Chapter 1713: Strange Data

The doctor’s fingers reaching into that area was intensely uncomfortable for the mother; it’s not possible to be without feeling. It seems that the patient in Bed No.6 was truly numbed by the pain.

Regardless, Doctor Peng questioned the student, "What was the result after you examined her?"

"The cervix has opened about eight fingers wide," Xie Wanying said, "Her problem isn’t a labor issue but a birth canal issue, specifically pelvic-cephalopelvic disproportion, so a Cesarean Section must be performed. Her sacral-pubic external diameter is less than 16 cm, about 15.5 cm, the anterior-posterior diameter of the pelvic inlet is less than 8 cm, about 7.8 cm, and the fetal biparietal diameter is 9.3 cm, clearly indicating pelvic-cephalopelvic disproportion. The fetal head engagement should be positive; the fetus cannot enter the pelvis to reach the birth canal, making natural delivery impossible."

Generally, there are three main categories of causes for difficult labor. The first category is labor force issues, mainly referring to weak uterine contractions, preventing the mother from using her own strength to push the baby outside. The second category is birth canal issues, clinically common with bony birth canal abnormalities primarily centered on pelvic anomalies. The third category is fetal position abnormalities. Bed No.6 is clearly caused by the second category. The soon-to-be mother’s pelvis is small, the fetus’s head has developed relatively normally, but the fetus’s head cannot get through the mother’s pelvic inlet, indicating obvious pelvic-cephalopelvic disproportion.

Furthermore, outsiders may call it a C-section, but in medical academia, it is certainly referred to by the standard surgical name, Cesarean Section.

Upon hearing what she said, Doctor Peng immediately asked Doctor Zheng, "Has she read the patient’s medical records?"

"How could she have? I just brought her in to see you," Doctor Zheng replied.

With so many patients under his care, Doctor Peng cannot remember all the clinical data of all the patients. He took the medical records for Bed No.6 to review and found that Student Xie’s reported values matched the inspection report in the medical records almost exactly.

Doctor Peng raised his head and, with Doctor Zheng, both stared at the student’s face: Amazing, what’s going on here?

Eyeballing the estimation, this patient was thin with many bony protrusions visibly obvious, making it easy to observe. Even so, to accurately guess to the level of the instrument’s measurement is something that hardly any medical students can achieve clinically. Veteran doctors could estimate pretty close based on extensive experience, too.

Setting the medical records aside, Doctor Peng donned gloves to recheck the patient’s cervix, finding it truly opened seven to eight fingers wide. This was troublesome. Continuing like this, both the mother and fetus would be in significant danger. He urgently took out his phone to communicate with Director Yoo and dashed out of the delivery room to speak with the patient’s family.

Doctor Zheng took two students along to follow out, worried that Doctor Peng might be too weak in front of possibly unreasonable family members.

"Which one of you are family members of Li Taoli? Come over," called Doctor Peng as he exited the delivery room and spotted Bed No.6’s family members.

Soon a young man and two women approached. They were the patient’s husband, mother-in-law, and her biological mother respectively.

"What’s my wife’s situation, doctor? Has she delivered?" the patient’s husband asked.

"Her current situation was discussed earlier by Director Yoo with you, indicating she can’t give birth naturally. Now the cervix has opened seven to eight fingers, and is about to enter the second stage of labor."

"Quickly let her deliver. We’re waiting anxiously."

"The fetus’s head is too large, her pelvis is too small, and the fetus can’t come out, risking death inside her due to obstructed labor."

"I don’t understand," the patient’s husband waved his hand, wanting Doctor Peng to pause, "If her pelvis is small, how can the baby stay in her belly? Don’t think I don’t know what a pelvis is; a pelvis is the bone of the belly."

Doctor Peng felt frustrated internally, pondering why, at such a critical moment when there’s no time, he must explain these medical common sense to the patient’s family. In reality, such situations are precisely among those issues that national regulations for regular pregnancy check-ups aim to prevent, and should have been discovered during pregnancy exams, where the obstetrician would advise the mother and family the need for a Cesarean Section.