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Dr. Zhao Ling, the external hip reversal surgery helps pregnant women with improper fetal position to give birth safely

author:NetEase Hebei

She has a benevolent heart, 29 years as a day to adhere to the front line of obstetrics and gynecology, do her best to ensure the safety of pregnant women; she is pregnant with "ancient secret techniques", a move "hip position inversion" can turn the fetal abnormal fetal position into the head position, to help these pregnant women have a safe and smooth delivery. She is Zhao Ling, director and chief physician of the Second Department of Obstetrics and Gynecology of Hebei Reproductive Obstetrics and Gynecology Hospital.

With a benevolent heart, 29 years to adhere to the forefront of obstetrics and gynecology

Director Zhao Ling has liked the profession of doctor since she was a child, and did not hesitate to choose obstetrics and gynecology after graduation, people say "dirty and tired obstetrics and gynecology", but Director Zhao believes that this is a department with a high happiness index, so she has been working in obstetrics and gynecology for 29 years.

Dr. Zhao Ling, the external hip reversal surgery helps pregnant women with improper fetal position to give birth safely

For more than 20 years, she has been deeply involved in the front line of obstetrics and gynecology, running back and forth between outpatient clinics, wards and operating rooms every day. Every Tuesday, Wednesday and Friday, Director Zhao visits the general obstetric outpatient clinic and every Thursday in the breech inverted outpatient clinic, which has not ended before 12:30 noon. Once, Director Zhao was still seeing a doctor at one o'clock, and his colleagues said: "Why don't you leave work, you have to continue to see a doctor at 2 p.m." Director Zhao smiled and said, "When the patient's results came out, I would just look at it, so that they wouldn't have to come to the hospital again." "Because it is necessary to go out of the outpatient clinic on time, Director Zhao often goes to the hospital at 6 o'clock in the morning, arranges an operation, and then goes to the ward to check the room, pay attention to the key patients, do it in mind, and set a treatment plan with the resident doctor of the department, so that he can go to the outpatient clinic with confidence." Our hospital adopts a consistent service management model of obstetrics, so from the outpatient clinic to the ward, I am managing these patients, and they also trust me and hope that I can operate on them, so I use the morning and evening time to operate on them and give them enough security. Zhao Ling said.

In the 29 years of obstetrics and gynecology, although sometimes it is very hard, Director Zhao has never regretted it, "Whenever I see a pregnant mother give birth to a child smoothly and see the birth of a new life, I am particularly happy in my heart." "Director Zhao uses his careful patience and sense of responsibility to always rush to the front line of obstetrics and gynecology to ensure the safety of pregnant mothers."

With a little more care, the external inversion of the buttocks can help more pregnant mothers give birth safely

In 2016, Director Zhao went to the Pacific Medical Center in California for further study, and she learned that pregnant women in the United States will undergo external hip reversal surgery when they encounter improper fetal position. At that time, most of the domestic caesarean section was used to deal with the problem of improper fetal position, in order to promote natural delivery, standardize the operation process and risk assessment, etc., Director Zhao went to Shanghai to learn the technique of external breech inversion. Since Director Zhao Ling launched the external breech inversion clinic, more than 300 cases of extra-breech inversion have been successfully implemented, helping many pregnant women to realize their wishes for a smooth delivery.

Dr. Zhao Ling, the external hip reversal surgery helps pregnant women with improper fetal position to give birth safely

A second-born mother, the first child was born smoothly, and the postpartum recovery was also fast, so after conceiving the second child, she never thought of having a cesarean section. However, at 38 weeks of pregnancy, the baby became a hip position, in order to achieve the wish of smooth delivery, she was introduced by a friend to find Director Zhao, "Director Zhao very patiently explained to me the relevant matters related to the external reversal of the hip position, one by one answered our doubts, I was not panicked at that time." "After the fetus was successfully transferred to the head position, the mother stayed in the hospital for observation for one day after surgery, and there was no abnormality in the re-examination of ultrasound and fetal heart monitoring, and a healthy baby was successfully born a few days later."

The process of external inversion of the buttocks takes only a few minutes, and the average pregnant woman can turn into the head position without any feeling. "Seemingly simple extra-breech surgery requires the full cooperation of many of our doctors, preoperative heart monitoring is needed to assess the fetal intrauterine condition, ultrasonography confirms the type of prelude, placenta position, amniotic fluid depth and whether there is an umbilical cord around the neck, etc., a comprehensive assessment of the patient to see if she is suitable for this operation, what is the success rate; intraoperative ultrasound real-time monitoring of fetal heart changes, anesthesiologists monitor the patient's vital signs at all times; postoperative continuous monitoring of fetal heart rate, and ultrasound again to confirm the success or failure." Zhao Ling said. Breech surgery refers to the surgical operation of the doctor rotating the fetus outside the abdominal wall of a pregnant woman to make the fetus switch from the abnormal fetal position to the head position, which is an effective measure to reduce the cesarean section indicated by the breech position.

With the implementation of the "three-child policy", natural childbirth has also attracted much attention, and the technique of extra-breech inversion can effectively reduce the caesarean section rate. "I hope to help more pregnant mothers with incorrect fetal positions and give them a chance to give birth naturally." Zhao Ling said.

Add an effort to help pregnant mothers give birth to a "full score" baby

On Zhao Ling, she always carried a handwritten pamphlet detailing the situation of the patients she was responsible for. When asked how many of these pamphlets there are, she laughs and says, "In recent years, I have used up more than a dozen pamphlets, and the names, ages, and symptoms of patients are remembered, and I will mark them clearly for pregnant mothers who need special care." "It is precisely because I know the situation of pregnant mothers very well, so in the whole year of 2021, there will not be a single case of adverse maternal outcomes in the obstetrics department."

Dr. Zhao Ling, the external hip reversal surgery helps pregnant women with improper fetal position to give birth safely

In order to better manage patients and provide them with professional guidance, Director Zhao has established more than a dozen WeChat groups, with more than 2,000 friends, as long as someone in the group asks questions, she replies in time, "So that pregnant mothers can always feel that there are professional doctors escorting them, which is the goal of all the medical staff of our obstetrics department." Director Zhao said.

"Pregnant women trust us is our greatest motivation, they entrust our physical health to us, we have to use our professional knowledge, reduce medical risks, choose the right way of delivery for them, pay 100% efforts to help them get 'full score' babies." Director Zhao said.

A patient out of town is pregnant with twins because of twin transfusion syndrome that causes a child to die intrauterineally. "It was too late for her to come to me, and if she had found out in time, she would have been able to keep the baby." In order to avoid this kind of thing, I would like to focus on twin management to reduce the risk of twin complications and protect pregnant women. Director Zhao said that the monozygotic twins are divided into single amniotic sac single chorionic twins, double amniotic sac single chorionic twins, double amniotic sac double chorionic twins, each has different complications, the risk is higher than that of a single fetus, so Director Zhao wants to do fine twin management to provide more professional guidance for this part of the patient.

"Let the physiological obstetrics enjoy childbirth, and let the pathological obstetrics give birth safely." It is the goal of Director Zhao and the Second Department of Obstetrics, in 2022, Director Zhao will, as always, help everyone, use her professional knowledge to let pregnant mothers safely and smoothly pass through the happy pregnancy and childbirth, and escort everyone's health.

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