Dystocia? Chen Jingke also felt a shadow in his heart.
In a previous life, scientists spent four years observing more than 6,000 primiparous pregnant women and found that the rate of spontaneous labor dystocia was nearly 15%.
It's just that human medicine has developed, and various targeted drugs can be used to reduce the dystocia rate to about 6%.
If it is really impossible to give birth naturally, just have a caesarean section. Under normal circumstances, the number of deaths due to childbirth is infinitely close to zero.
But you have to remember that this is in the 21st century, and the average age of marriage and childbirth is over 20 years old.
In ancient times, early marriage and early childbirth meant that the age of first childbirth was generally around 14 to 15 years old, and the probability of dystocia increased dramatically. Because of the low level of medical care, dystocia almost meant death.
That’s why there’s a saying that giving birth to a child is going through the gates of hell. In ancient times, it was really going through the gates of hell.
The situation of the second pregnancy will be much better. With the experience of the first time and the older the mother is, the probability of dystocia will be reduced several times and dozens of times.
This is also one of the reasons why widows who have given birth to children are easier to marry. Many people specialize in marrying such women, and sometimes even the palace will have several such women.
It was not until the Song Dynasty that etiquette became strict, and widows remarrying became despised. But even so, it could not prevent this kind of thing from happening.
In the haze of difficult childbirth, everyone knows exactly what is the right thing to do.
There are many types of dystocia, but I don’t know which type the mother is in. But it’s useless to think too much, so let’s go and have a look first.
So he ran to the locker room next door, put on his white coat and mask.
Without meltblown cloth, this mask can prevent saliva and other things. It can only be said to be better than nothing.
After entering the ward, he could barely hear the faint moans of the pregnant woman. His heart sank even more, as the mother's loss of strength was almost a death sentence.
There were four or five people inside. In addition to Sun Simiao, there were two Wen Po next door, and two Kun Dao as assistants.
At this time, two stable women were carefully rubbing the pregnant woman's belly. When she saw this, she knew without asking that the fetal position was not correct.
If the baby is enlarged, the pelvic bone of the pregnant woman is small, or the mother is detached, it is still possible to save the baby. An improper fetal position can no longer be said to be a narrow escape, but a tenth chance of death.
He took a look at the pregnant woman. She was very young and could even be said to be young, only thirteen or fourteen years old at most. This made him feel even more confused and he had no desire to speak.
There was no B-ultrasound, so the two midwives relied on their experience to help her correct the fetal position. They were exhausted and sweating profusely, but they did not dare to relax at all.
Sun Simiao also observed the condition of the pregnant woman attentively. It could be seen from the deep frown that the situation was very critical.
The atmosphere in the room was very depressing, and every second was torture. It seemed like a long time had passed since Chen Jingke came in.
Seeing that the mother's voice was getting weaker and weaker, he couldn't help but said: "Give her some ginseng soup and feed it to her."
A Kun Dao replied: "I've fed her twice already. I'm afraid the mother won't be able to bear it if I feed her again."
Chen Jingke felt suffocated, and the situation became even more troublesome.
Even if the fetal position is corrected now, I am afraid that the mother will not have the strength to give birth. Is it possible for a young girl to wither like this?
No, there is another way.
He took a deep breath and said to Sun Simiao: "Master, this is not the way to go."
Sun Simiao didn't even look back and said, "Is there anything you can do?"
Chen Jingke struggled to spit out three words: "Caesarean section."
Sun Simiao paused for a moment, then turned around and said, "This is just a theory. It has never been used once."
Chen Jingke said: "There has to be a first time. Besides, it's not like we don't have any experience, right?"
Sun Simiao stopped talking and was struggling in his heart.
He does have some experience in autopsy, and he has already mentioned before that he has to acquire several fake identities and come into contact with the corpses openly.
Li Shimin heard that it was for the study of medical skills, so he asked Chang'an and Wannian counties to approve it without saying a word.
He usually conducts experiments with small animals, and performs autopsies when there is a murder case. He has indeed accumulated a certain amount of experience.
But theory is theory and practice is practice, and the difference is still very big.
In the past, he had only used knives and axes to perform amputations on living people. He had never done such a serious operation before, so he would inevitably hesitate.
However, Chen Jingke's next words made him determined: "There is still a chance of survival for her if she undergoes surgery. Without surgery, she will definitely die."
"And whether this operation is successful or not, we can accumulate valuable experience and lay the foundation for the next success."
"One day we will be able to master mature caesarean section technology and save countless lives."
Sun Simiao's eyes gradually became firm and he said: "Okay, let's have a caesarean section. I'm going to prepare for the operation. You go to the family to discuss the matter and try to get their consent."
"Okay." After Chen Jingke said that, he turned around and walked out of the ward. He did not feel relaxed, but the pressure in his heart was even greater.
They can just ignore everything. If the fetus is not in the right position and the baby can't be saved, the family can't say anything.
A failed caesarean section would bring infamy to Sun Simiao and affect his reputation.
But their respect for life and their devotion to medical skills prompted them to take this path.
Previous lives have proven that this path is correct. If you don't dare to do it even though you know it is correct, then you might as well find a urine jar and drown yourself.
Then Sun Simiao told Wen Po to let them rest and leave the rest to him. When the two Wen Pos heard this, they felt as if they had been cramped and immediately collapsed on the ground.
Sun Simiao then said to the mother: "Madam, I am Sun Simiao. Now there is a way to save you, but the process will be a little painful. Are you willing to give it a try?"
A glimmer of hope appeared in the fearful eyes of the pregnant woman, and a force came out of nowhere, and she said in a hoarse voice: "I am willing, I beg you to save me."
Sun Simiao said: "Okay, you take a rest first to recuperate, and I will save you right away."
After comforting the mother, he said to the two Kundao: "Push her to the operating room and prepare for the operation."
The two Kun Dao were shocked and said: "Master, this is too dangerous and cannot be done."
Previously, Chen Jingke recruited a dozen male and female Taoist priests who were interested in medical skills and had a certain foundation to serve as Sun Simiao's research assistants and apprentices.
The quotas for those few jobs are hung on them.
So they also knew about surgery. How could they not be afraid when they heard that surgery was going to be performed on a living person?
Sun Simiao said in a deep voice: "Stop talking, I have made up my mind. As a doctor, I cannot watch the patient die in front of my eyes, so I call everyone over and prepare for the operation."
The two Kun Dao didn't dare to stop him anymore and made preparations worriedly.
Chen Jingke first went to the study room, took out a box from the cabinet, and opened it to find contracts, information letters, operation consent forms, etc.
He had prepared these before, but he didn't expect to use them so soon.
－－－－－－Digression－－－－－
I had massage and acupuncture again today and my condition is much better.
I have to go to the hospital these days, and my time for coding is squeezed. I try to code as much as possible depending on the situation.
I'm not sure how much I can write, but I will ensure at least two updates of 4k.
If the recovery is good, I will continue with 6k. I will also find time to make up for the two chapters yesterday.
