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

Thanks to every reader who has accompanied me from the beginning to the present, thank you for your reading, comments, suggestions, votes and rewards!

Sincere thanks!
Here I would like to give special thanks to the 113 readers (96 from the starting point, 12 from QQ reading, and 5 from Xiaoxiang Academy) who became my fans because of this book, thank you!
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Polyhydramnios (polyhydramnios) and prolapsed umbilical cord

When Li Sanniang saw Shen Lizhu again, she was sent by Shen's mother to ask for an outpatient consultation at the medical hall.

Shen Lizhu looked very haggard, but after a few days, Li Sanniang saw that Shen Lizhu lost a lot of weight compared to the last time.

Facing Li Sanniang's shocked eyes, Nanny Yao lowered her head and said distressedly: "Ever since my wife reconciled with Gong Saburo and got the reconciliation book, she has difficulty swallowing food. She eats less, but it's not that she has lost weight."

"Mommy!"

Shen Lizhu stopped Nanny Yao's words, raised her head and said to Li Sanniang with a smile, "Please trouble Dr. Li, I have a loss of appetite and I don't feel well, so I invited Dr. Li here."

Seeing Shen Lizhu's forced smile, Li Sanniang sighed and sat down.

"Ms. Shen stretched out her hand, I'll check the pulse."

"The lady is sad, over-thinking, and eating less food, it's not because of Qi deficiency and blood loss."

Li Sanniang clicked on the written prescription, "This prescription is just to help the lady eat and sleep, the lady should know that this heart disease needs heart medicine.

Since the lady has chosen to reconcile, she should take good care of herself and not let her body and bones suffer such torture.

The spring is just right, why don't you go out for a walk?
I heard that several farms on the outskirts of the city are open to entertain guests, and many fruit trees are in bloom, so my wife can go and have a look. "

"Thank you, Dr. Li, I understand, please trouble you."

Li Sanniang and Qiuxiang followed Qiuxiang to the main hall at last, and saw Mother Shen who was looking at Li Sanniang with concern.

Li Sanniang talked with Shen's mother carefully, "At the moment, this medicine soup is not very important, as long as Shen's lady wants to get rid of it, this disease will be cured without medicine."

After receiving the consultation gold purse, Li Sanniang and Qiuxiang were sent back to the medical hall by the Shen family's carriage.

Just got off the Shen family's carriage, Li Sanniang was holding the hand by the woman who had been waiting at the side before Li Sanniang went to the medical hall to report the bill to Nan Xing with the medical box on her back.

"Doctor Li, I am Mrs. Yu next to the eldest wife of the Gao family. My wife has unbearable abdominal pain. Please ask Dr. Li to come home with me."

Li Sanniang thought for a while before realizing that this old lady Yu is the old lady next to Gao Yahui's sister-in-law.

Li Sanniang knew that the matter was urgent, because counting the days, Mrs. Gao would be about nine months old, and she would give birth at any time. The woman also said that the abdominal pain was unbearable, so it is likely that she will give birth today.

Li Sanniang only said a word to Nan Xing who was at the door, and then she and Qiuxiang followed Mrs. Yu into the carriage.

"Hurry up a little bit, I'm in good health, I'm not afraid of bumps, Mrs. Gao is important."

Mrs. Yu was very pleased with Li Sanniang's thoughtfulness, and after talking to the driver, she thanked Li Sanniang: "I'm tired of Dr. Li, it's my wife who is in a very critical situation right now."

Li Sanniang nodded, expressing her understanding.

Thanks to Li Sanniang's strong body and Qiuxiang's martial arts skills, the carriage drove so fast that it arrived at Gao's house in two quarters of an hour.

After getting out of the carriage, Yu Pozi was bumped by the carriage and became a bit top-heavy. Li Sanniang and Qiuxiang were both fine and stable.

After quickly following another woman into the inner courtyard, he saw Gao Dalang and Gao Yahui in the courtyard.

Seeing the two salute, Li Sanniang hurriedly saluted and said: "The situation is urgent at this time, so let's put aside the etiquette first.

How is the situation? "

"Doctor Li, when my wife got up this morning, she said that she felt her stomach was slumping, but she said that it was about to give birth, and it was normal for her stomach to be like this, so she didn't take it seriously.

But when we were having lunch, she didn't know why, and suddenly called out and asked her, she only said that her stomach hurt badly.

