The days when I was an obstetrician and gynecologist in Chang'an
Chapter 510 Postpartum collapse
"Aren't you going to be a son-in-law? The baby will be named after you!"
"Hey, Tian Lang, you are lucky."
Zou Da squeezed away Wang Da who was in front of Tian Feng, and asked Tian Feng directly: "Brother Tian, good brother, tell me quickly, which family's matchmaker did you hire? How much money will you pay?" You are looking for such a good marriage?"
Zou Dana was very enthusiastic, as if Tian Feng was his half-brother.
Not to mention Wang Da who was squeezed away, even if he was a little further away, the thin monkey who had mocked Tian Feng just now wanted to go up and ask.
Men don't need to guess what's going on in their minds, what else does Tian Feng not understand just by looking at that appearance?
Two flowers bloom, one branch each.
In the evening, Li Sanniang, who was on duty to return home, received such a rough wedding invitation from Mother Li.
The Sun family is just a small family in the market, so the invitation Sun Cuilan sent to Li Sanniang is not as exquisite as those from rich families.
However, when Li Sanniang opened it, the regular script looked pretty.
Li's mother said, "It must have been written by someone who spent money."
Li Sanniang nodded, the wedding invitation was only a few lines, after reading it, Li Sanniang sighed to Li's mother: "It's very good, it's a great thing that Cuilan can get through this hurdle.
But when it's time to get married, I still won't go.
Although Cuilan didn't notice it, I was a doctor who treated her before, so I didn't have to cause gossip on her happy day. "
Although Li's mother didn't know what Li Sanniang said about "causing gossip"?
However, Mother Li still understood what Li Sanniang wanted to express.
"Sun Cuilan's illness must have something to do with it, right?
Otherwise, Sanniang is not the kind of person who waits for someone to send a wedding invitation with a special gift and not go. "
What Li Sanniang was thinking was: "Although the Zhou family was afraid that it would be exposed that Zhou Dalang drugged Sun Cuilan, they didn't dare to go out and say that Cuilan was no longer perfect.
But the geese left traces, there was nothing on the surface, and the neighbors of the Sun family still didn't know how to talk about it secretly?
If I, a doctor who treats Cuilan, go to join in the fun, if I run into people who are not kind enough to ask me questions, won't it be a hindrance to Cuilan's happy life? "
"Then when the time comes, you just have to be courteous until no one is around.
It's good to have such a heart, presumably Mrs. Sun should be able to understand. "
Li Sanniang nodded, then she glanced at the dew in the yard for Xiao Huang Shunmao, and asked Li's mother: "Mother, let's prepare some bones and water in advance, so that when Xiao Huang gives birth to a cub, we can give it Replenish your body."
"Do you need to tell me? Your sister-in-law has long thought of you."
"My sister-in-law is amazing, and the whole family depends on her to take care of her."
As soon as the end of Li Sanniang's words fell, Mrs. Li, who was just walking to the entrance of the main hall, heard these words. She is a woman with a good temper. .
"I said what did San Niang and A Niang secretly talk about in the room?
The original way is to praise me behind someone's back?
Come on, sister-in-law will put it in front of your eyes, you praise in front of sister-in-law, let sister-in-law listen carefully, why does our third mother praise others? "
The next day, Li Sanniang who was in the medical hall was really busy today.
Just after seeing a woman, Li Sanniang hurriedly took the time to drink from the water glass.
After quenching her thirst, Li Sanniang said to Qiuxiang, "What's the matter today? Why are there so many people here all of a sudden?"
Qiuxiang was also confused. After all, the popularity of Li Sanniang, a female doctor, had dropped a lot a while ago, and she returned to normal later on. There was no need to limit the number of patients who came to see her.
Why, suddenly, there are more people today?
Li Sanniang didn't know when she saw Qiuxiang, so she just counted in her heart what day it is today?
Before Li Sanniang could figure it out, Tang Mingyue, who was at the clinic next door, arrived before anyone saw her.
After hearing Tang Mingyue's "haha" twice, Li Sanniang saw Tang Mingyue coming from the clinic next door, and smiled at Li Sanniang: "Doctor Li is so busy that he has forgotten his days.
It will be Qixi Festival in two days, and these girls are anxious to see you because they are afraid that if they feel unwell on Qixi Festival, they will miss the good Lang Xu.
I missed it, but I have to wait another year.
Where can it work?It wasn't long before they flocked to Dr. Li for consultation. "
Only then did Li Sanniang suddenly realize, ah, it's almost the Qixi Festival again.
Tang Mingyue saw that Li Sanniang had only just realized, and said with a smile: "I'm afraid Dr. Li will be as busy as today if it weren't for tomorrow. After all, you are the only female doctor in Quan Chang'an."
