The great hero of the Silk Road, starting from a farm farmer

Chapter 234 Midwife License!
"Your Excellency, Yao Po and Wen Po are all female prostitutes. The techniques they can teach are all for curing women's diseases. Those who can learn them are also prostitutes! Even if they are recruited into the school, there will be no students to teach them!" Zhang Peihong Seeing Song Yingkui's face turned pale, he couldn't help but murmur.What we are telling is the truth, why don’t we let others speak?

After listening to Zhang Peihong's explanation, Song Yingkui realized that starting a gynecology department was indeed incompatible with the current system, from students to teachers.

However, in Song Yingkui's view, if the current College of Agricultural Sciences vigorously develops medical science, only gynecology and pediatrics can make major breakthroughs based on traditional medical conditions.

As for internal medicine, surgery and pharmacy, there is not much room for breakthroughs in a short period of time, especially internal medicine.

There is an urgent practical need for technological advancement in gynecology, especially obstetrics. Judging from the list registered by the Penal Department, many women and children die every year in Yungu due to childbirth.Song Yingkui heard of several cases in which both mother and child died during childbirth among relatives.

Even in later generations, production is a very risky thing, let alone this era.However, there is still room to reduce the probability of childbirth accidents, relying on current medical technology.

Summarize the existing delivery techniques and sort out a set of standardized delivery procedures; improve the sanitary conditions of the birthplace and prevent bacterial infections in a targeted manner; popularize corresponding pregnancy and nursing knowledge among pregnant women and their families, and pay attention to nutrition during pregnancy and childbirth. In addition, these can reduce production risks and improve the survival rate of infants and young children.

According to Song Yingkui's estimate, as long as we pay attention to these things, we can at least reduce the number of difficult childbirths and premature deaths by more than half.Therefore, no matter how difficult the field of obstetrics and gynecology is, we must find ways to establish and popularize it.

"Mr. Zhang, although it is difficult to open the obstetrics and gynecology department, we must overcome the difficulties and find a way to get it started. This matter is too important to us in Yungu.

According to the records registered by the Department of Punishment, about [-]% of women who give birth every year have accidents, and about [-]% die of both mother and child.Based on this figure, the number of people lost every year is very large, and it is greater than the damage caused by ordinary wars.Reduce childbirth accidents?The only way to rely on is to rely on medical skills.

Well, the Agricultural Medical School will host an independent school called Yungu Maternal and Child Health School.Recruit reputable medicine ladies and wen ladies from among the people to teach in the school. We should also recruit doctors who have expertise in the diseases of women and children.In addition to full-time teachers in maternal and child health schools, all doctors who teach in agricultural medical schools must teach in maternal and child health schools to help teachers and students of women and children improve their medical skills.

Every month, doctors teaching at the Agricultural Medical School and the Maternity and Infant School should jointly compile a medical exchange journal to discuss medical science and medical skills, with special emphasis on fertility and nutrition.I will take time to study and review.

Students in maternal and child health schools are recruited through special recruitment. In addition to female students, a certain number of male students should also be recruited.In order to ensure that maternal and child health hospitals have sufficient students, Taoyang and Yungu will each open a girls' primary school to provide elementary school education for girls in the territory.

To carry out medical education, we must integrate treatment with treatment, and we must not work behind closed doors.The Agricultural Medical School and the Maternity and Infant School each open a hospital to treat patients in Taoyang City. Teachers from the two schools need to sit in the hospital, so that they can continuously improve their medical skills through teaching and learning! "After Zhang Peihong's reminder, Song Yingkui deeply felt the need to pay attention to the medical and health industry. He may not have the ability to make breakthroughs in large aspects, but he always has the ability to organize and standardize the existing means, right? Make good use of the existing means, Combined with the health and disease prevention knowledge you know, you can play a certain role no matter what.

The incidence rate of dystocia accidents in this era is really too high, and almost every family will encounter such accidents.Song Yingkui believes that there are two effective ways to reduce the frequency of dystocia accidents.

The first is to appropriately increase the time for women to give birth for the first time. Currently, many girls aged 16 or [-] are already married and pregnant. This is too early. No matter what, they have to wait until they are around [-] before getting married.

The second is to establish a systematic maternity security system, which is not just as simple as building a maternal and child health school and opening a maternal and child health hospital.Maternal and child health care systems and systems must be quickly spread to towns and villages, so that the living conditions of the people under the rule can be improved in a short period of time, the fertility rate can be increased, and the population can be enriched.

"Uncle, the administrative department should start as soon as possible to register and count all folk medicine ladies and wen women, and set up special yamen to standardize management and training for them. In particular, the standardized management and training of wen women must be based on Expand and advance as quickly as possible.

First of all, it is necessary to organize experienced doctors from the Wenmao College of Agricultural Sciences in the country to formulate a general operating standard for midwifery and induction of labor.Then organize all the stable mothers to study and train. Only those who have mastered the general version of the operating instructions for midwifery and induction of labor can engage in midwifery work.

It is necessary to carry out license management for stable mothers. Only those who have delivered more than ten safe births can be issued a license.Any nun who cannot meet this condition is not allowed to independently engage in midwifery and induction of labor. Those who work as a nun without a license will be severely punished.

Those who are new to the job or those who have not obtained a license need to study at a maternal and child health school, or become a teacher of a licensed nurse. They must study for two years, participate in more than [-] deliveries, and be proficient in general delivery regulations. Issue license.By the way, the official name of the profession of Wenpo will be changed to midwife in the future. No one is allowed to discriminate against or exclude this profession.

All licensed midwives will be rated by the Administration Department based on the safety rate of mothers and babies they deliver. Currently, they are divided into four levels.The city lord of the highest level of midwives will issue a midwifery subsidy of six silver dollars every year. If the disciples they guide obtain a midwife license, each apprentice will receive a discipleship award of four silver dollars.For level four midwives, the subsidy is 20 silver dollars.

In order to encourage the medical industry, all medical income is tax-free in Yungu, and all medicinal materials are also tax-free and cannot be taxed! "

After explaining the establishment of a maternal and child health school to Zhang Peihong, Song Yingkui quickly found his second uncle and arranged for him to complete the work of improving the medical care system.The progress of running schools alone is too slow. All potential forces must be mobilized to build Yungu's maternal and child health care system in the shortest possible time.

There are only about 20 people in Yungu, and more than a thousand women die every year due to dystocia. Counting the children who died in infancy, the number of deaths is thousands, which is really unacceptable.Now that we are aware of the seriousness of the problem, we should cut the mess as soon as possible.Some things can be taken slowly, but some things cannot be delayed!
(End of this chapter)