We just thought we were about to give birth, so we called the steady woman who had been prepared earlier. The woman said that there was something wrong with the lady's stomach, and we were scared.

So I called someone to find Dr. Li, you, Dr. Li, you must save my wife. "

"Doctor Li, you must save sister-in-law, you must save her!"

Facing the words of Gao Dalang and Gao Yahui, Li Sanniang didn't respond, just nodded, and then walked directly into the inner room.

On the bed in the inner room, Mrs. Gao was leaning on the brocade quilt with sweat all over her head, her bent legs seemed to want to put down weakly.

Li Sanniang saw a woman wearing a headscarf standing beside her, and asked, "What's the matter?"

Seeing that it was a girl, Wen Po said anxiously, "Didn't you tell me to call a doctor? It's useless to call Wen Po!"

"I'm a doctor. I'm a member of the Medical Alliance. I'm Li Mingfang who sits in the Third Medical Hall of Yongpingfang!"

During the time when Wen Po was stunned, Li Sanniang hurried forward to check on Mrs. Gao's situation.

Sister-in-law Gao was awake, but her stomach pain was unbearable and she lost her strength.

"Doctor Li, you're here, I'm in so much pain, so much pain, my stomach hurts so badly."

"Don't be afraid, let me see how it goes?"

Li Sanniang directly opened Mrs. Gao's clothes, and when she looked at her belly, she knew why Mrs. Wen said something was wrong.

This belly is surprisingly big. Li Sanniang clearly remembered that when Mrs. Gao checked her pulse in the first trimester, she was definitely not twins.

Li Sanniang hurriedly cleaned her hands, went forward to palpate, and took the opportunity to open the perspective eye.

The situation is very bad, it’s because of polyhydramnios, and it’s time to give birth again, the uterus can’t take it anymore, if the baby is delivered by an ordinary woman, it’s likely to suffocate to death, or give birth If you don't come down, maybe Mrs. Gao will have to follow her.

But even if Li Sanniang came, she might not be able to deliver the baby smoothly.

Because from the perspective of the eyes, the situation is very dangerous!

Mrs. Gao also has polyhydramnios. If the fetal membranes rupture during childbirth, the amniotic fluid will flow out too quickly due to the high pressure in the uterine cavity, and the umbilical cord may be washed out by the amniotic fluid, resulting in umbilical cord prolapse.

When the umbilical cord prolapses, the umbilical cord is compressed between the fetal presentation and the pelvis, causing acute fetal hypoxia, fetal heart rate changes, or even disappearing completely.

If the umbilical cord blood circulation is blocked for more than 7 minutes, it can lead to fetal death. (The above three sentences are from Baidu Encyclopedia)
Li Sanniang first pressed the acupoints to relieve the pain of Mrs. Gao, so that she could save her strength to wait for the delivery before the cervix was fully dilated.

"But the pain is less?"

Seeing Mrs. Gao's expression softened, Li Sanniang told Mrs. Gao that the woman who had been standing aside had given Mrs. Gao some salt and sugar water, and then hurried out of the inner room to find Gao Dalang and Gao Yahui who had been anxiously waiting outside.

"Please also ask Mr. Gao Dalang to discuss with me alone."

Gao Dalang's heart skipped a beat, but he still asked Gao Yahui to wait outside, and he took Li Sanniang to the side hall ahead.

Li Sanniang didn't drag her feet, and directly explained Mrs. Gao's situation concisely and clearly: "This child is not easy to give birth to, and it is very likely that the child will die during the delivery process.

By the time."

"Save Rongniang! Protect her!"

Gao Dalang interrupted Li Sanniang categorically, and said to Li Sanniang like this.

This article breaks through 100 million words~
I started writing this book in July 2022, and now I have written it for 7 days, with a word count of just over 272 million.

Over the past nine months, the number of collections has finally passed 9.

For me, this data is really grateful to every reader.

I would like to thank every reader for reading, every comment and suggestion written by everyone, every recommendation ticket and monthly ticket cast, and every reward, I am very grateful.

Here I would like to thank the 113 readers (96 from the starting point, 12 from Hongxiu, and 5 from Hongxiu Academy) who have become my fans because of this book, thank you!

I know that my writing is not so good, and there is a lot of room for improvement.

I will accumulate experience and meet you again in the next book~
The support of Baozi is the motivation for me to persevere, and I sincerely thank you all!
I will continue to work hard~
I wish you all a wonderful tomorrow~