Nineteenth Century Medical Guide

Chapter 374 370. Louise

[Sometimes this happens when you work late, sorry for that]

In the end, Samuel made a choice under heavy pressure, but it was Kavi who did it for him.

In that case, ordinary people really can't think well because there are too many things to think about. What gender does the princess prefer? Can she trust the prince? Will she be condemned if she chooses the wrong one? My job is nothing, I’m retired anyway, but I still have a part-time professorship in the university, just in case

Samuel was not an ordinary person, so he had to think further, how to defend himself after the incident, where to go to live in seclusion, when to go, how to go, whether to take the old woman with him, and what to do with the child.

He had thought of everything except the gender.

The princess asked a question in the last 12 seconds of 01:10, but Samuel didn't respond at all at 12:02. At this time, the scene was already in chaos. The less than 10 people in the living room were actually divided into three factions: those who tried to protect the fetus, those who did not protect the baby, and those who were casual, and they were quarreling non-stop.

After 5 seconds, Kawei couldn't wait any longer.

"You didn't touch that little thing, did you?" Kawei continued without waiting for Samuel to reply, "If you had really touched it, you would have said it was a boy."

"what?"

Samuel might be old, but before he could think about it, Kawei announced the result for him: "Doctor Samuel said it's a girl!!!"

Samuel:? ? ?

Alex adjusted her posture slightly, holding the armrests of the sofa tightly with both hands. She looked determined, but the servants and Kavi on both sides could see her trembling. This was a fierce battle between reason and fear. Only the gender of the child gave Alex the courage to stand on the side of reason:

"Come on, Dr. Carvey, I hope you are a gentleman with a sense of time."

"1, 2, 3!!!"

The operation officially began. Although the previously set time was 5 minutes, Kawei still hoped to end the battle within 3 minutes. The child was stuck in the cervix for too long.

He found the right position, lifted a small piece of skin with the kitchen's meat tongs, and quickly made a small slit with the chicken scissors. Then, regardless of the blood oozing from the surface of the incision, use scissors to close and penetrate both sides of the incision, and continue to expand to separate the subcutaneous tissue.

Kawi asked the servant to let go of his hand, drank half a bottle of yam tincture for her, bit the cloth strip, then took out a clean handkerchief from the plate and gently covered her face.

The pain flooded into Alex's brain like a tide. Perhaps it was still bearable at first, and she only needed to bite the cloth until it made a squeaking sound. But what follows is a completely different experience, not a cold and sharp instrument, but a more violent tearing.

Kitchen utensils are not as sharp as surgical instruments. Instead of cutting the flesh with a dull knife, it is better to open the incision manually like a normal cesarean section.

None of the servants dared to touch the princess's belly. They all stood still, and some even took half a step back consciously. Melanie had already turned her head away, covering her ears and not daring to look. Samuel needs to stay behind and watch the baby at the cervix at all times.

"Like me, clasp the incision with your fingers and pull it to both sides!"

"Oh, thank God!" Frederick said with a smile, "You can give up, Alex, it's a girl."

"No, brother, I gave birth to two boys in succession, and I want a girl today!" Alex quietly lay back on the coffee table, "Don't persuade me, I have already decided!"

"Ok."

Asi looked around and was about to step forward to help, but was stopped by Frederick: "I'll do it! What should I do???"

"Who can help?" Kawei dropped the scissors and inserted his fingers into the incision that only accommodated two or three fingers. "Anyone can help, hurry!"

"Are you kidding me?"

"."

"Pull!" Kawei said, "Wait until I count to 3, and let's push harder together!"

"pull?"

"Don't worry, Your Majesty Princess, this is the least of your worries right now."

"I believe you will keep your promise." The princess nodded, looked to both sides, and closed her eyes: "Also, don't let people hold me down, I can bear it!"

Then incise the epidermis, expand it laterally to about 15cm, continue to incise the fat layer about three or four finger widths downward, and continue to incise the fascia downward.

Alex wanted to cooperate with Kavi and try to speed up the operation time, but her muscles did not obey her orders.

She tried to open her eyes to see if Kavi was still around and how the operation was going. But the eyelids were as airtight as locked doors and windows, unable to be opened no matter what. The surrounding muscles were constantly squeezing her eyes, as if they were forced to embed themselves deeply into her cheeks.

