Chapter 365 Cesarean Section
Throughout history, childbirth has been a life-or-death ordeal for women.
Throughout the entire physiological process of childbirth, from conception to delivery and the postpartum period, not only in the Tang Dynasty but also in modern society, many people die during this time, and some even lose both their unborn child and their mother.
If Jiu Niang were in modern times, a cesarean section would naturally be the best option.
How could Jiu Niang possibly give birth to the child on her own?
At this moment, although Li Sanniang performed a cesarean section on Jiu Niang in a groundbreaking manner, she could neither guarantee that Jiu Niang's child would survive after birth, nor could she guarantee that the child would be born healthy.
After all, Jiu Niang's condition was really terrible.
There was no sterile operating room, no medicine, no suitable tools, nothing at all.
The reason Li San Niang wanted to perform a cesarean section on Jiu Niang was solely for the sake of the child that Jiu Niang was desperately trying to give birth to.
"Give this to Jiu Niang to suck on," Li San Niang said, taking out an old ginseng root from her medical kit, slicing it, and handing it to Qi Zhi Die.
"Lily of the Valley stays to help; everyone else, go out."
No one listened to Li San Niang's words. Qi Zhi Die was still holding the barely breathing Jiu Niang and sobbing, while Song Yu Lang stood motionless to the side.
"Alright, one by one, you can stay here if you want, just don't bother me!"
With Qiu Xiang's help, Li San Niang washed her hands and changed into a light green surgical gown. The round table in the room was cleared out, and the tea set and cups were piled up in a corner on the floor, covered with a cloth, on which were the tools that Li San Niang would need later.
Linglan carried a bowl of piping hot, steaming herbal medicine into the room. "Master! The medicine is ready."
Seeing this, Qiu Xiang pulled away Qi Zhidie, who was still lying in front of Jiu Niang's bed, with one hand, half-embracing Jiu Niang's upper body, and said to Ling Lan, who was still holding the medicine, "Give it to me."
Linglan was stunned for a moment, then quickly stepped forward and gave the medicine bowl to Qiuxiang. Qiuxiang used the strength of her shoulders to support Jiu Niang's body, and with a strong squeeze, Jiu Niang opened her mouth, and Qiuxiang directly poured all the medicine into her mouth.
"Expose your belly, I need a cesarean section to remove the baby."
Li San Niang used her X-ray vision to observe the child in Jiu Niang's belly. She couldn't wait any longer; if she waited any longer, the child would really suffocate!
Li San Niang didn't bother with laying out cloths and disinfecting; she directly took the scalpel and, based on what she observed with her X-ray vision and Jiu Niang's condition, chose to make a longitudinal incision.
Seeing Li San Niang holding the knife against Jiu Niang's belly, Song Yulang couldn't bear to watch any longer. He turned away, closed his eyes, and silently shed tears.
Qi Zhidie, who had just been pulled away by Qiu Xiang, now woke up. With tears in her eyes, she looked at the unconscious Jiu Niang lying on the bed, covered her mouth, and collapsed to the ground.
Li San Niang had no time to care about these two.
Linglan was also very scared, but thinking that she was going to be a female doctor in the future, she forced herself to open her eyes wide and see everything.
Qiu Xiang wasn't particularly afraid, after all, as an assassin in the Bad Guys, she had seen many things that were even bloodier than childbirth.
"Lily of the Valley, I'm going to cut open the uterus in a bit, and amniotic fluid will flow out. You need to quickly catch it with a cloth."
"The baby's been born. Could you help me cut the umbilical cord?"
Linglan nodded, realizing that Li Sanniang was speaking with her back to her and couldn't see her nod, so she quickly replied, "Yes, Master."
Li San Niang took the knife and first cut open the skin. There was only a little bit of yellow fat on Jiu Niang's stomach. Qiu Xiang did not let her down and helped Li San Niang wipe away the blood so that she could have a better view.
Below that is the fascia layer, where you can see the rectus abdominis muscle, and below that is the peritoneum.
