Whether a breech birth can proceed naturally depends on the conditions of the mother and fetus: the pregnancy should be full-term, preferably at full term; the motherâs physical strength must be adequate, her body should have no major ailments, and both the bony and soft birth canals should be normal; the fetus should weigh between two thousand and three thousand five hundred grams, have a good posture, and the fetal head should not be extended backward.
Li Xiaobing compared these conditions mentioned by her junior sister to her own recent examination results and felt: Well, she and her baby might really be able to do it.
Since undergoing heart monitoring and taking medication regularly at Fu Xinhengâs, her cardiac function has basically returned to normal, so there shouldnât be any major issues. Therefore, the obstetrician had previously suggested she might be able to deliver naturally.
Another crucial condition for a breech birth is the doctorâs skill. The advantages of cephalic births were mentioned last time and wonât be repeated. During a breech birth, the baby may not find its way through the motherâs birth canal, so the doctor needs to carefully guide the baby to find the way out. In medical terms, this is called breech-assisted delivery.
The pregnant womanâs emotions have gradually stabilized and are now completely stable.
Song Xueling didnât speak, his sharp brown eyes discreetly glanced at Dr. Xieâs hand gripping the patientâs hand a bit excessively, the joints slightly tense.
Perhaps only such tiny movements might reveal a hint of whatâs to come. Consequently, Song Xuelingâs facial expression more strongly resembled the serene and cool image of an artistic youth, seamlessly complementing Dr. Xie, daring not to expose even the slightest flaw.
The reality is, Li Xiaobingâs initial concerns were correct. With breech births, obstetricians in todayâs domestic clinics would consider opting for a cesarean section without hesitation. The mortality rate for breech fetuses is several times higher than for cephalic ones, which is very high. Just based on this, both obstetricians and the pregnant woman along with her family would opt for surgery to resolve the matter conclusively.
The Guoxie obstetrics department agreed to admit Li Xiaobing before her due date, likely considering the possibility of the fetal position not turning around, thereby planning for a cesarean section. As the pregnant woman is a colleague from their own hospital, the Guoxie obstetrics department would certainly give her special attention.
With conditions for a cesarean section to avoid risk, under what circumstances would doctors choose breech-assisted delivery? Perhaps faced with an unfavorable scenario, the doctor might make this decision out of necessity.
Touching the womanâs belly, Song Xueling could feel the babyâs small bottom protruding from the motherâs cervical opening. In reality, without touching, he could roughly judge this dangerous situation just by glancing at the womanâs belly in the bathroom. He could see it, and surely Dr. Xie could see it as well.
Dr. Xieâs brilliance lies in her ability to remain so calm, turning her lies into something akin to the fluent rhetoric of an academic deity, fooling everyone around her. Listening to her, he almost found himself getting led along with the patient.
Having reassured her senior sister, Xie Wanying continued with her plan to contact the hospital. Getting someone to bring a stretcher to take her senior sister to the hospital promptly would be the best outcome.
If not for the poor weather conditions causing road problems outside, and the baby about to be born, she wouldâve directly carried her senior sister to the hospital together with Doctor Song.
Unable to reach the hospital emergency department by phone, she switched to contacting Li Qiâan, who was interning at the Guoxie obstetrics department.
Li Qiâan answered her call and asked, "Yingying, are you looking for me?"
"Are you at the hospital?"
"No, Iâm studying with Lin Hao in the library," Li Qiâan replied.
Xie Wanying knitted her brows in worry, "Can you contact the obstetrics teachers at Guoxie?"
"Are you asking about Teacher Wang who supervises my internship? She should be off duty today and not at the hospital. What do you need from Teacher Wang, Yingying?" Li Qiâan asked.