Tang Mingyue had just finished speaking, and before Li Sanniang could reply, a thin, sweaty man in a blue shirt broke into the door of the medical hall.
"Doctor, help! Help!
My wife collapsed after childbirth, hurry up, follow my family to save her! "
Li Sanniang reacted very quickly. After hearing what the man said, she immediately stood up and called out to Qiuxiang who was behind her.
At this time, Li Sanniang had already reached the door of the medical hall.
"I'm a female doctor, hurry up, I'll go save people with you!"
The man ran out in an instant, and Li Sanniang and Qiuxiang quickly followed.
The three of them got into the carriage, and Li Sanniang directly said to the handlebar: "The mother is bleeding, it's important to save her life, the old man rings the bell, hurry up."
After finishing speaking, the old driver of the car pulled up the rope hanging from the corner of the car door, and a rush of bells rang.
Li Sanniang sat in the car, opened the curtain and looked forward, shouting loudly: "Excuse me! Excuse me! The doctor saves lives! Excuse me! Excuse me!"
Pedestrians on the road hurriedly hid to the side of the road, even when patrolling the street heard the bell of the car, they directed the pedestrians to go to the side of the road, so as to leave a way for the carriage.
Galloping all the way, it took more than a quarter of an hour to arrive at the place.
Li Sanniang jumped out of the carriage, followed the gentleman and drove inside.
At the very moment, the thin and weak gentleman couldn't care less, and directly led the way and led Li Sanniang and Qiuxiang into the inner room.
If it is normal, the knowledge level of the people at that time is not up to the level, and there are many superstitions.
When a woman gives birth, Lang Xu is not allowed to enter the house, fearing that the yin energy will be too heavy and it will be bad for the body.
As soon as Li Sanniang followed the thin and weak husband into the inner room where the pregnant woman gave birth, a sticky smell of blood rushed to her face.
Li Sanniang felt the thick blood in the air, secretly feeling bad, it was so thick, the amount of blood was astonishing.
Qiuxiang followed behind Li Sanniang with the medical kit on her back, and she also smelled the bloody smell, and suddenly felt that the woman lying on the bed was probably not well.
Li Sanniang didn't care about cleaning her hands, and went directly to the bed to check.
Before Li Sanniang pulled back the quilt covering the woman's lower body, a baby's cry came from her ear.
Li Sanniang turned her head and saw a quilt on the square table against the wall not far from the bed, inside the quilt should be the child that the woman gave birth to earlier.
At this glance, Li Sanniang also saw a hunched little old woman with her head bowed and leaning against the wall beside the square table.
After taking a look, Li Sanniang turned her head and hurried to see the condition of the woman on the bed.
But Li Sanniang saw that the hair on the woman's forehead was still wet with sweat, but the woman's eyes were closed tightly and her face was pale.
The thin and weak gentleman was stunned, and after a while, he turned his head and yelled at Li Sanniang: "Doctor, doctor, save Qianniang!"
Then the thin and frail gentleman threw himself down by the bed, hugged the woman's shoulders, shook her, and roared, "Qianniang, wake up, I've called the doctor, she's here!" , you quickly open your eyes and see.
Open your eyes quickly! "
Tears were pouring down like rain, and the thin and weak man was crying so hard that it was unbearable to watch.
When Li Sanniang saw the woman's eyes closed tightly, her heart skipped a beat, "Is it too late?"
Immediately, Li Sanniang opened her clairvoyant eyes, and the woman on the bed was dead and gone.
"Doctor, save Qianniang, doctor, save her!"
Li Sanniang was stunned for a moment, but still stretched out three fingers to rest on Qianniang's warm wrist.
No pulse, no breath.
Postpartum hemorrhage is a serious complication during childbirth and one of the four leading causes of maternal mortality.
(The other three are:
① Puerperal infection: refers to the infection of the reproductive tract by pathogens during childbirth and puerperium, causing local or systemic inflammatory changes.
② Pregnancy with heart disease: it can lead to heart failure, and in severe cases, it can endanger the life of the parturient.
③Eclampsia: Eclampsia is when the pregnant woman is giving birth, or within a day or two after giving birth, the pregnant woman suddenly develops neck stiffness, trismus, looking up, foaming at the mouth, twitching of limbs, unconsciousness, recurrence after waking up, etc. . )
Postpartum hemorrhage is defined as bleeding of more than 24 mL within 500 hours after delivery of the fetus.
80% occur within 2 hours postpartum.
Late postpartum hemorrhage refers to the massive uterine bleeding that occurs in the puerperium 24 hours after delivery, and is more common in 1 to 2 weeks after delivery.
Postpartum hemorrhage has always been the first cause of maternal death in my country in recent years, especially in remote and backward areas.
The incidence of postpartum hemorrhage accounts for 2% to 3% of the total number of deliveries. Due to the subjective factors of measuring and collecting the amount of bleeding, the actual incidence is higher.