Looking at the whole body, it seems that only the throat that keeps screaming can still be used. Very loud, completely explaining what "harsh" is.

It hurts, it hurts so much!

There seemed to be a bright light before her eyes, not the oil lamp hanging on the roof, but something more distant. The screams that were piercing just now suddenly became less loud, as if someone was telling a story in her ears.

She began to be grateful for the handkerchief covering her face. It contained the scent of vegetable oil and helped cover up many sounds. She also had to thank the towel in her mouth for letting her taste the water. It was a light sweetness, mixed with the smell of sour jam, the kind of condiment used to dip trout, probably because the maid's hands were not washed well.

"Ah! Not good!"

"Princess Alex fainted!!!"

The maid exclaimed, and Melanie and Frederick beside her screamed in fright. Only Kawei, after feeling his pulse with his hand, immediately took control of the situation: "What's the rush? Even if the princess is really dying, we have to get the child out as soon as possible!"

From the time Samuel was doing the endoversion, he had been rehearsing the procedure in his head.

Differences in surgical instruments and lack of assistants force operations to become bolder. He used all his experience in so many cesarean sections after rebirth on Alex's belly, and made further innovations to increase the speed.

Originally, the abdominal insertion process required layer-by-layer incision and separation to enlarge the incision. In order to save time, Kawei decided to solve it all at once.

He simply measured the torn incision, then picked up the scissors placed aside and exposed the rectus abdominis muscle downwards. After using scissors to make a small incision on the rectus abdominis, he lifted up the peritoneum and continued to cut downward: "Your Majesty, come again!"

"Coming again???"

There is no brother who does not feel sorry for his sister, not to mention that they have lived together since childhood. Their financial poverty makes their relationship closer than that of ordinary nobles.

"There's no time, hurry up! Otherwise it will only hurt more when she wakes up!"

Seeing Alex fainting from the pain, Frederick gritted his teeth and could only do as he was told. It's still the same three numbers. When the count reaches 3, the two of them work together to tear the muscles apart to the length of the skin incision like a tug of war. However, at this time, what Kawei was most worried about happened. Following several maids, Samuel also shouted: "No! The umbilical cord is out!"

"Prolapse?"

Kawei didn't have time to check it in person, so he called a servant and put a sofa cushion under Alex's butt, forming a head-down butt-high position. Then asked Samuel to push the fetal foot back a little with his hands to leave some space for the umbilical cord: "Feel the umbilical cord. How is the blood flow pulsating inside?"

"." Samuel simply calculated, "There are more than 100, it should be okay!"

Kavi breathed a sigh of relief: "You must maintain your posture and hold on. When we separate the muscles later, we must not press on the umbilical cord."

"I know."

Perhaps because of the adjustment in posture just now, more blood rushed into the brain, and Alex heard Kavi's voice. But in just a moment, the hearing that stimulates the brain is quickly replaced by touch. All she could feel was the friction at the cut on her finger.

The pain forced Alex's body to tremble again, and her screams were much weaker than before, sounding even more miserable. She even thought that she was going to die, or that there was something wrong with her hearing, because now she only felt the tension in her throat and could not hear any sound at all.

"1, 2, 3!!!"

The muscles and peritoneum were bluntly separated, coincidentally avoiding the blood vessels, and there was not much bleeding. Kavi picked up the scissors again and separated the membrane in the lower segment of the uterus.

He had to marvel at the perfection of this body. From the skin, muscles, peritoneum to the uterus, the entire body was very well maintained. There are no adhesions in the belly, the layers are very clean, and there is no eclampsia that may occur during pregnancy. The fetal head is not big to the touch, so delivery should not be too difficult.

Just as Kawei had judged, after incising the uterus, the fetus's head was exposed immediately. Samuel helped retract the fetal feet at the cervix and squeezed twice to complete the delivery.

"It's indeed a girl!"

Samuel acted as a neonatologist again, holding the child upside down with both hands, and kept patting the soles of his feet: "Blanket, get the blanket quickly!"

After everyone wrapped the child in a blanket, a loud cry echoed in front of the hanging portraits, witnessing the birth of new life.

