The days when I was an obstetrician and gynecologist in Chang'an

From ancient times to the present, women's childbirth is like passing through the gate of hell.

During the entire physiological process of a child, from the time of conception to pregnancy, delivery, and puerperium, not to mention the Tang Dynasty at this time, even in modern society, many people died in it, and there were even two lives. of.

If Jiuniang's situation is in modern times, it is naturally better to have a cesarean section.

How could Jiuniang give birth to a child by herself?
At this time, although Li Sanniang performed cesarean section on Jiuniang like a pioneer, he could neither guarantee that Jiuniang would survive after giving birth to the child, nor that the child would be well.

After all, Jiu Niang's situation is really too bad.

No sterile operating room, no drugs, no handy tools, nothing.

The reason why Li Sanniang wanted to perform cesarean section on Jiuniang was only for the child that Jiuniang was desperately trying to give birth to.

"Give this to Jiuniang," Li Sanniang took out an old ginseng from the medical box, sliced ​​it, and handed it to Qi Zhidie.

"Ling Lan stays to help, and everyone else goes out."

No one listened to Li Sanniang's words at all, Qi Zhidie was still choking on Jiuniang who was as angry as silk, and Song Yulang also stood motionless on the side.

"Okay, one by one, you can put it here if you want, just don't bother me!"

With the help of Qiuxiang, Li Sanniang washed her hands and put on a light green surgical gown. The top of the round table in the room was also emptied, and the tea sets and cups were piled up in a corner of the floor. A tool that will be used later.

Ling Lan came into the room carrying a bowl of steaming hot soup, "Master! The medicine is ready."

Seeing this, Qiuxiang pulled away Qi Zhidie who was still lying in front of Jiuniang's bed with one hand, half hugged Jiuniang's upper body, and said to Linglan who was still holding the soup, "Give it to me."

Ling Lan froze for a moment, and hurried forward to give the medicine bowl to Qiuxiang. Qiuxiang supported Jiuniang's body with the strength of her shoulders, squeezed hard, Jiuniang opened her mouth, and Qiuxiang directly poured all the soup into it.

"Expose your belly, I'm going to have a caesarean section."

Li Sanniang observes the child in Jiuniang's stomach through the perspective eye, and can't wait any longer, the child will really suffocate to death if she waits any longer!
Li Sanniang didn't care about spreading the towels and disinfecting, so she directly took the scalpel, and according to what she saw with the perspective eye and Jiuniang's condition, she chose to cut longitudinally.

Seeing Li Sanniang measuring Jiuniang's belly with a knife, Song Yulang couldn't bear to watch it any longer, turned his back and closed his eyes and wept silently.

And Qi Zhidie, who had just been dragged away by Qiu Xiang, also came to his senses at this moment, looking at the unconscious Jiuniang lying on the bed with tears in his eyes, covered his mouth, and fell to the ground.

How could Li Sanniang have time to take care of these two people.

Ling Lan was also very scared, but thinking that she would be a female doctor in the future, she forced herself to look at all this with wide eyes.

Qiuxiang was not very afraid, after all, when she was a killer among bad people, she saw many things bloodier than giving birth.

"Ling Lan, I'll cut the uterus in a moment, there will be amniotic fluid flowing out, you should quickly catch it with a cloth towel.

The baby is born, please help me so that I can cut the umbilical cord for the baby. "

Ling Lan nodded, realizing that Li Sanniang was speaking with her back turned, and couldn't see her nodding, so she quickly responded: "Yes, master."

Holding a knife, Li Sanniang first cut open the skin. There was only a little yellow fat layer on Jiuniang's stomach. Qiuxiang didn't lose the chain, and helped Li Sanniang wipe off the blood so that she could have a better view.

Further down is the fascia layer, and the rectus abdominis is seen, and the peritoneal layer is below.

The peritoneum is carefully incised, exposing the uterus to the view.

There were two more layers, and Li Sanniang continued to incise the serosa layer, and the uterus in the last layer was incised, exposing the fetal head.

The turbid amniotic fluid flowed out, "Lily of the valley!"

Li Sanniang's cry woke up the frightened Ling Lan, Ling Lan quickly took layers of cloth towels to absorb the amniotic fluid that flowed out, a bloody smell mixed with a stench came towards her.

