Chapter 5 The First Objective

Cesarean section, also known as caesarean section.

Two meanings with the same but different meanings, caesarean section is the name of ordinary people, because what they see is to open the pregnant woman's belly and then take out the child inside; Cesarean section is a professional term because this surgery essentially opens the uterus and removes the mature baby inside.

In John? Before the crossing of Huntelaar, cesarean section was very well developed.

In fact, in the world of the future, cesarean section is no longer simply a mature issue, and the number of cesarean sections in China has risen dramatically, to a worrying point. On the one hand, with the increasing number of only children in China, those girls who have not suffered since childhood do not want to endure the pain of natural childbirth, and directly choose cesarean section; On the other hand, the bad custom that Chinese like to choose a good day to have children is difficult to resist, and even some people give birth several days in advance in order to avoid a certain genus! For most domestic hospitals, as long as the mother chooses cesarean section, they will perform the operation according to the other party's wishes, because this will be more trouble-cesarean section takes more than an hour to complete, but the natural delivery can sometimes take up to ten hours......

I have to say that this is completely following the old path of foreign countries.

Pregnant women in Europe and the United States have also experienced a sharp increase in the number of cesarean sections, and then a slow decline. The American College of Obstetricians and Gynecologists has explicitly stated that the cesarean section rate should be reduced, and the cesarean section rate in countries like Japan is no more than 10%. Although there are no large studies to prove whether children born naturally are smarter and better than those born by cesarean section, the World Health Organization's attitude is clear: cesarean section does not bring more safety to the mother and child.

The topic is a bit far away, but one thing is certain, and that is the importance of cesarean section in the whole of obstetrics and gynecology!

In the history of medicine, the origin of cesarean section is quite mythical. Legend has it that Julius Caesar in ancient Rome was born by cesarean section, which is of course very unreliable, but the ancient Roman legal code did stipulate that pregnant women must be buried separately from the fetus after death. So in terms of origin, cesarean section was originally used to remove the fetus from the body of a deceased pregnant woman. With the development of anatomy and clinical medicine, cesarean section began to be used in pregnant women who were still alive.

However, the initial clinical history of cesarean section is a bloody history of development.

In the beginning. The doctors did not want to use needles and threads to suture the uterus of the pregnant woman after the operation, and they used squeezing to reglue the uterine wall together, and the effect of this can be imagined. Pregnant women have a very high mortality rate due to excessive blood loss, infection and other factors. Then in 1876, that is, 12 years ago, an Italian physician Polo began to innovate cesarean section, and after removing the fetus, the pregnant woman's uterus was cut out, and the effect was not bad, and the mortality rate of pregnant women was reduced to more than 50%.

Then it was 1882. Revolutionary changes have emerged.

German...... That's right, the Germans again. Mr. Staudinger of Leipzig pioneered the total incision of the uterine body, which allowed pregnant women to preserve their uterus and effectively control bleeding and infection, and finally made the clinical application of cesarean section a reality. Mr. Staudinger's revolutionary contribution to cesarean section has drawn the attention of doctors to this life-saving method.

Professor Simpson is one of them.

And for the future obstetrics and gynecology cow Howard? For Kelly, such a tall thing as cesarean section is like a legend. Therefore, after hearing that Professor Simpson had had a cesarean section, a pair of eyes suddenly sparkled like a tungsten light bulb!

But Professor Simpson didn't have the heart to pay attention to a small American obstetrician and gynecologist at this time. His attention was all on John? Mr. Huntelaar quickly frowned and asked: "Mr. Huntelaar, there is a question I have always wanted to discuss with you, I have performed dozens of cesarean sections in the past few years, but the mortality rate of pregnant women is still unsatisfactory, mainly because of postoperative infection and excessive blood loss. And for ordinary pregnant women who give birth naturally. Heavy bleeding is also very fatal......"

"Hmm......"

By the time he heard this, John had already contemplated it.

Of course, he understood what this Simpson professor meant, on the one hand, as an authority on surgical sterilization whose current reputation faintly follows that of Liszt, John's level in this field is unquestionable, which has long been recognized by many top surgeons; And on the other hand. In this era, there are few good ways to deal with heavy bleeding, and now many people are faintly aware that blood transfusion technology should be a very promising direction, and he seems to belong to the group of people who stand at the forefront in this regard.

Clearly, Professor Simpson was aware of this.

For those who wish to conduct research in medicine, John must spare no effort to support, but turn his head to look at Howard with an expectant face? Kelly, he smiled slightly, "Professor Simpson, today does not seem to be the time to discuss these things in detail...... Do you have time tomorrow? ”

"Yes, of course there is time!"

Professor Simpson was overjoyed and nodded repeatedly.

"Well, I'll visit you tomorrow!"

Blinking, John smiled and said, "I still have a lot of experience about the postoperative infection, and I also have a not very mature idea about the problem of heavy bleeding, and I just want to discuss it with you, but it's ......."

"But what?"

Professor Simpson was stunned when he heard this, and quickly asked.

Turn around and pat Howard gently? Kelly's shoulder, John smiled and said, "But I have a presumptuous request, this Howard?" Mr. Kelly is an obstetrician and gynaecologist at our hospital and he would like to study with you for a while, can you see it? ”

"Haha, of course it's fine!"

After laughing, Professor Simpson immediately nodded in agreement.

As one of the best obstetricians and gynecologists in England today, Professor Simpson's obstetrics and gynaecology department has many doctors from all over the country and even other countries, and it is naturally not a problem to have an extra Kelly.

The two discussed the time and place of the meeting, and John soon left with Professor Liszt.

But Howard? Kelly stayed, however, and struck up a lively conversation with Professor Simpson. With John, the boss who revolutionized surgical sterilization and invented sulfonamides, he didn't need to pay attention to what was really leading Europe in these years, but obstetrics and gynecology was not a field that John was familiar with, and it was very necessary for him to learn from a top person like Professor Simpson.

The first goal of today's gathering was so easily achieved...... (To be continued......)