Chapter 307 A Full Belly Means Perfection
Chapter 307 A Full Belly Means Perfection
"Miss, is the child... alright?"
Qingdai's voice trembled with pain, "I just... drank a lot of medicine... what if the baby......"
"Shut up!"
Worried about Qingdai's emotional state, Yang Jianwu checked on her while reassuring her: "Relax, take a deep breath. Save your energy for when you need to exert yourself later."
She turned to Liang Yan and said, "Prepare for fetal heart rate monitoring."
"Yes, ma'am."
The fetal heart monitor connected quickly, and a regular "thump-thump" sound echoed in the room.
Yang Jian waved the monitor screen, his brows furrowed slightly; the fetal heart rate was a little too fast.
"Miss, should we proceed with the incision?" Liangyan asked softly.
Yang Jianwu shook her head: "The cervix is only dilated to two centimeters, and the fetus is still small. I need to try external cephalic version."
Before entering the Mu family, Granny Liu was a midwife. For women with abnormal fetal positions, childbirth was a near-certain death. The external cephalic version the young lady mentioned… could it be…?
"Miss, do you mean we should transfer the child?"
"Yes, that's how you understand it."
"May this old servant ask, young lady, is there any risk involved in this method?"
Yang Jianwu looked at Granny Liu expressionlessly, "What do you think, Granny?"
Granny Liu felt uneasy under the gaze, unsure of what her young mistress meant, and dared not speculate, so she truthfully expressed her thoughts.
"some…"
"What kind of risks would there be?"
"This……"
Liangyan laid out the mat under Qingdai and walked to Liu Mama's side, smiling, "Don't be nervous, Mama. Miss is testing you."
Granny Liu felt slightly relieved. "A test for this old servant?"
"Yes, I was only allowed to learn more advanced medical skills after passing Miss's test."
Yang Jianwu smiled and said, "I was a little too serious and startled the old lady."
I just want to know how much you know, Granny. Please share your insights.
Granny Liu stammered in fear, "No, no."
I had long heard that Miss had a team of highly skilled doctors under her command, and now it seems that they were all personally selected by Miss.
"This old servant doesn't know much either, but I guess that when the baby rotates, the baby's hands and feet might pull on the placenta. If the umbilical cord is wrapped around the neck, the baby will be in danger."
Yang Jianwu clapped her hands gently, "What you said is correct, in addition to what I have mentioned above."
External cephalic version may pull on the umbilical cord during rotation, increasing blood flow resistance, affecting fetal blood and oxygen supply, and causing fetal hypoxia.
Furthermore, if rotation causes excessive pressure in the uterine cavity, it can lead to premature rupture of membranes. It may also stimulate the uterus, causing contractions and potentially triggering premature labor.
Granny Liu bowed deeply to Yang Jianwu, "Thank you for your guidance, Miss, but there are still some things I don't understand."
"Mammy, please speak."
"The words 'within the palace' and 'blood offering' that Miss just mentioned, I can understand their meaning in light of the actual situation. But knowing that this method is dangerous, why do you still want to try it?"
The fact that Liu Mama is fluent enough to understand from the literal meaning shows that she has the potential to study medicine, at least in the field of obstetrics.
"If they were to give birth directly, both the adult and the child would be in danger."
The reason we're trying to reverse it is because we have a secret weapon: Granny, come this way.
Yang Jianwu led Liu Mama to the ultrasound machine and pointed it out to her little by little.
Liangyan observed and learned alongside them. Opportunities for practice are rare, and to have the young lady personally guide her is an even greater chance.
Granny Liu was initially shocked, but then her surprise turned into delight.
"If this method could be popularized, how many mothers and children would have died unjustly?"
"Granny is very kind. After I finish dealing with Qingdai's matter, I will take the time to gather some people with the same kind of love as Granny to teach together. Whether we can carry forward this spirit depends on you."
Granny Liu bowed deeply again, saying, "This old servant will certainly not fail Miss's high expectations."
Qingdai lay on the table, not daring to speak, only groaning softly when she felt contractions in her abdomen.
Miss hasn't forgotten her, has she...?
In fact, Yang Jianwu was happy to see talented people and wanted to find out more about them.
The skill level of doctors in Dongli is generally not high, and there are even fewer female doctors. If someone with the ability is willing to spread the knowledge, it would be a great benefit to the local area.
Anyway, this is Qingdai's first pregnancy, and she's only dilated to two centimeters, so she'll be in pain for quite a while.
Some people's joints open slowly, and it can be painful for two or three days.
"Turn the child over first, then check on Qingdai's condition."
"Yes, ma'am."
With the assistance of real-time ultrasound guidance, continuous epidural anesthesia, uterine contraction inhibitors to help relax the uterus, and fetal heart monitoring, the position of the baby's head and buttocks in the womb was quickly determined.
Yang Jianwu applied lubricant to Qingdai's abdomen, and through her belly, she used both hands to rotate the fetus counterclockwise, while using ultrasound to monitor the fetal position, placenta, umbilical cord, and fetal heart rate.
Liangyan and Granny Liu followed instructions and helped to secure the object.
In less than the time it takes to drink half a cup of tea, the baby in Qingdai's belly turned 180° as if by some great transformation, changing from a breech to a head-down position.
"Finally, use an abdominal binder to secure the abdomen, and the fetus has completed its transformation."
Granny Liu was in a state of excitement and couldn't wait to start practicing.
"This old servant has learned a great deal and gained much knowledge today."
Yang Jianwu went to wash her hands and instructed Liangyan to help Qingdai up and walk around.
"Granny, go and rest for a while, have something to eat, and replenish your energy."
"what?"
Granny Liu was stunned. In the past, when she delivered babies, she would stay by their side for hours on end, never having time to eat...
Furthermore, Qingdai is about to give birth, why is she still getting out of bed and walking around...?
"Miss, Qingdai is feeling very unwell. Shouldn't she rest in bed?"
Yang Jianwu lightly shook her index finger, "The first thing you have to learn when working for me is..."
Liangyan was familiar with this tactic: "Be obedient and do as I say!"
Realizing she had said too much, Granny Liu said sheepishly, "It was this old servant who spoke out of turn."
"Standing up allows you to use gravity to help the baby descend, reducing resistance during childbirth."
It also reduces pressure on the pelvic floor muscles, thereby reducing pain.
The main benefit is that it helps dilate the cervix, which can shorten the duration of the first stage of labor.
During childbirth, place thick cushions behind Qingdai; these will be beneficial for the delivery.
Yang Jianwu had no intention of keeping anything to herself and tried her best to answer Liu Mama's questions.
"It is rare to find a mother with such a thirst for knowledge; all of this will be explained in detail during the lessons."
"Yes, Miss, then this old servant will go and get something to eat first."
Granny Liu became increasingly excited, and she even walked with a bouncy gait.
Today felt like opening the door to a new world. Although she had never heard many of those fancy words before, it didn't stop her from accepting them.
Liangyan looked at Liu Mama's retreating figure and smiled, "Miss, it seems I chose the right person."
Yang Jianwu nodded approvingly, "You have excellent taste."
The two nannies, one was genuinely protective and attentive, the other was dedicated to her duties and always striving for improvement.
"Otherwise, Qingdai wouldn't have gotten so fat, her belly was almost as big as a full-term baby's at seven or eight months pregnant."
Liang Yan covered her face. "Miss, are you really praising me?"
"Of course! Life doesn't need to be too full; a full belly is enough."
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