Ling Lan held her breath, resisting the smell, and kept her hands on her hands, Jiu Niang's amniotic fluid was not much, and five or six cloth towels were enough.

Only then did Li Sanniang reach out and carefully rotate the fetal head, "Qiuxiang, press on it so that the baby can come out."

Qiuxiang obediently stretched out her hand to press Jiuniang's upper abdomen, and Li Sanniang followed the pressure and took the child out of the incision.

"Hemostatic forceps!"

Qiuxiang knew what Li Sanniang meant, and hurriedly handed it over. Linglan knew she had found her, and following Li Sanniang's instructions, the two cut the umbilical cord together.

Li Sanniang used the old method here to tie a knot in the baby's umbilical cord.

"Master, why doesn't he cry?"

Ling Lan looked at the wrinkled, closed eyes, covered in vernix, like a little old baby, and asked Li Sanniang worriedly.

Before Li Sanniang could speak, Song Yulang and Qi Zhidie came to their senses after hearing Linglan's words. Qi Zhidie glanced at the child and went to look after Jiuniang by the bed.

It was Song Yulang who came over anxiously, looking at the delicate baby in Li Sanniang's hands, not knowing what to say.

Li Sanniang was cleaning up the foreign objects in the baby's mouth and nose. Li Sanniang was also afraid that something might happen to the baby after being held in the mother's womb for a long time, so she gave a score according to the modern method.
Only four points. If it weren't for Li Sanniang's sensitive five senses, the baby's weak breathing might not be heard.

Li Sanniang slapped the baby's soles a little harder, and the baby hummed twice in coordination.

"The child is still alive, you wrap him up, and I'll sew it up for Jiu Niang."

Li Sanniang returned to the bed, looked at Qi Zhidie holding Jiuniang's hand, crying so hard.

After thinking about it, Li Sanniang got up and cleaned her hands, and said to Qi Zhidie, "I'll give Jiuniang an injection to wake her up, let her take a look at the child."

Qi Zhidie moved away, and when Li Sanniang finished giving the needle, Jiuniang woke up leisurely, her face, which had always been pale and blue, turned a little rosy.

When Qi Zhidie saw this, she was happy for a while, but after two breaths, she realized that this was a flashback, and her heart ached again.

But after all, Qi Zhidie wiped the tears from her face casually, and said to Jiu Niang who was trying to open her eyes: "Jiu Niang, Jiu Niang, the baby is born."

At this time, Ling Lan also carried the wrapped baby over, "Jiu Niang, look, this eyebrow looks like you, he is a little gentleman."

Jiuniang tried her best to look up at the wrinkled little old man, and suddenly felt that she was complete.

But the pain in her belly, as soon as she fell, Jiu Niang knew that she was going to die.

After seeing the child, Jiuniang stretched out her hand and held Qi Zhidie's hand with all her strength, "Zhidie, help me raise him, okay?

Zhidie, please, can you raise him up? "

Looking at the hope in Jiuniang's eyes, Qi Zhidie couldn't say no to it.

"Okay, I promise you, I promise you! Jiu Niang, I will raise this child, and I will raise him well, don't worry."

Jiu Niang got the answer she wanted, and she was relieved, and the frustration immediately appeared on her face.

Looking at the baby one last time, Jiuniang closed her eyes in satisfaction, and the hand that was still holding Qi Zhidie's palm also dropped directly.

Jiuniang is dead.

Maternal mortality rate: Maternal mortality rate is the number of maternal deaths per [-] live births or per [-] live births.

Maternal deaths from all causes (except accidents) from the start of pregnancy to 42 days after delivery are included.

2022年7月12日，国家卫健委发布2021年卫生健康事业发展统计公报，公报显示，我国孕产妇死亡率从16.9/10万下降到16.1/10万，婴儿死亡率从5.4‰下降到5.0‰。

Neonatal score, also known as Apgar score method and Apgar score, is a standard assessment method for checking a child's physical condition immediately after birth.

After the baby is born, the five signs of skin color, heart rate, respiration, muscle tone and movement and reflex are scored.

满10分者为正常新生儿，评分7分以下的新生儿考虑患有轻度窒息，评分在4分以下考虑患有重度窒息。大部分新生儿的评分多在7- 10分之间。
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Above, from Baidu.