As one of the 3,300 midwives trained by the Nursing School of Kwong Wah Hospital, Ms. He Liwen has mainly worked in the obstetrics department for 37 years as a nurse. She has delivered countless babies. The highest record was one night in the early 1970s, when 31 babies were born in the delivery room. .
(This article is excerpted from "Words of the Lantern Carrier: History of Nursing Education in Guanghua Hospital".)
Interviewee: He Liwen, former manager of the obstetrics and gynecology ward of Kwong Wah Hospital
Interviewed students: Pan Jun-ang, Mak Sze-wan of Hong Kong Baptist University, Zhang Yiqiao, Chen Jiaxi, Lu Xiaolin of Xie Yan Secondary School
Interview date: August 27, 2021
Caring for family inspires being a nurse
After Miss He completed her primary and secondary education in Shanghai, she was sent to East China Normal University to study Educational Psychology.
"At that time, I also thought of Peking University or Tsinghua University, but I was afraid of the cold, so I chose Shanghai."
One year before graduation, she received information from her parents who had already settled in Hong Kong. Because her mother was in poor health, the family wanted her to come back to take care of her mother, so Ms. He came to Hong Kong in 1962.
During the process of taking care of her, she thought that if she was a nurse, she would have more common sense about nursing, which might be more helpful to her mother, and the nursing profession "helps herself and others."
In 1964, it happened that Kwong Wah Hospital’s nursing school was recruiting students, and the admission requirement was to graduate from high school, so she decided to enroll.
At that time, three subjects of Chinese, English and Mathematics were required. After being accepted, she completed a three-year general nursing course, and then took a one-year midwifery training.
Unforgettable delivery of 31 babies in 1 night. The BB bed is not enough to sleep here (click to enlarge to read the extract):
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Mastery by learning by doing
At that time, there were 30 or 40 students enrolled in the general department. In the first year, they learned basic knowledge and theory, took classes at school every three months, and practiced in hospitals for the next three months, alternately.
So when she was in the first grade, Ms. He was already working in the ward, pushing a tool cart with dressings, following what she called the "higher class" third graders, watching how they dispensed medicine, washed wounds, and learned as apprentices.
"I think this form of learning is good, because while learning and doing, I have the opportunity to communicate with patients and understand their actual conditions. I not only learn the knowledge in books, but also learn clinical treatment." Learning while learning, "the deeper the memory, the better the knowledge can be integrated".
Patient with emotional instability in Ding Youfang
During her career as a nurse, Ms. He had an unforgettable event.
At that time, she was in the first grade and had just come to the ward for an internship. "There is a ward on the first floor next to the temple of Kwong Wah Hospital." The ward was called "Ding You Room". It is hemiplegia or incontinence, and the patient "throws stool everywhere" under the influence of emotions.
This made Ms. He feel very sad, so she tried to chat with them outside of work, hoping to provide spiritual support or help, but "they didn't understand what I meant."
The ward was later dismantled and the patients were transferred to the Tung Wah Group of Hospitals Wong Tai Sin Nursing Home built in 1965.
As for the ward that Ms. He mentioned is located next to the "Kwong Wah Hospital Temple", why is there a "Temple" in the hospital?
It used to refer to the lobby of the former Kwong Wah Hospital, which was changed into the Tung Wah Group of Hospitals Heritage Museum in 1970. Because Shennong was enshrined inside, it was called a "temple" by the people in the hospital.
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Thirty-one babies delivered in one night
After completing her midwife training in 1968, Ms Ho started working in the obstetrics department.
The early 1970s was the booming period of Kwong Wah Hospital’s obstetrics department. At that time, many pregnant women came to give birth. In addition to locals, some came from the mainland with one-way permits, but some did not have documents. Entering the delivery room without any inspection, it is actually quite dangerous.”
But the most thrilling one was the night that "we delivered 31 babies" within one and eight hours.
In addition to Ms. He, who was in charge of the delivery room, there were two obstetricians and four midwives, a total of seven people. We pushed forward to the delivery room, but there were many pregnant women from Yau Ma Tei that night. Because of their frequent labor, "they gave birth as soon as they entered the delivery room", so they were pushed into the delivery room for preparation only after six or seven degrees.
"There were too many people at that time," so Ms. He delivered the second and third babies first, and the mothers-to-be for the first baby had to wait in the waiting room.
After delivery, there are still many things to do. First, wipe the baby's body, then put on wristbands, footbands, and print his footprints to ensure that the identity is correct.
"It is very important not to mistake the name of the mother and the gender of the baby. It is very important to mark it first, print the footprints, and record the time of birth."
Due to the unprecedented grand occasion, the hospital could not find enough cribs in a short period of time, and finally 18 babies had to sleep on cots.
