Chapter 442 Ziman (This novel has surpassed one million words!)
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Polyhydramnios and umbilical cord prolapse
When Li San Niang saw Shen Li Zhu again, it was because Shen's mother sent Granny Yao to the clinic to invite her for a consultation.
Shen Lizhu looked extremely haggard. In just a few days, Li Sanniang noticed that Shen Lizhu had lost at least a size since the last time.
Faced with Li San Niang's shocked gaze, Granny Yao lowered her head and said with heartache, "Ever since Madam divorced Gong San Lang and received the divorce papers, she has had difficulty swallowing and has been eating very little. She has become extremely thin."
"Granny!"
Shen Lizhu stopped Yao Mama from speaking, raised her head and smiled at Li San Niang, saying, "Thank you for troubling Doctor Li. I have a poor appetite and am not feeling well, so I invited Doctor Li here."
Seeing Shen Lizhu forcing a smile, Li San Niang sighed inwardly and sat down.
"Madam Shen, please extend your hand so I can take your pulse."
“My wife is grieving and has been thinking about something. She has also been eating less. It’s no wonder she is weak and anemic.”
Li San Niang pointed to the written prescription, "This prescription is only to help you with your diet and sleep. You should know that this mental illness requires a mental cure."
Since you've chosen divorce, my lady, you should take good care of yourself and not let your body suffer like this.
Springtime is beautiful, why don't you go for a walk, my lady?
I heard that several farms on the outskirts of the city are open to guests, and many of their fruit trees are in bloom. My wife could go and take a look.
"Thank you, Dr. Li. I understand. Thank you for your help."
Li San Niang and Qiu Xiang followed Qiu Xiang to the main hall, where they met Shen Mu, who was looking at Li San Niang with concern.
Li San Niang explained to Shen's mother in detail, "Right now, the medicine is not that important. As long as Madam Shen is open-minded, her illness will naturally heal without medicine."
After receiving the consultation fee, Li San Niang and Qiu Xiang were taken back to the clinic by the Shen family's carriage.
As soon as Li San Niang got off the Shen family's carriage, before she could even enter the clinic to report her medical expenses to Nan Xing, the old woman who had been waiting nearby grabbed her hand.
"Dr. Li, I am Granny Yu, the wife of the eldest daughter of the Gao family. My wife is suffering from severe abdominal pain. Please come with me home, Dr. Li."
Li San Niang thought for a moment before realizing that this Granny Yu was the old woman who served Gao Ya Hui's sister-in-law, Gao Da Sao.
Li San Niang knew the situation was urgent. Calculating the days, she knew that Gao Da Sao was about nine months along and could give birth at any time. The old woman also said she was experiencing unbearable abdominal pain, so it was very likely that she would give birth today.
Li San Niang only said one sentence to Nan Xing, who was standing at the door, before she and Qiu Xiang followed Granny Yu into the carriage.
"Hurry up a little. I'm healthy and I'm not afraid of the bumpy ride. Sister-in-law Gao is the most important."
Granny Yu was delighted by Li San Niang's thoughtfulness. After saying goodbye to the coachman, she thanked Li San Niang, saying, "Thank you for your help, Doctor Li. My wife's condition is really critical right now."
Li San Niang nodded, indicating her understanding.
Fortunately, Li San Niang was indeed physically strong, and Qiu Xiang was a martial arts practitioner, so the carriage was driven very fast, and they arrived at the Gao family in half an hour.
After getting off the carriage, Granny Yu felt a bit dizzy from the jolting, but Li San Niang and Qiu Xiang were both fine and quite steady.
He quickly followed another old woman into the inner courtyard, where he met Gao Dalang and Gao Yahui.
Seeing the two bow, Li Sanniang quickly returned the bow and said, "The situation is urgent, so let's put aside formalities for now."
How is the situation?
