一般的剖腹產的手術時間大約半個小時,約莫是烤一份雙層蛋糕的時間。要把新生兒帶到這個世界,手術刀必須劃過肚皮,腹壁,腹膜,子宮,但不能傷到嬰兒。時間太長可能造成胎兒窘迫。而中間可能會有500 到1000c.c. 的出血量:必須控制在這個範圍,否則媽媽會有生命危險。 對婦產科醫師而言,傷口講求務實密合,而母子均安已是最大的成功。接下來對皮膚傷口縫合的完美追求是錦上添花。
但對於許多經過剖腹產的媽媽而言肚子的傷疤很重要。"剖腹生產後可以穿比基尼"這件事已經成為順產之外主要的期望。 而或許是個性上使然,我也對於媽媽手術傷口疤痕最小化有種使命感的堅持, 甚至驕傲 。以至於雖然需要多花接近一倍的時間做多層次與小口徑手術針的縫合也是值得。最近開始使用微創手術放大鏡,對皮膚傷口的處理能比較細緻,而且我認為可以減少留疤的機會。
生產手術不同於切一塊蛋糕般簡單,但過程或許可以比擬於蛋糕的製作 -- 最終的內在的甜美與外在的完壁繫於對每一個步驟的堅持。
#剖腹生產後穿比基尼
#生產手術疤痕
#微創手術放大鏡
An uncomplicated caesarean section takes approximately half an hour -- about the same time it takes to bake a double-layered cake. To bring a newborn to this world, the scalpel must incise the skin, abdominal wall, peritoneum, uterus wall without hurting the baby. If it takes too long then it can cause fetal distress. During the process, about 500-1000 ml of bleeding is expected. More bleeding can be a medical emergency. As far as the obstetrician is concerned, wound closure needs to be water-tight and efficient. And to aim for perfect skin-closure may seem to be a lower-priority with all things considered.
But to most mums the scar on the tummy is an important parameter with which she judges the skills of the obstetrician (or any surgeon). And thanks to my OCD I have also aimed to minimise scar for my patients with the extra time it takes to close the skin. During skin closure, I have recently started using surgical loupe, a rare instrument for an obstetrician. However, i find it easier to manoeuvre the smaller sized suture that i choose to use and to handle the cutaneous tissue-- perhaps it will lead to less scar formation.
Obstetric surgery is not a piece of cake, but like making a cake, the final sweetness and perfect look are all closely related to the perseverance with perfection on each little step
同時也有1部Youtube影片,追蹤數超過93萬的網紅Bubzvlogz,也在其Youtube影片中提到,Hello Youtube Family! I finally had a chance to make a video sharing my birth experience. I'm sorry it took so long. It's so funny because people sti...
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emergency caesarean section 在 Mylife Facebook 的最佳解答
医生 : 当您来看医生时,请说实话。不要向我们隐瞒
前几天就和大家分享到我们吉打这里发生了大事件
因为孕妇隐瞒,而且本身有新冠肺炎
导致接触过这位孕妇的医生和护士都被通知隔离
以下的信息是来自 Dr.Kevin Goh :
我是一名在Pantai Hospital Laguna Merbok 工作的麻醉师。
18/3(星期三),我从睡眠中被叫醒,准备进行紧急剖腹产。
我以最快的速度准备好,开车前往医院!
剖腹产照正常进行,母婴均处于良好状态。
在医院完成所有工作后,我照常回家。我还到父母家吃晚饭。
晚上11点左右,医院的COO信息告诉我,早上产妇的父母都被检测出COVID19阳性。
她的父亲实际上曾出席位于大城堡的传教士大集。
她在入院时填写申报表时撒了谎。隐瞒了她曾与确诊病患有过亲密接触。而在手术后发烧,她才决定公开相关信息。
听到这个消息,我的心瞬间沉了!
不是因为我可能被感染,而是因为我的家人将可能因为我的工作而面临危险。
当时为晚上11点,什么也做不了。
整个晚上我和妻子都是痛苦煎熬。
第二天早上(19/3),医院迅速采集患者的咽喉分泌样本,并将其送到吉隆坡进行即时处理。
等待结果过程是另一个痛苦。
结果,报告呈阳性反应!对于我和我的同事来说,无疑是另一场噩梦。
医院安排了我所有的手术室及接触过该产妇的医生护士及顾问进行测试。感谢上帝,我们所有的结果都是阴性的!
