I watch over you.
Yesterday was a good day, the mood of the day is particularly happy, mainly the recent inspections have achieved good results, praised by the superior, although it has been over the years, but whenever praised by the leadership will still be happy like a primary school student with good results, happy and excited, so it is almost time to leave work, still in the ward to reach the people to greet, obviously hyperactive!
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Director, you don't come home just to check on an emergency patient.
This patient has never had an obstetric examination, pregnant full term has been hospitalized in the emergency delivery department, the examination found that there is a small soccer ball-sized uterine fibroids in the lower abdomen, the cervix has been opened 5 cm, but the fetus has been trapped above the fibroids can not descend, of course, it is difficult to give birth naturally.
Well, who made today a good day, having already had a day of surgery, I decided to go on stage with the night doctor.
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When pregnancy encounters uterine fibroids, there are many problems we must face, like this case, huge uterine fibroids occupy the pelvic entrance and pelvic cavity, blocking the fetus from falling, requiring caesarean section surgery to remove the fetus.
We opted for a longitudinal incision in the lower abdomen, which was also longer than a normal caesarean section, with an incision in the uterus above the fibroids to remove the fetus.
As soon as he was born, the little one could not wait to cry and announce that he had finally come to this world after hardships, and when the child was placed on his chest, this hard-working and careless mother left tears of happiness and excitement.
Just when everyone was relieved, the maternal uterine contraction was poor and began to bleed, in the face of this situation, everyone in the team immediately began to rehydrate, transfuse blood, and promote uterine contraction according to the risk plan in advance, and this huge uterine fibroid obviously affected the contraction ability of the uterus.
After urgent judgment, although the fibroids are relatively large, they can still be removed at the same time as the operation, which is a tense and orderly operation, and when everyone is hung with crystal beads of sweat on their heads, the operation is finally successfully completed.
At this time, the patients on our stage spoke: Doctor, you have worked hard, thank you, don't show me the tumor, I am afraid!
Suddenly feel that the patient is so cute, is it not that when we tell the patient about the disease and talk about science, some timid sisters are actually covering their eyes with two hands and only exposing the small finger slits?
In fact, uterine fibroids are not uncommon to have pregnancy, and clinically I often encounter patients saying: Doctor, I have a 4 cm fibroid, you must cut me when you have a caesarean section; Doctor, I have several fibroids, you must dig me clean when you cesarean section.
First of all, there is no need for caesarean section to have fibroids, and when fibroids are not large enough to affect the decline of the fetus, it is generally recommended to have vaginal delivery.
Due to changes in hormone levels after childbirth, many uterine fibroids that grew up during pregnancy have shrunk again, and sometimes they are not visible, so doctors generally do not recommend caesarean section in order to cut fibroids.
Secondly, even if a caesarean section is delivered for other obstetric reasons, whether to remove fibroids during surgery is also judged on a case-by-case basis.
For example, multiple small fibroids, which can not be completely removed clean, but also increase the risk of bleeding, because the pregnant uterus is very easy to bleed;
Growing in a special part of the large fibroids, doctors generally do not choose to remove at the same time in caesarean section, such as we encounter huge broad ligament fibroids, and vascular ureters and other tightly intertwined, caesarean section at the same time to remove bleeding and injury risk is huge, it is better to wait until the postpartum fibroids are reduced, pelvic congestion is reduced, it is completely possible to choose laparoscopic minimally invasive surgery is safer.
Caesarean section is generally chosen for uterine fibroids only when fibroids are large, degenerated during pregnancy, or obstructing the pelvic opening, causing difficulty in childbirth.
The last thing that needs to be emphasized with you is that whether to remove uterine fibroids at the same time during caesarean section must be decided by the doctor according to many factors, and whether to remove or not to exclude is considered from the perspective of maternal safety and maximum benefit, and how each person chooses can discuss and decide with your doctor.
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