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

(Thanks to book friend 20170130204522837 for the monthly ticket~)

Although Li Sanniang told Li's mother that she would be fine after a night of sleep, in fact Li Sanniang who was lying on the bed at night did not fall asleep at all.

Regardless of Qianniang's mother-in-law, did the old woman really think that her daughter-in-law Qianniang was not pleasing to her eyes, and that she deliberately delayed the time after her postpartum hemorrhage to prevent Gen'er from going to the doctor.

Only Qianniang's postpartum hemorrhage is truly an irresistible misfortune.

"I was very lucky before the crossing. I delivered a thousand or eight hundred pregnant women. Except for seven or eight people who were more dangerous when they gave birth, the others went smoothly.

During the delivery process, I have never encountered any cases that would cause maternal or even fetal death.

It's really lucky. "

Li Sanniang lay on the bed with her eyes open, looking at Fang Liang, and silently counted the number of mothers and babies who had not been rescued under various conditions since she became a female doctor in Chang'an.

I can't help but feel even more uncomfortable. It is true that the childbirth is the gate of hell for the girl.

Such as postpartum hemorrhage, amniotic fluid embolism, uterine rupture, etc., even if they encounter it in modern times, it is almost impossible to survive.

Although the incidence of various emergencies has not been said to be so high, for diseases like this, if you don’t get it, you’re 0%, as long as you get it, it’s 100%.

As for the morbidity rate in medical statistics, it is just that for the whole group, there is only a difference between 0 and 100% when it is spread to individuals.

"This human female body is really"

Li Sanniang couldn't find a good word to say, it seemed that only swear words could express her inner thoughts.

"Fuck!"

Li Sanniang embraced Lu Zhu'er who was sleeping soundly beside her, thinking that if Lu Zhu'er wanted to get married in the future, she must be given contraception for a few years, and after all, she had to talk about childbirth after her body grew.

Even if she is really pregnant, it is best to take care of her by her side. Regular check-ups are necessary to nip the danger in the bud.

Thinking about these things in her mind, Li Sanniang finally fell into a deep sleep.

The next day, as soon as Li Sanniang got up, she felt the dryness in the air.

When I got out of the room, I felt even hotter.

Before going out, Mrs. Li handed over two oil-paper umbrellas. Li Sanniang looked at Mrs. Li again on this day, with a puzzled expression on her face.

"It's not for you to keep out the rain, but for you to shade from the sun."

Li Sanniang wanted to say that she was in the medical hall all day, but it was not very useful.

But after all, it was Mrs. Li's kindness, so Li Sanniang accepted it with a smile.

Arrived at the medical hall, and started a new day.

After seeing off the woman who came for a follow-up visit, Li Sanniang heard Qiuxiang call "next".

Within two breaths, a stranger who was an acquaintance sat in front of Li Sanniang.

Li Sanniang was stunned for a moment, but she still reached out to ask the girl in front of her for the number plate.

After receiving the number plate, Li Sanniang asked in accordance with the usual practice: "Where is the lady feeling unwell?"

Song Zhenzhu didn't expect that Li Sanniang would pretend not to know her, and even asked herself what was wrong, as if she really came to see a doctor.

That's right, the person sitting in front of Li Sanniang is the Song Jia Song who fell in love with Xu Jingzhen but was unilaterally rejected by Xu Jingzhen, then recklessly approached Li Sanniang who attended Qian Xiaolang's birthday banquet, and was repulsed by Li Sanniang. Pearl Song's little lady is also.

The girl behind Song Zhenzhu looked at this scene, she was too frightened to speak at all, she just bowed her head and stood motionless behind Song Zhenzhu.

The girl had already persuaded Song Zhenzhu when she was in the Song family, "My lady, the place where Dr. Li consults is the medical hall.

In the medical hall, most of the sick patients go to see a doctor, not to mention the high status of a lady, what if there is a collision when going there?
Besides, the lady herself has no illness, and she went to the medical hall only to see Dr. Li.

But others don't know, if someone sees the girl going to the medical hall by herself, how will outsiders arrange it?
It's time for the lady to discuss marriage, so it's better not to go, so as not to cause trouble. "

But Song Zhenzhu, who was pampered since she was a child, would not listen to a girl's advice, not only did she not listen, she even warned the girl: "You are my girl, and your contract of prostitution is in my hands.

Didn't the nanny say that you are old enough to marry you off?
If you don't listen to me, go to Aniang or the old lady to complain, I will not allow you to marry, and let you stay in the mansion and miss Huaxin. "

So, how dare the girl say anything more?
Therefore, Li Sanniang also saw Song Zhenzhu who was as arrogant as a big rooster.

