Chapter 130: Leisurely at Southern Mountain, Dawn's Starlight

June 17, 2004, the thirtieth day of the fourth lunar month, Thursday, 4:30 PM.

Auspicious: Ancestral worship; All other matters to be avoided. Inauspicious: Travel.

Mingzhou First People's Hospital, outside the Surgery Room area.

Several Family Members waiting for new life paced back and forth within a one-meter range, their minds a blank void;

others sat tensely on silver-white metal chairs, eyes fixed on the television on the wall, where Pregnant Woman information scrolled endlessly.

An elderly grandmother held a prayer slip she had obtained, muttering: "Guanyin protect us, give us a big, fat grandson, grandson..."

The grandfather beside her chided softly: "What time is this, still favoring sons over daughters?! The safety of both the adult and the child is most important!"

Xue Yuan's husband, Chen Qing, a lecturer from the Chinese Department of Mingzhou University who had resigned, held a book, flipping through it rapidly.

'Every day you don't work at the teahouse, and the children's names still aren't chosen; think of them right now in the corridor!' Xue Yuan's questioning voice still rang in his ears.

Chen Qing turned a page and thought this character was good; he turned the next page and thought that character was good.

Twins; he didn't know if it was one boy and one girl, two daughters, or two boys; in any case, two names were needed.

At this moment, inside the Surgery Room, under the shadowless lamp, the surgery proceeded in an orderly fashion.

Zhai Director performed the incision, Doctor Dai served as First Assistant, and Wang Chuan and Pei Nanli served as Second and Third Assistants.

The surgical indications for Xue Yuan's twin cesarean section were clear.

The first half of the surgery went very smoothly.

Zhai Director's technique was skilled; the incision, separation, entry into the abdominal cavity, and exposure of the lower uterine segment were completed in one fluid motion.

The first fetus was delivered smoothly; Zhai Director smiled: "It's a sister!" and patted the newborn girl's bottom.

A loud cry rang out, instantly bringing a moment of relief to the tense Surgery Room.

Immediately after came the second fetus, a boy, who also cried out; both were very healthy.

The atmosphere in the Surgery Room eased slightly.

However, after the placenta was delivered, a problem arose.

Zhai Director frowned slightly: "Uterine contraction is poor."

She massaged Xue Yuan's uterine body with force.

However, the uterus still felt soft as a cloth bag, lacking the firmness it should have had.

"Bleeding is a bit heavy." Wang Chuan, standing nearby, keenly noticed that the blood level in the Suction Device was rising faster than expected, and oozing from the wound surface was obvious.

Zhai Director gave a decisive order: "Administer 20 units of Oxytocin intravenously! 10 units of Oxytocin intramuscularly! Continue massaging the uterus!"

This was the standard procedure for treating uterine atony.

After the drugs were injected, combined with continuous massage, the uterus seemed to contract slightly, but the effect was far from ideal.

The blood volume inside the Suction Device continued to increase rapidly.

On the monitor, Xue Yuan's Blood Pressure Monitor began to show a downward trend, dropping from 110/70 to 100/60 mmHg, while her heart rate rose slightly, from 90 to 105 beats per minute.

"Prepare a second dose of Oxytocin! Administer 400ug of Misoprostol rectally! Apply pressure for Blood Transfusion and fluid infusion!"

Zhai Director's voice carried gravity.

Uterine atony is the most common cause of postpartum hemorrhage, especially in cases of twins or macrosomia, but Xue Yuan's response seemed worse than in typical cases.

Wang Chuan assisted Zhai Director and Doctor Dai in massaging the uterus and clearing the surgical field, while remaining fully focused.

Just then, Ding-dong, 【Clinical Medical Insight】 activated!

The information tag above Xue Yuan's head refreshed:

【Postpartum hemorrhage, uterine atony, a small arterial branch on the right posterior wall near the uterine angle, laceration, active bleeding rate approximately 80ml/min, extensive oozing from the wound surface.】

A hidden, non-major, but continuously bleeding small vessel injury point was precisely located by the system!

It was located in the fold of the right posterior wall of the uterus near the uterine angle, a tricky position.

Under conditions of poor uterine contraction and oozing in the surgical field, it was very easy to overlook.

Although this small spring was not a rupture of a major artery, against the backdrop of uterine atony, continuous blood loss combined with oozing was enough to rapidly deplete the mother's reserves, leading to serious consequences!

