In the 19th century, the calculation of the due date was not rigorous, and Nora's due date was roughly determined to be in March [1].

According to the previous plan, as long as she enters the range of the expected delivery date and once abdominal pain (contractions) occurs, she needs to perform a cesarean section in time [2]. But now Ignatz, the first and second assistants who are doing the surgery are not here, and even the tube

Dr. Marcus in the ward didn't know what to do.

"Where are the Ignats?"

"I just finished a lithotripsy and I'm going out to do some errands now." Kawei could only bite his tongue and not let go, "Teacher, it's useless for you to be anxious now. You can only wait until he comes back before you can go to the operating table.

"

"Wait?" Marcus questioned the obstetric knowledge of the young man in front of him, "Her water broke. Do you know what breaking water means? If the water breaks in the cephalopelvic disproportion, surgery must be done immediately, otherwise not only the child will die.

In the belly, it can also affect the life of the mother."

"Of course I know about water breaking. These are the basic knowledge of obstetrics." Kawei didn't want to talk nonsense with him, "But now that Teacher Ignatz is not here, what can I do?"

Marcus looked at Nora in a daze and asked, "How do you feel now? Is the child still moving?"

Nora was covering her stomach with both hands, with a blanket under her waist, and sheets and dressings soaked in amniotic fluid between her legs: "I was still moving just now, but now..."

"How is it now?"

"I, I can't feel it."

Her husband Fleny appeared in the ward for the first time and was sitting next to her, holding a cane in his hand. He was very angry at his wife's ignorance: "You don't know that such a big child is in your belly?

"

Nora is only 19 years old and can only rely on her hospitalization experience these days: "He doesn't move much at ordinary times, maybe he is resting now."

"Your stomach still hurts, right?"

"Well, it hurts from time to time."

"Contractions have started..."

Fleni couldn't understand these words and asked: "Doctor, when will the child come out?"

"How can a child be born so fast?"

"But there's so much water..."

Marcus knew that this boy never cared about his wife and never listened carefully to any conversation. Now that he was short of time, he was too lazy to explain this to him: "Okay, okay, these things were already explained to you when I was admitted to the hospital.

Now can you wait until I finish asking you before asking?"

Fleni still understood people's words, so he kept his mouth shut for the time being.

Marcus on the side was constantly thinking of solutions in his mind.

In the 19th century, newborn infant mortality was very high. The probability that 5,000 newborns could successfully survive the first year was about 60%. In the absence of informed consent and life-threatening troubles, doctors would basically recommend insurance

The big abandons the small.

It’s just that women don’t have autonomy, and it’s not up to them to decide whether to give birth or not.

"Doctor, I've said it before, she's definitely going to give birth." Fleny had only been quiet for a few minutes before he poked the ground with a cane to vent his dissatisfaction, "If you can't let her give birth, then

I took her back!"

go back?

The suggestion that a scumbag came up with has become the focus of the game between the hospital beds. An extremely delicate balance has been formed between Kawei, Marcus, Fuleni and Nora.

Since his income was cut off, Fuleny didn't want Nora to give birth in the hospital. If there was no one to take care of him when he returned home, the meaning of marrying a wife would be lost. As for the life and death of mother and child, it seemed to be a very far away matter from him. If it happened,

If something goes wrong, you'll have to live alone.

As the director of obstetrics, Marcus was originally opposed to Nora going back, but only if Ignatz could help you to find out. Now that Ignatz is gone, he doesn’t want to watch Nora’s child with diarrhea because of the lack of amniotic fluid and the uterus.

Death from hypoxia caused by contraction.

It is not easy to induce labor for such a large stillborn fetus. If left untreated for a long time, it will in turn irritate the mother's body [3]. Instead of waiting, it is better to directly take action to get the baby out first.

But the child in Nola's belly was in a transverse position, and the birth canal was narrow, so a normal delivery was impossible. Forcibly assisting in the delivery would almost kill the child and cause irreparable damage to Nola's birth canal. So Marcus suggested from the beginning

Don't have children, keep Nora.

In this case, the problem returns to Forni.

He definitely wants a child, and even if he gives up this time, there will be another time. And the birth canal is a hard indicator. If he can't give birth naturally this time, it will definitely not work next time. In the end, there are only two options: termination of pregnancy or cesarean section.

.

With such a troublesome patient, and without the help of Ignatz to take over, Marcus hopes that Fuleny will take Nora away forcibly and die at home. If he is blind, he can also reduce the number of patients in the first obstetrics ward in disguise.

mortality rate.