等待结果比等待SPM / STPM放榜更为紧张
即使结果是阴性的,我们仍需要隔离14天。
就只是因为一个自私的人。
医院因此关闭3天,以进行全面的消毒和清洁。
医生,麻醉师,员工,分娩室员工因此受苦。
当您接受咨询时,请说实话。不要向我们隐瞒任何信息。
至少如果您告诉我们事实,我们将可以做得更好,或在操作时穿着合适的个人防护装备。
不告诉我们就像谋杀我们,要求我们在没有枪和防弹背心的情况下进行战争!
信息来自 Dr.Kevin Goh
中文是翻译而来的,原文是英语
I m an anaesthesiologist working in Pantai Hospital Laguna Merbok PHLM. On the 18/3 (Wednesday), I was woken up from my sleep for an emergency Caesarean section. As quickly as I could, I got myself ready and drove as fast as
I could to the hospital to attend to the patient. Everything was done for the safety of my patient and baby in my mind. The caesarean was done as per normal and both mother and baby were in good condition.
After all the work done in the hospital, I went home to my family as usual. I even went to my parents house for a dinner. (For ur info, my dad is a 75 yo man who had undergone bypass surgery).
At night at about 11pm, the hospital COO messaged me to inform me that the patient’s parents were both tested COVID19 positive. Her father actually went to the tabligh gathering in KL. She lied when she filled up the declaration form during admission. She said she had no contact with anyone who was positive. She decided to disclose the information after she herself developed fever after the op. How selfish was she?
My heart sank after hearing the news. Not because I would be potentially infected but my family would be in danger because of my work.
Nothing could be done at 11pm. The whole night was an agony for my wife and me.
The next morning (19/3) the hospital quickly took the patient’s throat swab and sent it to KL for immediate processing. Waiting for the result was another suffering. Lo and behold, the result came back as POSITIVE. This was another nightmare for my colleagues and me.
The hospital arranged all my OT staffs, Labour room staffs and almost all consultants to be tested. Thank God, all our results were NEGATIVE. This waiting for the result was worse than waiting for SPM/ STPM results
Even though the results were negative, some of us still need to be quarantined for 14 days.
The hospital is closed for 3 days for proper disinfectant and cleaning.
Because of one single
Selfish person,
The surgeon, anaesthesiologist, OT staffs, labour room staffs had to suffer.
The hospital has to be closed.
Please tell the truth when u consult us.. Do not hide any information from us. At least if u tell us the truth, we will be more prepared as in wearing proper PPE while doing operation. Not telling us is like ambushing us, asking us to go to war without gun and bullet proof vest.
#tellthetruth #dontbeselfish #dontbeliar #proudtobeanaesthetist #pantaihospitallagunamerbok
emergency caesarean section 在 邓秀茵 Facebook 的最讚貼文
自私和愚昧害自己也害别人。
转载吉打pantai 医院麻醉师的告白:
By Dr.Kevin Goh
#翻譯文 “我是一名在Pantai Hospital Laguna Merbok 工作的麻醉师。在18/3(星期三),我从睡眠中被叫醒,准备进行紧急剖腹产。我以最快的速度准备好,开车前往医院!我心中所想的是,这一切都是为了产妇和婴儿。
剖腹产照正常进行,母婴均处于良好状态。
在医院完成所有工作后,我照常回家。我甚至还到父母家吃晚饭。 (我75岁的父亲还曾接受搭桥手术)。
晚上晚上11点左右,医院的COO信息告诉我,早前产妇的父母都被检测出COVID19阳性。她的父亲实际上曾出席位于大城堡的传教士大集。她在入院时填写申报表时撒了谎。隐瞒了她曾与确诊病患有过亲密接触。而在手术后发烧,她才决定公开相关信息。她到底是多么的自私?😱
听到这个消息,我的心瞬间沉了一样!不是因为我可能被感染,而是因为我的家人将可能因为我的工作,而面临危险。
当时为晚上11点,什么也做不了。整个晚上对与我和妻子都是痛苦煎熬的。
第二天早上(19/3),医院迅速采集患者的咽喉分泌样本,并将其送到吉隆坡进行即时处理。等待结果过程是另一个痛苦。结果,报告呈阳性反应!对于我和我的同事来说,无疑是另一场噩梦。
医院安排了我所有的手术室及接触过该产妇的医生护士及顾问进行测试。感谢苍天,我们所有的结果都是阴性的!等待结果好比在等待SPM / STPM放榜一样
即使结果是阴性的,我们中有些人仍需要隔离14天。
医院因此关闭3天,以进行全面的消毒和清洁。
仅仅因为 ,一个自私的人。
医生,麻醉师,OT员工,分娩室员工因此受苦。
医院因此必须关闭!
