At that time, women in that township had their babies delivered by "midwives". Local women who were over 50 or 60 years of age were called "midwives" for the purpose of assisting women in labor and delivery. They do not have any training, no bag, just a pair of scissors, a little experience in midwifery, was received by the mother's home, for the delivery of women in labor, for the newborn umbilical cord. In the case of a smooth birth is good, encountered a difficult birth on the helpless or blind nonsense, so occasionally there are maternal death, or fetal death in utero or stillbirth or neonatal asphyxia, neonatal tetanus deaths occur.
After reporting to the health center, the surrounding villagers are looking at the rare, an unmarried girl to do obstetricians and gynecologists, can it? Some people even asked me, "You haven't found a partner yet, do you want to be a midwife, aren't you afraid of being ugly?" People often questioned and asked questions. But after a while, the villagers began to believe in me and accept me. Because I used the actual action to prove that my young midwife's "new method of midwifery" technology than those old midwife's midwifery technology is better.
I remember when I first arrived at the health center only two months ago, there was a woman who was already a senior woman, many times, but every time she gave birth, there would be postpartum hemorrhage, stillbirth. She was pregnant again that year, and when she was about to give birth, she hired a midwife to come to her home to assist her. When the labor pains started, the midwife found that the baby was in breech position and told the family that it was another difficult labor, saying that the baby might not be saved again. After hearing this, the family immediately rode their bicycles to the health center and asked me to come to the clinic. The first thing I did was to take the baby to the hospital, and I was able to get the baby out of the hospital and into the hospital.
As soon as I entered the room, I found the woman in labor grasping the edge of the bed with both hands, naked and squatting beside the bed. The ground is covered with a layer of straw paper, the paper has been stained red with blood. The midwife stood by and watched her, saying under her breath, "Bear with it, it hurts a few times, and the hairs will come out". The woman's upper teeth biting the lower lip, wrinkled eyebrows in pain, face full of sweat and tears, face pale.
Seeing this, I immediately asked the mother's family to assist me in placing the mother on the bed. I opened the delivery bag, spread sheets and hole towels, sterilized, put on gloves for inspection, and found that one of the fetus's feet had been exposed. I instructed the midwife to help give abdominal pressure while carrying out breech delivery, the child was delivered with bruising and asphyxia, I removed the respiratory tract of foreign bodies, the implementation of artificial respiration, the child's vital signs are normal, and then immediately deal with and bandage the umbilical cord, and then handed over to the midwife for wrapping.
Then look at the mother, found that the placenta is retained, poor uterine contraction, bleeding has reached more than 500 ml, I immediately instructed the family to contact the transport, ready to transfer the mother to the district hospital, and quickly used the Hopewell Valley and cervical injection of oxytocin, abdominal massage of the uterus, artificial stripping of the placenta and other methods of control of the maternal critical situation. After the delivery of the placenta, the mother was pushed calcium gluconate and hooked up to glucose. And regardless of the blood stains and stink and exhaustion, escorted the mother by tractor to the district hospital for further treatment.
When I arrived at the district hospital, the mother was taken over by a superior physician. I was so relieved that I was in a state of exhaustion.
After the mother was discharged from the hospital, the child did three weeks of celebration, I was invited to be a VIP on the seat, her family also made a big fuss about my skills, the mother also asked to follow me to learn to deliver babies.
After this incident, I have a dozen villages in the township of the old midwife rigorous new law midwifery training and prenatal checkups training, there are several young women's director and the woman also enrolled in the study, the assessment of those who passed as the village of the new law midwife. A regular meeting of midwives is held once a month to analyze problems and answer questions, so that they can share their experiences with each other, learn lessons, learn new knowledge and improve their skills. I also applied to the county Maternal and Child Health Institute, for each village midwife equipped with a clinic box, the birth of a bag, and the necessary rescue drugs.
After a year of hard work and training, the basic skills of the midwives in my township have been greatly improved, basically eliminating tetanus and umbilical cord infection in newborns caused by poorly sterilized umbilical cords. In that year, the maternal mortality rate and stillbirth rate in my township were both zero, and the maternal and child health care work was recognized as advanced in the county. I was also recognized as an advanced worker in maternal and child health care in the county. This is the first time that the new method of birth control training began to be comprehensively promoted throughout the county.
Two years later, I left the township health center, was transferred to the district hospital work, before leaving, all the midwife mothers-in-law and I treated the villagers rushed to see off, everyone with eggs and some souvenirs to me, my a plastic bucket stuffed to the brim. The scene is unforgettable for me.
At that time, the remote rural medical and health institutions had low qualifications, weak technical force, lack of diagnostic and treatment equipment, a stethoscope, a sphygmomanometer, a thermometer, diagnosis and treatment of patients rely on the look, touch, knock, listen to or look, smell, ask and check, and the experience accumulated over time. As the first regular medical student assigned to the grassroots health centers, I feel very y. Dozens of kilometers around the clinic to either walk, or take the family's bicycle, the most aggressive is to take a tractor. Family deliveries when the dog bites also have to pay for their own rabies vaccine; dozens of kilometers away from home, once a month to go home to see their parents still have to transfer a few times the car; get up in the middle of the night to visit the clinic, walk the mountain road stumbles, often by some horrible animal screams scared straight shivering; because of the stress of the night, nightmares, insomnia often ......
Thankfully the villagers there at that time were kind and simple, and they had great respect and trust for the doctors. Although we deliver only a few dollars a time, a few cents a time out of the clinic, a month's salary is only more than 20 yuan, and very tired, but I am still very happy, very sense of accomplishment, within two years I delivered dozens of dolls, they are all landed safely, their mothers are also healthy and safe. I became good friends with many of the villagers, and some of them are still dating today.
This experience taught me that knowledge is power, knowledge can change bad habits, and knowledge can create miracles. Although my knowledge and technical level is limited, but I still do my best to make my knowledge and skills play a positive role, and achieved good results. Harvested the pride and satisfaction of being a doctor.