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"My child is not in your hospital, and you have to compensate me for 2 million."
Recently, Mr. Du of Lanling County, Linyi, Shandong Province, broke the news that after his wife gave birth in Lanling County People's Hospital, the child died after ineffective rescue. The family believes that the hospital is mainly responsible for the death of the child and has filed a claim of 2 million.
According to the medical records provided by Mr. Du, the child failed to try to give birth, due to the "slowing of the fetal heart" emergency caesarean section delivery, amniotic fluid iii degree pollution, the heart rate was about 20 times / min, the whole body skin was pale and covered with meconium, immediately given tracheal intubation, no abnormal secretions were seen in the endotracheal suction after catheterization, and meconium samples could be seen in the nasal cavity and oral cavity...
Image source "Zhengguan News"
Caesarean section is an obstetrician's easy operation, why can't the long-awaited little life be saved?
It turned out that before giving birth, because the wife had been normal in the hospital before childbirth, and she had given birth to 2 children before, it was really not possible to try a vaginal birth before, and then consider a caesarean section. So he refused the hospital's caesarean section recommendation twice when he was hospitalized on January 6 and before the formal delivery in the afternoon. Mr. Du said: We don't understand anything, come to the hospital to give birth, is to ensure the safety of the wife and children, they have this responsibility and obligation, even if I have not agreed to caesarean section, they also have the responsibility to ensure the safety of pregnant women and newborns.
However, the hospital and Director Liu of the Health Commission of Lanling County, Shandong Province, both said that during the delivery process, the hospital had made four requests for caesarean section to the maternal family, but the family refused on the grounds of "advocating a smooth delivery", delaying the key timing and eventually leading to the death of the child.
Due to the lack of agreement, on January 11, Mr. Du and his mother quarreled in the hospital and were taken away by the police. At present, the two sides have their own opinions, and the police are investigating.
Image source "Observer Network"
Because of the choice of childbirth method, there are more than one doctor-patient dispute.
In October 2018, Sun Mou and his family were rejected for requesting a caesarean section and beat up the obstetrician and gynecologist of Peking University First Hospital, which caused widespread discussion in society. Although the beater has been criminally detained, and many people have condemned the violent injury to the doctor, the incident reflects the question of "whether the mode of childbirth can be chosen independently", which deserves attention and discussion.
Does the mode of delivery of the pregnant woman have the right to choose?
In fact, there is no "choice" in the way of childbirth, and caesarean section is not a "rich and willful" operation.
What are the conditions under which a caesarean section is required?
There are strict regulations on this in medicine, which include both pregnant women and fetuses.
For pregnant women:
If the pelvis is not symmetrical, such as the pelvis is obviously narrowed or deformed, or the pelvis is not significantly narrowed and the fetus is larger, relative to the pelvis, after close observation for a period of time, the trial delivery fails;
Hysteroneur rupture of the mother;
There are fibroids in the uterus that prevent the first dew from falling, or cervical edema, hardness and difficult to dilate;
Contraction weakness is ineffective in treatment with prolonged labour;
Abnormal fetal position such as breech position, transverse position can not be delivered vaginally;
Placenta previa, placental abruption of the mother;
Those who have a history of caesarean section or who have had a large uterine fibroid removal procedure;
Maternal age over 35 years, years of infertility or multiple miscarriages;
Patients with severe heart, lung, liver, kidney diseases or eclampsia who cannot bear the physical burden of childbirth.
Fetal aspect:
intrauterine distress in the fetus (rapid, slow, or irregular fetal heartbeat, mixed meconium in amniotic fluid), or severe placental insufficiency of the pregnant mother;
Macrosomia: the weight of the fetus may exceed 4000 grams;
Fetal umbilical cord prolapse, fetal heart is still good, it is estimated that it can not be delivered vaginally in a short period of time.
The process and complications of production are ever-changing, leaving you "out of control". If the pregnant woman has the above conditions, it needs to be examined by the obstetrician and gynecologist of the hospital and caesarean section if necessary.
In the first case, although the woman had given birth to 2 children and had no problems with the pelvis, the elasticity of the cervical mouth decreased with age. And according to ultrasound, the umbilical cord is wrapped around the neck, and during the trial delivery process, there is a possibility of fetal distress and abnormal fetal orientation, resulting in obstructed labor.
If the mother and her family do not cooperate with the doctor at this time, in the case of the need for caesarean section, only based on past experience, repeatedly refused to sign the caesarean section, and finally injured themselves and the child.
Who do you think is right and who is wrong?
Do you think pregnant women can choose their own way of delivery?
bibliography:
[1] [1] Betran A P , Torloni M R , Zhang J J , et al. WHO Statement on Caesarean Section Rates[J]. BJOG: An International Journal of Obstetrics & Gynaecology, 2016, 123.
Obstetrics and Gynecology Branch of Chinese Medical Association. Consensus Obstetrics Group of Caesarean Section Surgery (2014)[J].Chinese Journal of Gynecology,2014,49(10):721-724.
Yang Huixia. Thinking on the current situation and countermeasures of caesarean section[J]. Chinese Journal of Perinatal Medicine, 2011, 14(1):3.
This article was first published: Medical Sciences Obstetrics and Gynecology Channel
Author: Little Banana
Editor-in-Charge: Ichikawa