Chen Nan is no stranger to massage techniques for midwifery!

But... this did not affect his nervousness along the way.

After all, massage in the past was only about treating diseases and relieving pain.

But midwifery is different.

To be honest, Chen Nan never imagined that one day he would participate in a childbirth as a doctor of traditional Chinese medicine.

It’s really a bit...sentimental!

However, Chen Nan is somewhat confident about traditional Chinese medicine massage for midwifery.

The world's first case of manual assisted delivery came from China.

During the Song Dynasty, a famous doctor named Pang Anshi used abdominal massage to assist in childbirth.

Later, during the Ming and Qing Dynasties, with the introduction of modern medicine, the wisdom of the Chinese people was beyond your imagination.

They even developed a systematic plan to treat malpositioned and difficult labor using "a combination of internal and external techniques".

However, these plans did not escape the tide of history in the late Qing Dynasty, and gradually disappeared in the long river of history.

actually……

It is people's wrong thinking to value the past over the present.

Traditional Chinese massage has a history of two to three thousand years.

In ancient times, the understanding of the structure of the human body was not as clear as it is today, so the internal and external techniques used to treat fetal malposition in later generations are much more advanced than they were in the past.

Speaking of Pang Anshi, there are some small allusions in history, which is called Pang Anshi's injection of needles to save pregnant women with dystocia.

It is said that when Pang Anshi went to Tongcheng County in Shuzhou, he met a pregnant woman who was in labor. She couldn't give birth to the baby for seven days in a row. All methods were tried, but to no avail. The family was extremely worried (I'm thinking, seven days after birth)

If you don’t come down...are you still alive?)

Pang Anshi's student Li Baiquan happened to be a neighbor of that family, so he asked Pang Anshi to take a look.

Pang Anshi went to take a look and continued, "I can't die, I can't die." He asked the pregnant woman's family to bring hot water to warm her waist and abdomen, while he himself gently massaged the pregnant woman up and down.

Then, he took out the needle and pricked the pregnant woman's abdomen.

Not long after, the pregnant woman felt a dull pain in her intestines and stomach, and while moaning, she gave birth to the child, a boy.

Pang Anshi told them: "Actually, the fetus has already left the womb, but it accidentally grabbed the mother's intestines with one hand and never let go. No matter whether it was drawing talismans or taking medicine, it was useless. I touched the hand of the fetus through the mother's belly.

, I pricked his tiger's mouth with a silver needle. When it hurt, he let go and retracted, so he was born quickly. I didn't use any magic tricks."

The family brought the baby over and found that there were indeed traces of needle pricks on the tiger's right hand.

First of all, let’s not talk about how many layers of tissue separate the uterus and intestines, or whether the child has a dragon’s grasp.

After Chen Nan read it, he was actually still dubious. Many historical medical stories were somewhat exaggerated.

However, it is undeniable that TCM massage techniques and prescriptions have made great achievements in the field of obstetrics and gynecology.

but……

The neonatal mortality rate in ancient times was still relatively high. On the one hand, it was due to immature technology, and there were also many external reasons, such as substandard hygiene and infection, which was a big risk.

Today, the infant mortality rate is only about 6 per 1,000. It must be said that medicine is making progress.

However, things must be viewed from two perspectives. Under the medical conditions at that time, some of the treatment techniques and experiences summarized did indeed have their indelible contributions.

These include: massage techniques for midwifery, and pregnancy transfer methods.

Strangely enough, oral administration of traditional Chinese medicine can actually change the position of the fetus.

Sometimes Chinese medicine does have its own unique features.

…

Not long after, Chen Nan hurried to the obstetrics department.

Obstetrician Liang Hui met Chen Nan for the first time. To be honest... she was still a little uneasy.

She had some doubts about the director's decision!

Are you sure that inviting a traditional Chinese medicine doctor can help women give birth smoothly?

This is obviously beyond Liang Hui's knowledge.

"Doctor Chen, the director is in the ward."

Chen Nan saw Liang Hui's badge and nodded: "Well, please, Doctor Liang."