"Dr. Li, this morning when my wife got up, she said she felt a heaviness in her belly, but she said that since she was about to give birth, it was normal for her belly to feel like that, so she didn't think much of it."
But while we were eating lunch, she suddenly cried out for some reason. When we asked her what was wrong, she only said that her stomach hurt terribly.
We assumed she was about to give birth, so we called over the midwife we had prepared earlier. The midwife said that something was wrong with my wife's belly, and we got scared.
So he sent someone to find you, Doctor Li. Doctor Li, you must save my wife!
"Dr. Li, you must save my sister-in-law! You must save her!"
Li San Niang did not respond to Gao Dalang and Gao Ya Hui's words, but simply nodded, and then walked directly into the inner room.
Inside the room, on the bed, Sister-in-law Gao, covered in sweat, leaned against the brocade quilt, her bent legs looking weak and about to be lowered.
Li San Niang saw an old woman with a headscarf standing to the side and asked, "How is it?"
When the midwife saw that it was a woman, she said anxiously, "Didn't we tell you to go and call a doctor? Calling a midwife is useless!"
"I am a doctor, Li Mingfang, who works at the Third Pharmacy in Yongpingfang under the Medical Alliance!"
While the midwife was still in a daze, Li San Niang quickly went forward to check on Gao Da Sao's condition.
Sister-in-law Gao was conscious, but she was too weak to continue due to the unbearable abdominal pain.
"Dr. Li, you're here. I'm in so much pain, so much pain. My stomach is hurting so badly."
"Don't be afraid, let me see what's wrong?"
Li San Niang directly lifted Gao Da Sao's clothes, and upon seeing her belly, she knew why the midwife had said something was wrong.
The belly was unusually large. Li San Niang clearly remembered that when Gao Da Sao took her pulse in the early stages of her pregnancy, it was definitely not twins.
Li San Niang quickly washed her hands, stepped forward to examine the patient, and took the opportunity to open her X-ray vision.
The situation is very bad. There is too much amniotic fluid, and the due date has arrived. The uterus can no longer bear this. If a normal midwife were to deliver the baby, it would likely suffocate and die, or it might not be able to be delivered at all. It is possible that Sister-in-law Gao would also lose her life along with the baby.
Even if Li San Niang came, she might not be able to deliver the baby successfully.
Because, from the perspective of X-ray vision, the situation is extremely dangerous!
Sister-in-law Gao also has excessive amniotic fluid. If, during childbirth, the amniotic sac ruptures, the amniotic fluid will flow out too quickly due to the high pressure inside the uterus, and the umbilical cord may be flushed out by the amniotic fluid, resulting in umbilical cord prolapse.
When the umbilical cord prolapses, it is compressed between the presenting part of the fetus and the pelvis, causing acute fetal hypoxia, changes in the fetal heart rate, or even complete loss of heart rate.
If umbilical cord blood circulation is blocked for more than seven minutes, it can lead to intrauterine fetal death. (The above three sentences are from Baidu Encyclopedia)
Li San Niang first pressed on Gao Da Sao's acupoints to relieve her pain, allowing her to conserve her strength for childbirth before her cervix fully dilated.
"But the pain has lessened a bit?"
Seeing that Gao Dasao's expression had softened, Li Sanniang instructed the old woman who had been standing by to feed Gao Dasao some salt and sugar water. Then she quickly left the inner room and went to find Gao Dalang and Gao Yahui, who had been anxiously waiting outside.
"I would appreciate it if you could discuss this with me privately, Mr. Gao."
Gao Dalang's heart skipped a beat, but he still told Gao Ya Hui to wait outside while he led Li San Niang to the side hall in front.
Li San Niang didn't beat around the bush and directly explained Gao Da Sao's situation concisely: "...This child is difficult to deliver and may very well die in the womb during childbirth."
At that time…
"Save Rongniang! Protect her!"
Gao Dalang interrupted Li Sanniang directly and decisively, saying this to her.
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