-
The above is from the internet
"Hey, Tian Lang, you are lucky."
Zou Da squeezed away Wang Da who was in front of Tian Feng, and asked Tian Feng directly: "Brother Tian, good brother, tell me quickly, which family's matchmaker did you hire? How much money will you pay?" You are looking for such a good marriage?"
Zou Dana was very enthusiastic, as if Tian Feng was his half-brother.
Not to mention Wang Da who was squeezed away, even if he was a little further away, the thin monkey who had mocked Tian Feng just now wanted to go up and ask.
Men don't need to guess what's going on in their minds, what else does Tian Feng not understand just by looking at that appearance?
Two flowers bloom, one branch each.
In the evening, Li Sanniang, who was on duty to return home, received such a rough wedding invitation from Mother Li.
The Sun family is just a small family in the market, so the invitation Sun Cuilan sent to Li Sanniang is not as exquisite as those from rich families.
However, when Li Sanniang opened it, the regular script looked pretty.
Li's mother said, "It must have been written by someone who spent money."
Li Sanniang nodded, the wedding invitation was only a few lines, after reading it, Li Sanniang sighed to Li's mother: "It's very good, it's a great thing that Cuilan can get through this hurdle.
But when it's time to get married, I still won't go.
Although Cuilan didn't notice it, I was a doctor who treated her before, so I didn't have to cause gossip on her happy day. "
Although Li's mother didn't know what Li Sanniang said about "causing gossip"?
However, Mother Li still understood what Li Sanniang wanted to express.
"Sun Cuilan's illness must have something to do with it, right?
Otherwise, Sanniang is not the kind of person who waits for someone to send a wedding invitation with a special gift and not go. "
What Li Sanniang was thinking was: "Although the Zhou family was afraid that it would be exposed that Zhou Dalang drugged Sun Cuilan, they didn't dare to go out and say that Cuilan was no longer perfect.
But the geese left traces, there was nothing on the surface, and the neighbors of the Sun family still didn't know how to talk about it secretly?
If I, a doctor who treats Cuilan, go to join in the fun, if I run into people who are not kind enough to ask me questions, won't it be a hindrance to Cuilan's happy life? "
"Then when the time comes, you just have to be courteous until no one is around.
It's good to have such a heart, presumably Mrs. Sun should be able to understand. "
Li Sanniang nodded, then she glanced at the dew in the yard for Xiao Huang Shunmao, and asked Li's mother: "Mother, let's prepare some bones and water in advance, so that when Xiao Huang gives birth to a cub, we can give it Replenish your body."
"Do you need to tell me? Your sister-in-law has long thought of you."
"My sister-in-law is amazing, and the whole family depends on her to take care of her."
As soon as the end of Li Sanniang's words fell, Mrs. Li, who was just walking to the entrance of the main hall, heard these words. She is a woman with a good temper. .
"I said what did San Niang and A Niang secretly talk about in the room?
The original way is to praise me behind someone's back?
Come on, sister-in-law will put it in front of your eyes, you praise in front of sister-in-law, let sister-in-law listen carefully, why does our third mother praise others? "
The next day, Li Sanniang who was in the medical hall was really busy today.
Just after seeing a woman, Li Sanniang hurriedly took the time to drink from the water glass.
After quenching her thirst, Li Sanniang said to Qiuxiang, "What's the matter today? Why are there so many people here all of a sudden?"
Qiuxiang was also confused. After all, the popularity of Li Sanniang, a female doctor, had dropped a lot a while ago, and she returned to normal later on. There was no need to limit the number of patients who came to see her.
Why, suddenly, there are more people today?
Li Sanniang didn't know when she saw Qiuxiang, so she just counted in her heart what day it is today?
Before Li Sanniang could figure it out, Tang Mingyue, who was at the clinic next door, arrived before anyone saw her.
After hearing Tang Mingyue's "haha" twice, Li Sanniang saw Tang Mingyue coming from the clinic next door, and smiled at Li Sanniang: "Doctor Li is so busy that he has forgotten his days.
It will be Qixi Festival in two days, and these girls are anxious to see you because they are afraid that if they feel unwell on Qixi Festival, they will miss the good Lang Xu.
I missed it, but I have to wait another year.
Where can it work?It wasn't long before they flocked to Dr. Li for consultation. "
Only then did Li Sanniang suddenly realize, ah, it's almost the Qixi Festival again.
Tang Mingyue saw that Li Sanniang had only just realized, and said with a smile: "I'm afraid Dr. Li will be as busy as today if it weren't for tomorrow. After all, you are the only female doctor in Quan Chang'an."
Tang Mingyue had just finished speaking, and before Li Sanniang could reply, a thin, sweaty man in a blue shirt broke into the door of the medical hall.
