Thursday, July 12, 2012

Young doctor's midwifery has weak technology " Can't know how to cut open "

Young doctor's midwifery has weak technology " Can't know how to cut open "

It is reported (Reporter Xue BingNi Reporter Wang HaiFang) Nearly half lying-in woman in China chooses to cut open the belly and give birth to the baby, cuts open the first in the world of belly yield. Yesterday, the expert of obstetrical department of branch of gynaecology and obstetrics of Guangdong claimed, the lying-in woman of hospital of the first, second and third of Guangzhou cut open the belly yield in above fifty percent too. "In fact after cutting open the belly yield to 10%, the lying-in woman erupts disease simultaneously without obviously reducing, should not improve and cut open the belly yield. " The expert claims, young doctor's vaginal midwifery technology can not catch up with now, can't " know how to cut open, so cut open the belly yield and can not lower. "
It exceeds 50% too to cut open the belly yield in Guangzhou
Recently, World Health Organization (W H O) Make one survey report, claim China nearly half lying-in woman choose to cut open the belly and give birth to the baby, it is the first in the world to cut open the belly yield. The expert points out, it is unnecessary for 25% of the pregnant women among them to adopt the caesarean birth thoroughly. To neonate, the probability of suffering from respiratory disease in the future is much higher than the baby who is obeyed under production.
Yesterday, ease celestial director of obstetrical department of hospital, branch obstetrics group's Vice Chairman Zhang Jianping of gynaecology and obstetrics of Guangdong Sun of Zhongshan University claimed, according to his understanding, the lying-in woman cuts open the belly yield more than fifty percent too in the hospital of the first, second and third of Guangzhou, "it is really too high. " He say more than 20 years ago, Mainland cut open the intersection of belly and yield control very much strict, adopt the caesarean birth to find that reduced the mother and baby complication later, "but we find after cutting open the belly yield and up to about 10%, complication has not been further reduced, that is to say a lot of caesarean births are unnecessary " .
Three factors cause the caesarean birth to remain high
He thinks Guangzhou cuts open the belly yield and has not dropped reasons in many aspects in recent years. Allow parents to be too high to the intersection of child and expected value at first, have the intersection of operation and caesarean birth of indication, the doctor can only write " The social factor or patient requires strongly " ; Secondly, the relationship between doctors and patients is tense, if obey and produce the question, the patient will have said and " said for a long time that wants the caesarean birth " while going to court ,So the doctor is afraid of obeying and producing the question, has " cut open simply " ; Finally, some doctors think that keep for one night with it, might as well settle in half an hour, even some hospitals proceed from interests, whether the excessive pain which emphasizes natural labor, guiding the pregnant woman " want painless delivery " .
Zhang Jianping claims, with the technological progress, the caesarean birth is very safe in operation, but bring the problem too. For example anaesthetize accident, complication,etc.. More important, if have an opportunity to give birth to the second child, because the first child is a caesarean birth, have scars on the uterus, of so the second fetus natural labor is afraid of bursting, mostly want the caesarean birth. "There may be uterus skin tumour 40, 50 years old later, will have an operation too then, it is less good to the patient. "
Young doctor's midwifery technology can not catch up with
Zhang Jianping claims, in fact another thing that the director of obstetrical department of every large hospital is still having a headache now - --The vaginal midwifery technology of the obstetricians of younger generation can not catch up with. Because if want the natural labor, need midwifery if necessary.
He says, he had already operated the technology of vaginal midwifery while practising in school-days in early years, students cannot touch these while practising now. There are units that have received and tested medical practitioner's card after medical science is grown to need graduating, and doctor of medicine graduate according to professional title or doctor in charge, he understand the intersection of midwifery and technology in fact, will not deal with and have difficult labour. "This results in understanding midwifery cuts open the belly, so cut open the belly yield and can not lower. "
In addition, some pregnant women hope to be choose Ji Ri how to born the child. Zhang Jianping claims, in fact Man proposes, God disposes, there are accidents. "For example some lying-in women required that gave birth to the child a certain period, but just had to several emergency cases at that time, take operating table, lying-in woman can raw in that she choose so-called best time, uncomfortable in her one's own heart. So had better be that problems can easily be solved when the conditions are ripe. "
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