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

After delaying a lecture at the Wen Po School last time because Li Sanniang needed to be busy with her own affairs, during this holiday, Li Sanniang prepared according to the post she sent out earlier. up.

Following Li Erlang and Xiao Sanlang to move around in the yard, after running a few laps, they lifted the stone lock again, and Li Sanniang was sweating a little.

"Okay, stop practicing.

Hurry up, wash your hands, and come over for breakfast. "

Mrs. Li's words were still very useful. Li Sanniang and the others lined up to wash their hands and wipe their faces. After sitting down and waiting for a while to clear up the sweat, they ate the meat and the small pickles made by themselves.

After eating breakfast, those who should be on duty go to duty, and those who should go to school go to school, like Li Sanniang, who took the homework from the previous class and went to the next-door school.

Before Sizheng (9:00), all the students of Wenpo School came.

"It's been two decades since I saw you. I miss everyone very much. I don't know if you miss me?"

As soon as Li Sanniang came up, she showed her true feelings. The members of the Li family sitting under the table have long been accustomed to Li Sanniang's mischievous appearance, but outsiders who are not very familiar with Li Sanniang are really surprised. I didn't expect Li Sanniang to be so funny. my son.

"Haha, haha," Li Sanniang walked around the room with a smile, then winked at the girls under the stage and said, "Seeing your surprised looks, I don't want to play tricks on me.

However, I have to say, I really miss you, time flies, we should cherish every time we meet each other.

I'll invite you for lunch today, so I'll go to that restaurant on this street, you guys are not allowed to go.

Okay, come on, let's talk about the content of the last time first. (Chapter 444, Lecture [-]: Normal Pregnancy and Normal Delivery.)
Li Sanniang started the formal lecture after enlivening the classroom atmosphere and reducing the awkward feeling of strangeness between herself and these girls.

The girls who were still somewhat reserved in the audience, especially the young ones, such as Yu Xueniang, Jin Zhenbao and Sun Chunlan, who were in their teens, had already become active at this moment, watching actively. Li Sanniang, I hope to be questioned.

In two quarters of an hour, Li Sanniang led everyone to review the content of the last lecture, and then began to talk about the highlight of this class.

"This is the case for ordinary women's births. When it is unusual, it is an abnormal birth that needs to be solved by a stable woman.

There are four main points related to childbirth. The first is force of production, which is the force to force the fetus and placenta out of the womb;

The second is the birth canal, which is divided into bony birth canal and soft birth canal.This bony birth canal is the pelvis of the girl. "

Li Sanniang took out a jujube branch, pointed to the picture that had been hung up long ago, and then reached out and patted her anterior superior iliac spine, motioning everyone to look at it.

"As for the soft birth canal, if you look at the picture, that's it.

The third aspect is abnormal fetal position.

The normal fetus is that the fetal head enters the basin first, and other fetuses that are not head first are abnormal.

There are legs that come out first, buttocks that come out first, and shoulders that come out first, which will cause dystocia.

As for the last mental aspect, most of them are primiparous women, that is, women who have given birth for the first time. Because it is their first delivery, it takes a long time from pain to delivery, sleeps less, is very tired, and If you don't eat in time to replenish your physical strength, you will also be afraid because of the pain, which will cause a physical reaction from the mental and psychological, leading to dystocia. "

Wen Po, such as Mother Li, Sun Wenpo, and Yao Qingqing, who already had rich experience in delivering babies, felt enlightened after listening to these four aspects mentioned by Li Sanniang.

They all thought that Li Sanniang's summary was really wonderful!
The reason why knowledge is fascinating is that summarizing practical experience can make it easy for people to understand and teach people.

Mother Li and Sun Wenpo, who have been delivering babies for decades, are more experienced than Li Sanniang in practice.

But what they can't compare to Li Sanniang is that they don't know how to sum up, how to summarize experience into knowledge, and they can't pass on knowledge to more people, so that knowledge can be used, passed on, and improved.