At that time, a group of colleagues were so busy that "there was no time to go to the bathroom", Ms. He was still thinking about it when she got home from get off work. Although she was very tired, she had to call her colleagues to make sure the records were correct before falling asleep.
The gauze is left in the body. The famous doctor is called to suture the wound. The nurse firmly opposes the ending. God unfolds
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work of midwives
At that time, the delivery room was divided into two floors. The first floor was the delivery room for "normal delivery". On the 11th floor of the north wing, it was the floor where Ms. He worked. If the buttocks come out first, or if the pregnant women have pregnancy complications, such as high blood pressure and antepartum hemorrhage, "In short, there are difficult and pregnancy-related diseases on the tenth floor of the North Wing."
Most of the mothers who give birth normally are managed by midwives, and those with more senior qualifications will be in charge. Ms. He had to take full responsibility after graduating from obstetrics school for two years.
However, there were pregnant women who did not have antenatal check-ups and found out that they had "breech presentation" when they gave birth. "If the baby's head cannot be delivered smoothly, it will suffocate and die in the uterus." To, but also to deliver for the mother.
"In our era, we had to do it all by ourselves, and the midwives at that time were really capable."
In addition to the delivery room for delivery, Ms. He was also working in the antenatal room and postpartum room.
The antepartum room is for those pregnant women who have not given birth but suffer from pregnancy toxemia, hypertension, diabetes, etc. to be admitted to the hospital for examination and observation; the postpartum room is the room where the mothers live after giving birth. "The work is relatively simple", mainly to observe the mothers Whether there are abnormalities such as postpartum hemorrhage and feeding work.
People in Yau Ma Tei Shui rarely do prenatal checkups
In Yau Ma Tei in the 1970s, there were many Shui Shang women. Even after they were registered, they seldom had antenatal checkups.
Because most of the people in Shuishang are multi-child families, and there is a general patriarchal thought, sometimes in order to "chase children", the wife keeps getting pregnant, thinking that so many children are also giving birth in this way, so they don't care about the birth check.
At that time, the concept of family planning was not popular among the people, and Guanghua Hospital did not charge fees, which attracted more people to give birth.
"We don't have any class, whether we have money or not, we will treat people equally."
However, even if there were prenatal checkups, the checkups at that time did not have the support of today's technology and data, such as the baby's weight is only an approximate estimate.
Once Ms. Ho delivered a ten-pound, three-ounce baby. "I couldn't even eat that night because I exhausted all my strength to help her out."
After the baby's head was delivered, she was ready to deliver the baby's shoulders, but "his shoulders got stuck and he couldn't get out, and he had to make his shoulders go along the birth canal before giving birth." In the end, Ms. He tried her best The method is to turn the baby to the normal position before delivery.
If I knew the baby's condition early today, I would choose a caesarean section.
Receive maternity home cases
In addition to delivering deliveries for mothers in Kwong Wah Hospital, Ms. He also accepts cases transferred from the "maternity center".
The maternity home is a private delivery place set up by midwives themselves, and there are no doctors stationed there. It prevailed in the 1950s and 1960s, and gradually decreased in the 1970s.
When the maternity center encounters dystocia or problems with the baby during delivery, it will quickly transfer the mother to the hospital for treatment.
Ms. He retired in 2001 with the title of ward manager.
She said that delivering a baby can only be understood through clinical experience. Even though there are many difficulties at the beginning, "the environment at that time will allow you to learn, exercise, adapt and grow", so that they can learn to judge, judge and grow in a complex environment. Deal with and solve problems.
Looking back on the past, Ms. He said that working with colleagues, helping each other, giving advice to each other, and exerting team spirit, all things and problems can be solved easily.
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Words from the Lantern Carrier: History of Nursing Education in Kwong Wah Hospital
Title: Words from the Lantern Carrier: History of Nursing Education in Kwong Wah Hospital
Author: Archives, History and Culture Office of the Tung Wah Group of Hospitals
About the author: The Tung Wah Group of Hospitals has a long history and has preserved a large number of historical files and cultural relics. It is said that the Tung Wah Group of Hospitals is a local private institution with the richest literature.
Many scholars believe that studying the historical archives and cultural relics of the Tung Wah Group of Hospitals will help them understand Hong Kong, especially the development of the Chinese society.
The Tung Wah Group of Hospitals established the Archives, History and Culture Office in 2010. By promoting cultural relic conservation and providing cultural services, the Tung Wah Group of Hospitals is committed to protecting, developing and sharing the history and culture of the Tung Wah Group of Hospitals.
In recent years, the office has successively launched a number of important cultural relic protection plans and public education projects.
[This article is reproduced with the authorization of "Hong Kong Zhonghua Book Company".