Wang Chuan saw that the upgraded 【Clinical Medical Insight】 directly marked the location of the small vessel.

"Zhai Director!" Wang Chuan's voice was clear and rapid, with directionality: "Suction the right posterior fornix clean! Near the right posterior wall uterine angle, I see a small active bleeding point! Under the oozing!"

Zhai Director, experienced as she was, immediately signaled Doctor Dai to use the Suction Device to clear the accumulated blood and fluid in the area Wang Chuan indicated.

Under the brief exposure of the suction tip, Zhai Director's sharp gaze indeed caught a rhythmic, fine, pulsatile spurting of blood distinct from the oozing!

"Good eyesight, Wang Chuan!" Zhai Director praised, but her hand moved even faster: "Mosquito forceps!"

She precisely clamped the end of that small vessel which was hissing blood.

The bleeding stopped instantly.

At the same time, the second round of potent uterine contraction agents began to take effect, combined with continuous massage and physical stimulation.

Xue Yuan's previously flaccid uterus finally began to show strong and sustained contractions! Hardness increased significantly!

As the main hidden bleeding point was controlled and uterine contractions gradually recovered, the oozing from the wound surface decreased significantly at a visible rate.

The rate of blood increase inside the Suction Device finally slowed and tended toward stopping.

"Blood pressure rising! 105/65!" the anesthesiologist reported.

"Heart rate dropped back to 95 beats per minute."

"Bleeding is controlled!" the circulating Nurse's voice carried obvious relief.

Zhai Director let out a long sigh, her forehead covered in fine beads of sweat.

She looked at Wang Chuan, her eyes filled with praise: "Wang Chuan, young people's eyesight is just that good!"

"Luckily you discovered that small tear in time. The position was too tricky; under conditions of uterine atony and unclear vision, it could easily be mistaken for ordinary oozing and overlooked."

"This kind of continuous small bleeding, combined with poor contractions, would have had unimaginable consequences if dragged on."

Wang Chuan nodded modestly: "It was the Director's decisive handling; I was merely assisting with observation."

Zhai Lin smiled: "In a moment, you will handle the suturing here. I have heard about your work in the emergency room; with the assistance of Doctors Zhang Yang and Wu Qinghua, you sutured nearly a hundred patients."

"It is all because Attending Physician Zhang and the others trust me. If I do the suturing, there is no problem!" Wang Chuan's tone was full of confidence.

Pei Nanli, who had just seen the blood spray and gone blank, her hands trembling, now glanced at Wang Chuan.

She thought, 'Wang Chuan is truly different from before. His gaze is unshakably firm, as if he were the Chief Surgeon, directing everyone through the surgery.'

The surgery continued: closing the abdomen, suturing.

Although Xue Yuan had lost a significant amount of blood, her vital signs were stable; after the infusion of red blood cells and plasma, her condition stabilized.

Most importantly, her uterus was saved.

Wang Chuan and Pei Nanli, each holding an infant, walked to the Surgery Room door. "Is Xue Yuan's Family Member here?!"

Chen Qing rushed over anxiously, seeing two healthy infants kicking their limbs, curiously gazing at this new World.

"A set of twins, boy and girl. The older sister weighs five jin and two liang; the younger brother weighs exactly five jin." Pei Nanli introduced.

"Good! Good!" Chen Qing was emotionally agitated, a bit at a loss as a first-time father, his eyes reddening; he reached out with trembling hands to touch the children, his voice choked yet clear.

"They are my children! The older sister... the older sister shall be named Chen Ran, from Tao Ling's ' leisurely gazing at the southern mountain'; may she in this life never be swept away by the mundane, acting as her heart dictates."

"The younger son shall be named Chen Chen. The 'Shuowen' records: 'Chen means tremor,' like the dawn star's rays piercing the eternal night; I hope he will be draped in the galaxy, his steps radiating brilliance."

The other Family Members in the waiting area, hearing these words spoken with such erudition, praised him one after another.

"This father is truly talented!"

"The names chosen carry such wonderful meaning!"

"Are you a university professor?"

Wang Chuan, standing beside Pei Nanli, suddenly froze for a moment.

'No way. This infant girl is Chen Ran, the college graduate I went on a blind date with twenty-one years from now. And is that her brother Chen Chen, who lacked a down payment for a house and asked me for stock codes?'