Li Sanniang paused, and gave the people below a certain amount of time to digest the four points just said.

"Among these abnormal births, the most common dystocia is that the mother has no strength to give birth. At this time, it is necessary to use external force to help the mother to give birth to the baby safely."

Li Sanniang looked at everyone in the audience who was listening carefully, even people like Li's mother and Sun Wenpo who had decades of experience in delivering babies were listening carefully without blinking their eyes. Li Sanniang nodded in her heart, very satisfied with this part. Seriously.

"In this situation, we must help the mother give birth in time, otherwise the delivery time will be prolonged, which will cause unpredictable consequences for the fetus and the mother.

I will talk to you in general first, and then I will talk about everything after that. When the time comes for practice, I will take each of you to practice delivery. Presumably, when you have more contact with them, you will have a better understanding of these things. More understanding and concepts. "

At this time, Li Sanniang saw Jin Zhenbao actively raised her hand, so she nodded to her with a smile. Jin Zhenbao then put down her hand, stood up, looked at Li Sanniang and asked with youthful vigor: "Sir, what are we doing?" Only then can I follow my husband to deliver babies in practice?"

After Jin Zhenbao finished speaking, Li Sanniang saw that many girls in the audience turned their eyes to her, and they all said in their eyes, "I want to practice, I want to follow the delivery as soon as possible, and see how the girls give birth early." ?”

Even Yao Qingqing, who was originally a stable woman, looked at Li Sanniang with hope at this time, curious in her heart, if the lectures are so good, will it be the same in practice?

"If you improve quickly, I guess one year will be enough.

At that time, I can take you to deliver babies in batches, and explain all the situations to you carefully. After coming here a few times, it will take half a year. Presumably, you should be able to handle most of the situations.

At that time, I will organize an exam, and those who pass the written exam and practice will get a letter of approval from my Wenpo Academy, and after that, you can go out to pick up jobs under the name of coming out of my academy The child was delivered.

Moreover, if you are a very good person, you can stay in this school and be a teacher.

If there is a chance, I can also recommend you to join the Medical Alliance or even the Imperial Medical Office, that is all possible.

So, the point is, you have to work hard and earnestly learn from me during this period. "

Li Sanniang is good at drawing big cakes, but the prospect of being a stable woman and a big stable woman is very promising. Even Li's mother listened to it in the audience, and she is a bit superior , let alone those young girls.

All the girls in the audience had light in their eyes, and tried their best to digest everything Li Sanniang said.

Abnormal labor, birth canal, fetus, and mental and psychological factors, etc., can hinder the delivery process and make it difficult for the fetus to deliver, which is called abnormal delivery, commonly known as dystocia.

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Production force is the force that forces the fetus and its appendages out of the uterus, including uterine contraction (abbreviated as uterine contraction), abdominal wall muscle and diaphragm contraction (collectively referred to as abdominal pressure), and levator ani muscle contraction. These three forces form together productivity.

The birth canal is the channel through which the fetus is delivered. It is divided into two parts: the bony birth canal and the soft birth canal. The soft birth canal is a pipeline composed of the lower uterine segment, cervix, vagina, and pelvic floor soft tissues.

The position of the fetus in the womb is called the fetal position.

The normal fetal position should be that the longitudinal axis of the fetus is parallel to the longitudinal axis of the mother, the fetal head is at the entrance of the pelvis, and is flexed, the chin is close to the chest wall, the spine is slightly forward curved, the limbs are flexed and crossed in front of the chest and abdomen, and the entire fetus is oval , known as the anterior position.

Except for this, the rest of the fetal positions were abnormal fetal positions.

The most common abnormal fetal positions are breech and occiput posterior, and transverse and facial positions are less common.

The causes of malposition include uterine dysplasia, uterine deformity, small pelvis, pelvic tumor, fetal malformation, polyhydramnios and other factors.
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The above is from the internet

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I will put pictures of female pelvis and reproductive system, normal fetal position, etc. in the book circle.