The badge reads: "Obstetrics and Gynecology: Liang Hui, attending physician."

After arriving in the ward, Wang Zhenlan guided the patient in some postures to adjust the fetal position.

Movements such as the knee-chest recumbent position can theoretically use the change of the baby's center of gravity to make the arc formed by the fetal head and fetal back slide along the uterine fundus arc to complete the chance of turning the breech position into a cephalic position.

However, the mother was very uncomfortable at this time. She was lying on the bed, and the pain caused by irregular uterine contractions was still getting worse.

Giving birth is hard work and quite painful.

Because giving birth is not painful all at once.

Instead, pain will occur from time to time after the first stage of labor, the uterine contraction is weak, the intermission period is long, about 5 to 6 minutes, and the duration is short, about 30 seconds.

As labor progresses, the intervals gradually become shorter, about 2 to 3 minutes, and the duration becomes longer, about 50 to 60 seconds, and the intensity continues to increase.

When the cervix is ​​nearly fully dilated, the intervals between contractions are only 1 minute or slightly longer, and can last for more than 1 minute.

First-time mothers may need to experience around 10-12 hours.

This is a very painful thing for most people.

Of course...not to mention those with extraordinary talents and those who use caesarean section cheats.

"Director Wang."

Wang Zhenlan turned around, saw Chen Nan coming, and said to Chen Nan:

"Well, Director Chen, here you go!"

"Let me tell you about the patient's condition."

"Patient, female, 35 years old, primipara."

"The patient arrived in a hurry. After arriving, many examinations were not completed, so that now she is about to go into labor, but the examination shows that she is in the transverse position."

"The main situation now is that the fetal position is incorrect and the occiputo-transverse position is persistent. Now the contractions have begun to be regular, but the fetal position is incorrect. We must find a solution."

"Initially, my plan was to have a C-section."

"However, if the patient undergoes a cesarean section, he or she needs to undergo spinal anesthesia, which is semi-anesthesia, but... the other family member said that the patient has coagulation disorder!"

"The anesthesiologist said that this is a contraindication for partial anesthesia and suggested that we use general anesthesia!"

"With general anesthesia... the difficulty of the operation will increase. Moreover, due to coagulation dysfunction, we cannot guarantee whether there will be heavy bleeding during the operation."

"Now, the result of our discussion is to first try to see if we can restore the fetal position. If we can, we will have a normal delivery!"

"However, if the difficulty is too high, the only option is to perform a caesarean section under general anesthesia."

"So, I ask you to come down and see if there is a good way to change the fetal position using traditional Chinese medicine techniques."

After hearing this, Chen Nan finally breathed a sigh of relief.

I originally thought I was going to the operating table.

Now it seems...it doesn't have to be so complicated.

However, Chen Nan still asked curiously: "How many fingers has the patient opened now?"

Liang Hui on the side said: "Six fingers have been opened!"

Six fingers?!

This first stage of labor is late.

When the cervix is ​​dilated about 10cm, which is often referred to as the ten fingers, that is, the cervix is ​​fully dilated and the second stage of labor is entered.

After Chen Nan understood the situation, he walked up to the mother.

The other party was thin and weak. He was sweating profusely and his face was haggard. It was obvious that this process was very hard and uncomfortable.

The woman closed her eyes tightly, her hair was wet with sweat and stuck to her face, looking embarrassed.

But even so, she still struggled to do some of the moves Wang Zhenlan taught her.

It is said that women are weak, but actually... being a mother is strong!

Obviously, Wang Zhenlan has already explained these things to her.

If the fetal head cannot be straightened, the subsequent induction of labor will be very difficult!

Moreover, especially when the birth canal is not fully expanded, the labor force is poor, the fetal head is poorly flexed, or the fetal buttocks are raised, delivery will be difficult, which will be harmful to both the mother and the fetus, causing fetal mortality to be higher than in the occipitoanterior position.

3-8 times.

This is not alarmist, this is real data.
To be continued...