当您接受咨询时,请说实话。不要向我们隐瞒任何信息。至少如果您告诉我们事实,我们将可以做得更好,或在操作时穿着合适的个人防护装备。不告诉我们就像埋伏我们,要求我们在没有枪和防弹背心的情况下进行战争!
———————————原文
By Dr.Kevin Goh
I m an anaesthesiologist working in Pantai Hospital Laguna Merbok PHLM. On the 18/3 (Wednesday), I was woken up from my sleep for an emergency Caesarean section. As quickly as I could, I got myself ready and drove as fast as
I could to the hospital to attend to the patient. Everything was done for the safety of my patient and baby in my mind. The caesarean was done as per normal and both mother and baby were in good condition.
After all the work done in the hospital, I went home to my family as usual. I even went to my parents house for a dinner. (For ur info, my dad is a 75 yo man who had undergone bypass surgery).
At night at about 11pm, the hospital COO messaged me to inform me that the patient’s parents were both tested COVID19 positive. Her father actually went to the tabligh gathering in KL. She lied when she filled up the declaration form during admission. She said she had no contact with anyone who was positive. She decided to disclose the information after she herself developed fever after the op. How selfish was she?😱
My heart sank after hearing the news. Not because I would be potentially infected but my family would be in danger because of my work.
Nothing could be done at 11pm. The whole night was an agony for my wife and me.
The next morning (19/3) the hospital quickly took the patient’s throat swab and sent it to KL for immediate processing. Waiting for the result was another suffering. Lo and behold, the result came back as POSITIVE. This was another nightmare for my colleagues and me.😭
The hospital arranged all my OT staffs, Labour room staffs and almost all consultants to be tested. Thank God, all our results were NEGATIVE. This waiting for the result was worse than waiting for SPM/ STPM results 😂
Even though the results were negative, some of us still need to be quarantined for 14 days.
The hospital is closed for 3 days for proper disinfectant and cleaning.
Because of one single
Selfish person,
The surgeon, anaesthesiologist, OT staffs, labour room staffs had to suffer.
The hospital has to be closed.
Please tell the truth when u consult us.. Do not hide any information from us. At least if u tell us the truth, we will be more prepared as in wearing proper PPE while doing operation. Not telling us is like ambushing us, asking us to go to war without gun and bullet proof vest.
#tellthetruth #dontbeselfish #dontbeliar #proudtobeanaesthetist #pantaihospitallagunamerbok
emergency caesarean section 在 Bubzvlogz Youtube 的最佳貼文
Hello Youtube Family!
I finally had a chance to make a video sharing my birth experience. I'm sorry it took so long. It's so funny because people still constantly ask how the birth of Isaac went. I remember soon after Isaac's arrival, I told myself I wasn't going to make a birth story video. I guess thinking about the birth upset me. Now, when I look back- it doesn't seem so bad. In fact, it makes me smile. I'm thankful for the doctors and nurses. I'm thankful for Isaac being here safely. I'm thankful for having such a wonderful husband. I feel so so blessed. Even though the birth was not what I had expected, my baby arrived safely. What more could I ask for?
I'm happy to share my experience getting induced and having an emergency c-section but remember, every birth is different. Go in with an open mind. To the expecting mummies out there, YOU CAN DO THIS!! You can so much stronger than you can imagine.
Watch Isaac's birth video here: https://www.youtube.com/watch?v=eBf3S0clKAA
Love, Bubz xo
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emergency caesarean section 在 Elective & Emergency Caesareans | One Born Every Minute 的推薦與評價
Elective & Emergency Caesareans | One Born Every Minute ... as sometimes an emergency c-section will take place or the couple will elect to ... ... <看更多>