Kawei couldn't leave the coffee table, so he could only ask some questions about the fetus while doing the uterine evacuation:

"Is the child's mouth clean?"

"It's pretty clean." Samuel wiped the child's body dry with a blanket, then leaned against his chest to listen to the heart rate. "The heart rate is over 120, which is good."

"Okay, being able to cry means there's nothing wrong with breathing."

"What a healthy child." Samuel's worried heart finally relaxed and he complained to her in a low voice with a smile, "You came at the wrong time. You have caused us so much trouble."

The battle for him was over, but the battle for Kavi had just begun.

Alex fainted again just now and did not respond to Qing Gong. Kawei brought his attention back to her. After checking her vital signs, he began to carefully remove the placenta: "Mr. As, has the carriage you sent to the hospital come back?"

"Not yet." Asi ran to the window, shook his head and said, "How about waiting a little longer?"

"Wait another ten minutes. If it doesn't come, I'll have to suture it first." Kawei slowly peeled off the placenta with his fingers, "Where's the water?"

"Do we really need to use clean water?" Melanie looked up at the carefully arranged oil paintings and couldn't bear it. "Although it's not as grand as the main hall, there are still a lot of paintings hanging there. Pour a basin of clean water and add more It’s hard to get out of the rain outside.”

Without oxytocin in hand, Kawei didn't dare to neglect, and he didn't have that much time to struggle with her. He threw the stripped placenta on the plate, took the maid's hand and poured the water down.

The flowing water mixed with placenta fragments and blood instantly filled Alex's uterus, overflowed her belly, sprinkled all over the coffee table, and then dripped down the corners to the ground.

Melanie quickly took a few steps back and waited until it was safe before looking at Kawi in disbelief. She knew that this should be an essential part of the operation, but she was still very dissatisfied with Kawei's reckless behavior. But there was no time to argue with him now. Ending the operation as soon as possible and preserving the oil paintings in the room were the top priority.

"Where is Paul? Where is my dear butler?"

"We should be taking care of the guests in the main hall."

"Yes, yes, there are still guests." Melanie said, "Hurry up and let him know the news, and then ask him to call more people."

"understood."

"Why are you guys still watching? Wipe it quickly! Then go get the linen to cover the painting, hurry up!!!"

The servants were divided into two groups. One group took out various clean cloths that had been prepared and piled them around the coffee table, surrounding the water in the center. The other group went to the storage room and took out the white cloth used to cover the paintings, which was coated with a layer of beeswax, which at least could resist the moisture in the air.

Cleaning the uterus and abdominal cavity was not that easy. As the second and third basins fell one after another, the long and thin peach wood floor was completely soaked in water.

"Wipe it quickly, be careful, don't touch the oil painting!!!" Melanie no longer cared about the expensive leather shoes. She stood beside the servant and personally directed the rescue work, "No! You can't do this! Give me the painting Move away. Forget it, it’s too late, take off your clothes quickly! ”

Kawei peeled off the inner wall of the uterus and looked at the gradually smaller uterus, finally having a smile on his face.

Alex, who had been silent for a few minutes, woke up again after being stimulated by the cold water: ".Kavi, Dr. Kavi?"

"I'm here." Kawei looked up at the wall clock and reported the results of his work. "The operation started at 12:02, and the child was born at 05:12. It is now 10:. The child looks very healthy, and the uterus is contracting beautifully. ,The operation was successful, Your Majesty.”

"Really? Is it really over?"

Alex was in a daze. She fainted twice and couldn't tell whether it was a hallucination, a dream or reality. The few minutes that passed felt like a whole day passed. She once felt that she had endured too much suffering and that perhaps death would be her relief.

At this time, Melanie, who was trying to "rescue", walked quickly.

She seemed to have changed her face, removing all the anger and resentment from her face, with a smile on her lips: "Congratulations to Your Majesty the Princess, she is a girl, a very beautiful girl. All of this is true, Ka Dr. Wei’s surgery was so successful!”

"girl"

When she saw the child's cheek, the pain did not ease much, but all the patience was worth it: "Oh, dear Louise! You are my Louise!!"

(End of this chapter)