"I haven't been able to eat or sleep well in the past few days, and I still feel a little stuffy in my chest. Please ask Dr. Li to take a look."

Saying so, Song Zhenzhu raised her arm and put her wrist on the pulse pillow, and looked at Li Sanniang leisurely, like a cat that had stolen a fish.

Li Sanniang actually didn't dislike such a noble girl, but she was just a young girl who fell in love.

She pursed her lips and pressed down the corners of her mouth that wanted to laugh out loud. Li Sanniang just nodded, tapped the pulse with three fingers, and started to take the pulse seriously.

After the pulse diagnosis, Li Sanniang followed the procedure and asked carefully about diet, sleep, menstruation and menstruation.

Song Zhenzhu was not shy or impatient. She had been seen by the doctor invited by Song's mother at home earlier, and knew that it was necessary for the doctor to make a diagnosis in order to judge the disease.

Of course, all the interrogation and pulse diagnosis were done, and Li Sanniang naturally asked about the palpation.

When Song Zhenzhu heard that she wanted to palpate her, she was worried. She knew she was not sick, but she just wanted to find an excuse to meet Li Sanniang.

But when Song Zhenzhu saw Li Sanniang's half-smiling, provocative look in her eyes, she was provoked and responded to Li Sanniang's palpation.

After Song Zhenzhu entered the inner room and lay down, Li Sanniang asked: "Miss Song, I'm going to take off my clothes and palpate."

Song Zhenzhu seemed to be awake, why is that so?

Song Zhenzhu looked like "falling into your trick", and when she didn't know whether to refuse, Li Sanniang said considerately: "If the lady is unwell, the palpation can be avoided."

What Li Sanniang said made Song Zhenzhu let go of her entanglement, and only said: "Since I have already laid down, then Dr. Li should see a doctor."

Li Sanniang took advantage of the opportunity to open the perspective eye, but when the plug-in was opened, Li Sanniang did not expect that she would actually encounter a rare uterine deformity.

Li Sanniang looked at the bicornuate uterus shaped like goat horns, and confirmed twice that it was indeed a bicornuate uterus.

Song Zhenzhu was still a little surprised, this belly is so beautiful, why did Li Sanniang look at it for so long, just about to ask, Li Sanniang helped her pull off her shirt.

After several people sat down face to face again, Li Sanniang thought for a while, but did not write a prescription, nor did she directly tell Song Zhenzhu that she had a bicornuate uterus.

"Ms. Song, you came here today, you must have something to say to me.

Look, how is it like this?
Today I have about an hour to spare for lunch, how about I invite Mrs. Song to have a table at a famous restaurant on this street? "

"Who said I came to find you?
I'm not feeling well, so I came to see a doctor!

Tell me, what's wrong with my illness? "

Li Sanniang seemed to be looking at the unreasonable child, she just smiled and nodded, and said directly: "Then please trouble Mrs. Song to go to the restaurant and ask for a private room to wait for me.

I should be able to go out in half an hour. "

Song Zhenzhu didn't know if she really wanted to say something to Li Sanniang, or because of Li Sanniang's arrogance, although Li Sanniang said it to her with a smile, it was in a posture that could not be refuted.

In short, Song Zhenzhu complied, left the medical hall with the girl, went to the restaurant and ordered a private room, sat down and waited.

Thank you book friend 20170130204522837, for the 11 monthly tickets that have been cast recently, thank you very much!

Baozi who voted monthly, I will slowly make up for it!

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Uterine malformation, also known as uterine dysplasia, is a congenital disorder and the most common type of reproductive organ malformation.

Some patients with uterine malformation may not have any subjective symptoms, menstruation, sexual life, pregnancy, childbirth, etc. have no abnormal performance, so that they will not be discovered for life, or they will be discovered occasionally during physical examination.

According to a study of 3000 uterine malformations, the incidence rate of uterine malformations in women of childbearing age is about 4.3%, and the incidence rate in women with recurrent miscarriage is 6%~38%, which is significantly higher than that of the general population.

据统计不同类型子宫发育异常早产发生率分别为：单角子宫43.3%、双子宫24.4%、双角子宫25%、纵隔子宫10%、鞍状子宫5.1%。

During embryonic development, most of the tails of the paramesonephric ducts on both sides have merged, and the septum at the end has been absorbed, so a cervix and a vagina are formed, but the part corresponding to the fundus of the uterus is incomplete, resulting in protruding horns on both sides of the uterus , called a bicornuate uterus.

Patients with bicornuate uterus often experience excessive menstrual flow and prolonged menstrual periods. Miscarriage, premature delivery or abnormal fetal position may occur after pregnancy.
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The above is from the internet

I will post the pictures in this chapter in the book circle.