection. Finally, the anesthetic is finished, and it takes three to five minutes for the anesthetic to fully take effect. During this period, the rescue work continued in an orderly manner.

   Maybe seeing everyone so calm, Li Xiaobing became less and less nervous, pain returned to pain, and did not forget to make fun of hardships and complained to Cao Yong: "When my husband comes back, I guess I have finished giving birth."

  It is a good thing that the mother\'s mood improves. The problem is - a group of people may be trying to calm down.

   Huang Zhilei, who had finished the anesthesia, stepped aside, took the towel from his junior brother\'s hand to wipe his sweat, and was shocked to hear Li Xiaobing\'s words. It may be reasonable to hear that Fu Xinheng complained about Zhu Huicang and Li Xiaobing behind the scenes.

  Dr. Tang handed surgical scissors to his husband.

   The real situation of lateral episiotomy may not be cut with a scalpel, but with surgical scissors.

  What surgical instruments the doctor uses is always based on actual needs.

  The perineum is not a vagina, it is a piece of soft tissue, mainly composed of skin and some muscles. The perineum in the broad sense and the perineum in the narrow sense are divided into different areas.

   In a broad sense, all areas such as the urethra and **** are encapsulated. In a narrow sense, it refers to the part between the **** and the vulva. The place where the episiotomy is performed here is the perineum in the narrow sense, usually at five o\'clock.

   The five o\'clock direction is not easy to understand. You can look at the wall clock on your own wall, and compare it to the left side of the operation area, which is almost marked at five o\'clock, which is where the doctor will start.

  The nature of soft tissue and the doctor\'s hands-on perspective, it is better to use surgical scissors than to cut with a scalpel.

When cutting   , the doctor who delivered the baby also needs to sense the position of the fetus before cutting.

  If you cut it in advance, because the perineum is rich in blood vessels, it is easy to bleed a lot, which will increase the chance of infection. Delaying the cut is not good for fear that it will not work in time.

  To achieve the right scissors, the technical experience of an obstetrician is tested.

   The most suitable time for this kind of breech delivery is when the intertrochanteric diameter of the fetus reaches the ischial spine of the mother. The trochanter here refers to the trochanter of the baby\'s femoral head. The trochanter means the place where the femoral head is thick and protruding. Many bones in the human body have a protruding bony sign called the trochanter that does not only refer to the femoral head. The doctor can feel the ischial spine of the mother by hand in the "cause" of the mother. On weekdays, the doctor touches the distance between the two ischial spines to judge the transverse diameter of the mother\'s pelvis.

  The small buttocks of the fetus fall to the position of the mother\'s pelvis, which is equivalent to the baby can begin to be delivered.

   The most important reason why Du Haiwei had to push the fetus back was because the mother was not ready. The two young doctors had no experience in this area, which caused the deviation to make the mother exert force prematurely. Fortunately, they realized that the beginning was wrong and corrected it in time. Now that the big guy is in place, he\'s ready again for the sidecut.

   (end of this chapter)