Carefully cut open the peritoneum, and the uterus is exposed.
There were two more layers left. Li San Niang continued to cut through the serous membrane layer, and when the last layer of the uterus was cut open, the fetal head was exposed.
The cloudy amniotic fluid flowed out, “Lily of the Valley!”
Li San Niang's shouts woke up Ling Lan, who was startled. Ling Lan quickly grabbed layers of cloths to absorb the amniotic fluid that had flowed out, and a smell of blood mixed with a foul odor came towards her.
Linglan held her breath, enduring the smell, her hands moving non-stop. Jiu Niang's amniotic fluid was already limited, so five or six cloths were enough.
At this moment, Li San Niang reached out and carefully rotated the baby's head, saying, "Qiu Xiang, press down on it so the baby can come out."
Qiu Xiang obediently reached out and pressed on Jiu Niang's upper abdomen. Li San Niang used the pressure to take the child out of the incision.
"Hemostats!"
Qiu Xiang understood what Li San Niang meant and quickly handed it over. Ling Lan knew it was her turn, and following Li San Niang's instructions, the two of them cut the umbilical cord for the child together.
Li San Niang used the old local method to tie the baby's umbilical cord.
"Master, why isn't he crying?"
Looking at the wrinkled, closed-eyed infant covered in vernix caseosa, who resembled a little old man, Linglan asked Li Sanniang with concern.
Before Li San Niang could speak, Song Yulang and Qi Zhidie, who had heard Linglan's words, came to their senses. Qi Zhidie glanced at the child and then went to the bedside to take care of Jiu Niang.
Song Yulang, on the other hand, rushed over anxiously, looking at the delicate little baby in Li Sanniang's arms, unsure of what to say.
Li San Niang was cleaning foreign objects from the baby's mouth and nose. Fearing the child might develop problems from being confined in the womb for too long, she used modern methods to assess the baby's condition.
With only a four out of ten, if it weren't for Li San Niang's keen senses, she probably wouldn't have been able to hear the baby's faint breathing.
Li San Niang patted the baby's feet with a little force, and the baby responded with two soft whimpers.
“The child is still alive. You bandage him up, and I'll sew it up for Jiu Niang.”
Li San Niang returned to the bedside and saw Qi Zhi Die holding Jiu Niang's hand, crying uncontrollably.
After thinking for a moment, Li San Niang got up, washed her hands, and said to Qi Zhi Die, "I'll use acupuncture to wake Jiu Niang up so she can see the child."
Qi Zhidie stepped aside, and after Li Sanniang finished administering the acupuncture, Jiu Niang slowly woke up. Her pale, bluish face had regained some color.
Qi Zhidie was initially pleased upon seeing this, but after a couple of breaths, realizing it was a final burst of energy before death, she felt a sharp pain in her heart again.
But Qi Zhidie simply wiped away her tears and said to Jiu Niang, who was struggling to open her eyes, "Jiu Niang, Jiu Niang, the child has been born."
At this moment, Linglan also brought over the wrapped baby, saying, "Ninth Sister, look, his eyebrows and eyes look just like yours. He's a little gentleman."
With a great effort, Jiu Niang looked up at the wrinkled old man and felt a sense of fulfillment.
But the pain in her abdomen was relentless, and Jiu Niang knew she was going to die.
After looking at the child, Jiu Niang reached out and grasped Qi Zhi Die's hand with all her might. "Zhi Die, will you help me raise him?"
"Zhidie, please, please raise him, okay?"
Seeing the hope in Jiu Niang's eyes, Qi Zhi Die couldn't bring herself to refuse.
"Okay, I promise you! Ninth Sister, I will raise this child, I will raise him well, don't worry."
Having gotten the answer she wanted, Jiu Niang felt relieved, but a sense of defeat immediately showed on her face.
After taking one last look at the baby, Jiu Niang closed her eyes contentedly, and her hand, which had been holding Qi Zhidie's hand, fell limply.
Jiu Niang is dead.
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