Escape is shameful but useful.

Kawei on the side is of course a firm believer in keeping people alive for cesarean section. Ignatz is just going to relieve the pressure and will definitely come back. All he has to do is wait for the surgeon to come on stage: "I have already called several carriages.

I’m going to find Teacher Ignatz, I think I’ll find him soon, just wait.”

"Still waiting? It's already been an hour."

"I think it's better to go back. Anyway, home is no different from here."

“Actually, Nola’s abdominal pain is not very severe, and we still have time.”

"You said it lightly, if something happens..."

The three of them had a full and friendly discussion about whether to leave or stay, whether to live or to live, but no one cared about Nora’s own thoughts or her words. She has always been a swinger, and the man said that for

She went to the hospital because of the childcare subsidy. The man said that no one at home took care of her and it cost money to stay in the hospital, so she was ready to go back.

But when it was time to give birth, the girl suddenly became strong: "I want to give birth, and I will give birth here."

This was the first time she had firmly expressed her thoughts, but unfortunately only Kavi could listen.

"The surgeon, Dr. Ignatz, is not here. No one knows when he will return to the hospital. Do you want to stop thinking about it?"

Although Marcus was once caught up in the vortex of fighting between surgical and obstetric departments, he was also a doctor and did not want to see his mother walk on the operating table and die in the hands of Ignatz, because he had seen too much: "No.

La, I still hope you will consider my previous suggestions."

Noila immediately recalled the content of the conversation that day and shook her head repeatedly: "No, no no! I don't agree!"

"This is for your own good. There is a high chance that you won't survive on the operating table."

"Doctor, what are you talking about that is depressing!?" Fleurney heard something. "I definitely have to have the child, and she has to survive for me! If you can't do it, then all the hospitalization fees you paid before will be lost."

Return it to me and I will take you away now."

"I don't want to leave!" Nora refused uncharacteristically, "I want to stay and wait for Dr. Ignatz to come back!"

Although Marcus wanted to stay out of sight deep down, but after seeing Nora's persistence, his heart softened. Seeing that Fuleni was in the way, he asked the nurse to ask him out: "An Xin is here.

I’ll stay outside the ward and I’ll find you if anything happens.”

"Hey, what do you mean something is wrong?"

"Just wait!"

"I am her husband and I have the right to make decisions for her. Why do you let me out?"

Fleni limped out accompanied by the nurse, cursing: "I told you to go home but you don't agree. What are you doing here, waiting to be used as a guinea pig by these doctors? What if you do?

The operating table is all in vain, and I can't even exchange it for any money! Let me go, I will leave..."

After getting rid of the leaver, Kavi, Marcus and Nora quickly reached a consensus.

Marcus and two experienced midwives accompanied Nora to the operating theater first. Kawei made preparations for the operation. At the same time, someone had to stop Hills and Herman who had just gotten off the operating table and were about to leave.

All that's left is to wait for Ignatz to come back.

...

According to the usual schedule of the surgical theater, five o'clock in the afternoon is a rather awkward time period. The afternoon surgery has basically ended, and the evening surgery has not yet started.

Today's tickets are all sold out, and the ticket office at the door is about to close. The ticket seller hummed a tune, counted the tickets in his hand, and prepared to take back the surgical poster that had been hanging up all day and go home from get off work as soon as possible.

At this moment, a child pressed his backpack on, squeezed through the bustling crowd, and ran quickly from a distance. He didn't even bother to stop, raised his hand to grab the conductor's arm, and then slammed his whole body into

into his arms: "Wait a minute..."

The conductor was in pain, took a few steps back, and pulled the naughty kid to the wall: "What are you doing, kid? Don't you have eyes when you walk?"

"Wait a minute..."

"What are you waiting for? The tickets are all sold out!" The ticket seller didn't embarrass him, he just said, "Children can't have surgery, they are not old enough yet!"

"I don't look at it, and I don't look down on it...I, I just want to tell you that I will collect the cards later."

He is a child who often sells newspapers in front of the Municipal General Hospital. Kawei just gave him 1 crown and asked him to take advantage of the last moment to help carry the message: "The hospital is about to have a cesarean section, right here!"

"Cesarean section?"

The conductor immediately smelled the money, but reason told him that he should remember to avoid pitfalls even when he was excited. He grabbed the child's collar and asked sternly: "Are you sure?"

"Sure! Mr. Kawei told me personally!"

Kawi…
To be continued...