Chapter 232: Three Puzzles

Fourteen or fifteen-year-old girls, even the pelvis is not fully developed, obviously not the best time to give birth.

To put it bluntly, the girl herself is still in the stage of growing her body, and now there is an extra fetus in her belly that competes for nutrition, so that both mother and baby cannot grow up healthily.

The long-term overload of the body organs made it impossible for the girl to last until the fetus was delivered normally, so there was a premature birth!

In addition, the girl also suffered from dystocia and hemorrhage during childbirth, which is even more difficult.

If this continues, let alone save this premature baby, even the girl herself will lose her life due to excessive blood loss.

"Dao, what should the Dao Leader do now?" When did Lan Yunyan face such a critical situation, she could only pin her hopes on Xuan Wei.

Xuanwei frowned, this woman gives birth to a child, it is more useful to find a midwife who can deliver the baby than a doctor, right? Although Xuanwei's medical skills are good, he really doesn't have much knowledge in gynecology, and he is a Taoist priest, so he is always a little inappropriate, right?

It's just that in this situation, people's lives are at stake, and there is no room for evasion or shirk, so we can only bite the bullet!

"Calm!As a medical worker, if even you are flustered, how can you reassure the patient?" Xuan Wei said indifferently, and walked to the girl's side.

Listening to Xuanwei's calm voice, Lan Yunyan only felt that she had found the backbone.

"Come on, you can do it!" patted her cheek, and Lan Yunyan instantly perked up.

Xuan Wei stretched out his hand and put it on the girl's wrist, and in just a few breaths, Xuan Wei had a specific understanding of the girl's situation.

"The pregnancy period is estimated to be around 30 weeks, which is not optimistic!" Xuan Wei muttered.

A hint of gloom flashed in Lan Yunyan's eyes, 30 weeks is converted into more than seven months of pregnancy, which fully meets the medical definition of premature birth. Such premature babies have a considerable chance of suffering from organ insufficiency and other disabilities even if they are successfully delivered, and the probability of survival is not high.

"Successful delivery depends on three factors, do you know?" Xuan Wei said to Lan Yunyan as she took out the needle box from her sleeve.

"Labor, the birth canal and the fetus!" Lan Yunyan's theoretical knowledge was quite solid, and she replied almost without thinking about it.

Labor force refers to the force that forces the fetus and its pregnancy appendages out of the uterus, which can be divided into uterine contraction, abdominal wall muscle and diaphragm contraction, and levator ani muscle contraction, of which uterine contractions are the most important.

When labor is insufficient, it often leads to dystocia.

The birth canal refers to the passage through which the fetus is delivered, which is divided into a bony birth canal and a soft birth canal, and the pelvis is the bone birth canal.

Finally, the size of the fetus, the position of the fetus and the presence or absence of malformations can all affect the difficulty of delivery.

"There are only three problems in front of you, just solve them one by one!" Xuanwei calmly twisted a silver needle and pierced it in the girl's abdomen through her clothes.

Xuanwei's stitching is very skillful, the needle is fast and steady, and the needle is also through the clothes, in Lan Yunyan's opinion, this is simply incredible.

Not to mention the peers in the medical school around me, even some well-known directors and deans may not have such hand acupuncture!

"The amount of bleeding seems to have decreased!" said a sharp-eyed flight attendant.

Indeed, the blood stains on the white cloth did not continue to seep out, and it was clear that the bleeding had stopped.

"This layman suffers from anemia, because he is very weak due to long-term malnutrition during pregnancy, and his fertility will be quite limited due to blood loss. In order to achieve sufficient productivity, it is necessary to take a two-pronged approach, both internally and externally. ”

Speaking of this, Xuan Wei turned to look at the two older flight attendants next to him, and said softly: "The two laymen want to come over, and under the guidance of labor, they will use compressions to increase the force of contractions when necessary." ”

"Understood, we know what to do!" the two flight attendants nodded in response after having given birth and having plenty of experience.

"Dao Chief, is there anything we can help?" the flight attendant who accompanied Xuan Wei asked a little anxiously.

"Take off your pants!" Xuan Wei was busy groping for something in his sleeves, and subconsciously replied casually.

The young flight attendant immediately blushed, snorted secretly, and looked at Xuan Wei with a strange expression, his complicated eyes seemed to be questioning, I didn't expect you to be such a Taoist!

When Xuan Wei took out a porcelain vase from his sleeve and saw several eyes focused on his face, he realized that his words were somewhat ambiguous.

"Poor Dao's consciousness is to help this layman take off his pants, otherwise how should he give birth?, by the way, remember to cover it with a clean cloth and prepare hot water...... Xuan Wei explained.

The rest of the flight attendants were instructed to stand in a hurry like headless flies, and they were all busy.

"This pill has the effect of generating blood and invigorating qi, and it should be able to restore some productivity for this layman. Xuanwei put the elixir into the girl's mouth and explained to the curious crowd by the way.

"I see, it's really both internal and external! Now the big problem of productivity has been solved!" Lan Yunyan said happily, looking at Xuanwei's eyes full of admiration.

I don't know if the Xuanwei pill has an effect, the girl's pale face has a little more ruddy, and the frowning brow because of the pain has eased slightly.

"Dao Chief, her pelvis is a little narrow, and the fetus can't get out!" Lying on the girl's crotch, the flight attendant who helped deliver the baby wiped his sweat, a little embarrassed.

Lan Yunyan saw that Xuanwei was lifting the needle, and she couldn't pull it away, so she hurriedly went over to help check.

"Dao Chief, the fetus's head has come out, but the shoulder is stuck at the pelvic exit, it is shoulder dystocia!" Lan Yunyan concluded.

The incidence of shoulder dystocia is very low, and it usually occurs in babies with higher body weight, but the fetus in the womb of a girl is a premature baby, and the size and weight are not large, so I did not expect shoulder dystocia to occur.

If you were in the hospital at the moment, you could have taken out the fetus by caesarean section, but now that you are on the train, you don't have the conditions to operate at all!

It can only be said that everything is a chain reaction of underage pregnancy, which makes tricky troubles one after another.

"Curl up your feet and pull them as close to your chest as you can. Xuanwei said to the two flight attendants who helped deliver the baby.

Lan Yunyan's eyes lit up, patted her head and said, "Yes, this thigh flexion method is a common operation method used when dealing with shoulder dystocia!"

The theoretical knowledge is sufficient, but when it comes to practical application, her mind is blank, and she is constrained when she encounters some special circumstances, which is probably Lan Yunyan's shortcomings.

According to Xuanwei's instructions, several people lifted the girl's legs, and the problem of the birth canal was solved!