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33岁，前两胎顺产，第三胎选时辰剖腹产、做结扎，终究还是后悔了

发布日期：2024-09-02 00:15:50编辑：胖虎爱撩妹

一个当天值班并参与做剖腹产手术的阿楠说。
 
至今，距离那件事情发生快有一个月了。
 
那是一个明丽的早晨，阳光早早透过窗户散落于坐在电脑前的阿楠，仿佛告诉她，今天天气很好，你会忙碌起来的。果真，刚把电脑开好机，一个穿着格子衬衫，看起来精神抖擞的男子，手里拿着粉色孕产妇保健册（俗称：产检本）的他走进办公室，说：医生，我老婆阿莉要办住院，现在她在外面坐着。
 
 
拒绝顺产，要求剖腹产
 
阿楠让孕妇王莉（化名）进来，一位看起来还算年轻的三胎准妈妈，身材并没有明显发福，属于长胎不长肉的那种，肤色白净。经过详细询问病史，原来她顺产生过两个孩子，都是女孩。她说她老了，没力气也没勇气再去顺产，这胎儿足月就直接选择剖腹产，并一起把结扎手术做了。阿楠抬头看了下电脑，病例首页显示：王莉，女，33岁。
 
阿楠不理解，明明就很年轻，为什么就说老了呢？等待产程发动，让孩子“瓜熟蒂落”不是很好吗？她问王莉。接着王莉又谈起了她姐姐生孩子那时惊险顺转剖的事，她和她的妈妈都认为，生孩子还不如一刀起，痛快又利落，大不了痛几天就好。
 
 
 
翻看她的产检本，发现算起胎儿孕周才37周加2天，表面刚足月两天的宝宝。阿楠觉得孩子太嫩，担忧孩子的肺部还没真正发育成熟，现在出生也许他的呼吸会不好，需要进保温箱治疗，甚至有可能死亡。于是，把这风险告诉她和家属，让她们再次慎重考虑，确实想剖，也要等到胎儿有39周孕龄以上。
 
可他们说不用考虑，他们已经上网查清楚了：胎儿足月，肺部也已经基本成熟，生出来可以正常生存……而且他们已经看了“先生”，选了孩子出生的时辰，让阿楠抓紧给她办住院，并准备手术。
 
手术过程顺利，母婴平安
 
经过劝解无效，阿楠请示上级领导，领导也过来和他们再次深谈，将顺产的好处、剖腹产的弊端详细告知，
 
但他们仍坚决表示今天就要做手术，并愿意承担一切后果。
 
签完要求手术的同意书后，阿楠和她的团队就忙碌起来了，开医嘱、写术前记录、让王莉换好宽松的衣服、备皮、导尿并留置尿管、输液……做好术前准备，就用平车床将她送进手术室。麻醉医生顺利打好了麻醉，手术护士准备好手术器械、消毒液、敷料、丝线，主刀医生、助手依次做好手部消毒，穿上手术衣，给其消毒并铺上无菌巾，一台剖腹产手术就这样开始了。
 
手术过程像往常一样，打开腹腔后，将黏连处逐一松解，接着剖开子宫，吸出羊水，按压宫底帮助胎儿娩出，是个男孩啊！给他清理口腔、鼻腔分泌物后，哭出了洪亮的声音，接着他就被抱下手术台继续清理羊水胎脂、断脐、称体重并穿上衣服抱给妈妈看看、亲亲，最后他被抱给了手术外焦急等待的爸爸。而妈妈继续留在手术台上，就如一条咸鱼一样，任由医生拉扯缝合。等她被唤醒时，手术已经顺利结束了，母婴平安。
 
 
 
孩子脸色变紫，呼吸急促
 
孩子出生5小时，家属按床铃，巡逻护士以最快速度来到她病房，原来是爸爸发现孩子的脸色及嘴唇变紫，呼吸困难，还伴有呻吟。护士紧急呼叫阿楠，并数呼吸次数，168次/分。阿楠赶紧让孩子吸上氧气，可30分钟过后，肤色仍是紫绀，呼吸并没有变顺畅，反而越来越困难了。
 
新生儿科医生会诊过后，考虑“新生儿呼吸窘迫综合征”，即由于宝宝缺乏肺泡表面活性物质引起，导致肺泡进行性萎缩，而出现呼吸困难、皮肤紫绀、呻吟等症状，简单的说就是孩子的肺部还不成熟。于是，建议家属及时将孩子转往附近的市人民医院进行诊治。
 
噩耗传来，陷入无尽悔恨深渊
 
第二天阿楠去查房，看到王莉一个人静静地躺在床上，话很少，眼睛半睁半开，还带着些许浮肿，旁边还坐着一位年轻的女孩在玩手机，王楠说是她妹妹，她老公还在孩子那边，听说孩子上了呼吸机，情况很不好。
 
阿楠刚走出病房，她妹妹就跟着出来了。在走廊的尽头，她妹妹拦下阿楠，告诉她：“都怪你们，不阻止手术，也不趁早让孩子转院，凌晨两点，孩子抢救无效，走了！”
 
这无疑是阿楠从医以来，听到最让她心痛、悲伤的消息。她呆住了，脑袋一片空白，任凭那女孩拉扯她的衣角。等到她清醒过来时，她听到那女孩在说：“我姐还不知孩子去世的事，到时你们查房时不要在她面前提起孩子的事，等出院了，我们会再告诉她。”
 
 
 
再后来，阿楠在电话里用沙哑的声音告诉我：“孩子走了，家属就第二天找她闹了下，后来都挺安静的，她老公说不怪我们，也不怪医院，就怪他自己的命，命中注定没儿子……”
 
这是阿楠跟我通了一晚的电话，告诉了我一个让她难过、后悔的事。她说如果可以回到王莉来办住院的那天，她会不管王莉一家人怎么哀求，她都不会在那天给她办住院、做手术。
 
如今，她希望我写出来，可以警惕更多的准妈妈：能顺产尽量选择顺产，孩子是天赐的，让Ta顺其自然健康地来到这世界，无疑是最美好的事；如果真的迷信要选择剖腹产，而产程未发动的情况下，尽量在孕39周以后再来做剖腹产，因为还有很多事是科学解释不清的事，尽管孩子已足月，也仍可能会发生击溃人内心的意外。最后，愿所有的孩子都能如期健康地来到妈妈的怀抱！
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