"Doctor, help! Help!
My wife collapsed after childbirth, hurry up, follow my family to save her! "
Li Sanniang reacted very quickly. After hearing what the man said, she immediately stood up and called out to Qiuxiang who was behind her.
At this time, Li Sanniang had already reached the door of the medical hall.
"I'm a female doctor, hurry up, I'll go save people with you!"
The man ran out in an instant, and Li Sanniang and Qiuxiang quickly followed.
The three of them got into the carriage, and Li Sanniang directly said to the handlebar: "The mother is bleeding, it's important to save her life, the old man rings the bell, hurry up."
After finishing speaking, the old driver of the car pulled up the rope hanging from the corner of the car door, and a rush of bells rang.
Li Sanniang sat in the car, opened the curtain and looked forward, shouting loudly: "Excuse me! Excuse me! The doctor saves lives! Excuse me! Excuse me!"
Pedestrians on the road hurriedly hid to the side of the road, even when patrolling the street heard the bell of the car, they directed the pedestrians to go to the side of the road, so as to leave a way for the carriage.
Galloping all the way, it took more than a quarter of an hour to arrive at the place.
Li Sanniang jumped out of the carriage, followed the gentleman and drove inside.
At the very moment, the thin and weak gentleman couldn't care less, and directly led the way and led Li Sanniang and Qiuxiang into the inner room.
If it is normal, the knowledge level of the people at that time is not up to the level, and there are many superstitions.
When a woman gives birth, Lang Xu is not allowed to enter the house, fearing that the yin energy will be too heavy and it will be bad for the body.
As soon as Li Sanniang followed the thin and weak husband into the inner room where the pregnant woman gave birth, a sticky smell of blood rushed to her face.
Li Sanniang felt the thick blood in the air, secretly feeling bad, it was so thick, the amount of blood was astonishing.
Qiuxiang followed behind Li Sanniang with the medical kit on her back, and she also smelled the bloody smell, and suddenly felt that the woman lying on the bed was probably not well.
Li Sanniang didn't care about cleaning her hands, and went directly to the bed to check.
Before Li Sanniang pulled back the quilt covering the woman's lower body, a baby's cry came from her ear.
Li Sanniang turned her head and saw a quilt on the square table against the wall not far from the bed, inside the quilt should be the child that the woman gave birth to earlier.
At this glance, Li Sanniang also saw a hunched little old woman with her head bowed and leaning against the wall beside the square table.
After taking a look, Li Sanniang turned her head and hurried to see the condition of the woman on the bed.
But Li Sanniang saw that the hair on the woman's forehead was still wet with sweat, but the woman's eyes were closed tightly and her face was pale.
The thin and weak gentleman was stunned, and after a while, he turned his head and yelled at Li Sanniang: "Doctor, doctor, save Qianniang!"
Then the thin and frail gentleman threw himself down by the bed, hugged the woman's shoulders, shook her, and roared, "Qianniang, wake up, I've called the doctor, she's here!" , you quickly open your eyes and see.
Open your eyes quickly! "
Tears were pouring down like rain, and the thin and weak man was crying so hard that it was unbearable to watch.
When Li Sanniang saw the woman's eyes closed tightly, her heart skipped a beat, "Is it too late?"
Immediately, Li Sanniang opened her clairvoyant eyes, and the woman on the bed was dead and gone.
"Doctor, save Qianniang, doctor, save her!"
Li Sanniang was stunned for a moment, but still stretched out three fingers to rest on Qianniang's warm wrist.
No pulse, no breath.
Postpartum hemorrhage is a serious complication during childbirth and one of the four leading causes of maternal mortality.
(The other three are:
① Puerperal infection: refers to the infection of the reproductive tract by pathogens during childbirth and puerperium, causing local or systemic inflammatory changes.
② Pregnancy with heart disease: it can lead to heart failure, and in severe cases, it can endanger the life of the parturient.
③Eclampsia: Eclampsia is when the pregnant woman is giving birth, or within a day or two after giving birth, the pregnant woman suddenly develops neck stiffness, trismus, looking up, foaming at the mouth, twitching of limbs, unconsciousness, recurrence after waking up, etc. . )
Postpartum hemorrhage is defined as bleeding of more than 24 mL within 500 hours after delivery of the fetus.
80% occur within 2 hours postpartum.
Late postpartum hemorrhage refers to the massive uterine bleeding that occurs in the puerperium 24 hours after delivery, and is more common in 1 to 2 weeks after delivery.
Postpartum hemorrhage has always been the first cause of maternal death in my country in recent years, especially in remote and backward areas.
The incidence of postpartum hemorrhage accounts for 2% to 3% of the total number of deliveries. Due to the subjective factors of measuring and collecting the amount of bleeding, the actual incidence is higher.
-
The above is from the internet
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