After being separated from my family, I became a darling of the military region thanks to my medical

After leaving the ultrasound room, Ye Zhen went to the laboratory first.

The laboratory is in another building.

There were seven or eight people lined up in front of the window.

She didn't cut in line; she stood at the back of the queue according to her number. Only when it was her turn did she hand in the examination form.

"Can these items be expedited?"

The inspector took the form.

"Dr. Ye, the previous biochemistry tests are already underway. The urine protein ratio will take another half an hour, or at the latest forty minutes."

"it is good."

Ye Zhen sat down on a bench in the corridor and took out her notebook.

Three blood pressure readings, two weeks of edema, intermittent headaches, and blurred vision—all recorded on the same page.

She also wrote down the placental maturity and amniotic fluid index next to it.

No single factor is sufficient to make a diagnosis.

Ye Zhen put the results together, leaving very little room for chance.

Forty minutes later, her name was called at the testing window.

Ye Zhen took the report and started flipping through it from the first page.

Platelet count was 168 × 10⁹/L, which is still within the normal range.

Alanine aminotransferase (ALT) was 38 U/L, close to the upper limit of the reference range, while aspartate aminotransferase (AST) was normal.

Creatinine was 68 μmol/L, which does not meet the criteria for impaired kidney function. However, considering the pregnancy, this value needs to be monitored, and a follow-up examination is necessary after hospitalization.

There are no dangerous changes in coagulation parameters at present, and elevated fibrinogen levels are not uncommon in late pregnancy.

The last one is a urine test.

Proteinuria, two plus signs.

Random urine protein/creatinine ratio, 0.47.

The diagnostic reference line is 0.3.

The value of 0.47 exceeded 0.3, thus completing the evidence for proteinuria.

The patient developed high blood pressure after 20 weeks of pregnancy, and with confirmed proteinuria, the diagnosis of preeclampsia was confirmed.

This value cannot be delayed any longer.

Ye Zhen neatly stacked the reports in order, tucked them into her notebook, and got up to return to the outpatient building.

In the lobby on the first floor, Zhao Xiuxiu sat on a bench by the window, one hand supporting her waist and the other on her stomach.

Ye Cheng squatted down beside her feet, tying her cloth shoelaces again.

Zhao Xiuxiu's instep was so swollen that she could only loosen her shoelaces to the very bottom.

Ye Zhen walked up to the two of them.

Ye Cheng immediately stood up.

"Zhenzhen, the results are in?"

"They're out."

There were many people in the hall, so Ye Zhen didn't explain there.

"Brother, sister-in-law, come with me to the doctor's office. There are some things we need to discuss in person."

Ye Cheng helped Zhao Xiuxiu up, and the three of them went upstairs again.

Zhang Huilan is still in the consultation room.

Ye Zhen spread the lab results out on the table and first pushed the urine test report in front of her brother and sister-in-law.

"Sister-in-law, brother, this is protein in the urine, two pluses."

She then tapped the value below.

"The urine protein/creatinine ratio is 0.47, and the diagnostic reference line is 0.3."

"In addition, with her blood pressure exceeding 140/90 three times in a row, along with swollen legs, headache, and blurred vision, my sister-in-law's condition can be diagnosed."

Ye Zhen paused for a moment.

"It's preeclampsia."

Zhao Xiuxiu sat in the chair for a while before speaking.

"Is it that...the illness you mentioned last night that causes convulsions?"

"right."

Ye Zhen pushed the remaining examination forms over.

"There are no seizures yet, and the blood pressure has not reached the severe standard of 160/110. There is no obvious damage to platelets, liver and kidney function at the moment."

"But the headache and blurred vision can't be ignored. Just because your blood pressure isn't at the severe level now doesn't mean it will stay that way. After being hospitalized, you need to monitor your blood pressure, headache, and fetal heart rate."

Ye Cheng braced himself against the edge of the table with both hands.

"Then how do we treat it?"

Zhang Huilan picked up the hospital admission certificate.

"Let's get you admitted to the hospital today."

"The subsequent monitoring, medication, and delivery are the responsibility of the obstetrics department. Dr. Ye did the most crucial step well; she discovered it early, so we still had time to manage it."

Ye Cheng's Adam's apple bobbed.

"Do we have to stay here indefinitely?"

"We'll first have her hospitalized for evaluation, and then discuss whether she can go home for observation once her condition stabilizes."

Zhang Huilan handed him the hospital admission certificate.

"But going back to Heishan Village to produce goods is definitely not an option."

Ye Zhen opened the notebook and wrote down the subsequent arrangements one by one.

"After being admitted to the hospital, blood pressure should be measured at least four times a day. Fetal movement should be counted once each in the morning, noon and evening, and Director Zhang will arrange for fetal heart rate monitoring."

"A light diet is recommended, but not completely salt-free. Salted vegetables, cured meats, and fermented bean curd should be stopped for now, and water intake should not be restricted arbitrarily."

She wrote in the medication section.

"The antihypertensive medication will not be ordered at the outpatient clinic. After the blood pressure is retested in the hospital, if the blood pressure reaches the medication standard multiple times, then Director Zhang will choose the medication and dosage."

"Urine protein, platelet count, and liver and kidney function should be checked at least once a week, depending on the condition. If the values ​​change rapidly, additional tests should be performed as needed."

Ye Zhen continued writing.

"If the indicators are stable, we will try to terminate the pregnancy at 37 weeks."

"Whether to induce labor or perform a cesarean section depends on the fetal position, cervix, fetal heart rate, and my sister-in-law's physical condition. We can't make a decision now."

She paused the pen on the paper.

"If blood pressure reaches 160/110, headache worsens and is not relieved by rest, blurred vision persists, or upper abdominal pain, convulsions, and a significant drop in platelets occur, indicating intrauterine hypoxia in the baby, then we cannot wait any longer."

"Regardless of whether the baby is full-term or not, the pregnancy must be terminated immediately."

Zhao Xiuxiu's tears fell.

She didn't bother to wipe it, and her voice was hoarse when she spoke.

"Zhenzhen, is there any chance of saving the baby?"

No doctor can guarantee that everything will be alright.

"But you're in the main hospital now, and there are people watching over you at every critical stage, such as your blood pressure, seizures, and premature birth. If anything changes, it will be dealt with immediately."

She pushed the written notes to Zhao Xiuxiu's side.

"The prerequisite is that you cooperate. You must follow every step of the procedure, including hospitalization, meals, and monitoring. You cannot skip any part of it."

Zhao Xiuxiu grabbed the paper and nodded repeatedly.

"I'll listen, I'll listen to everything."

Ye Cheng bent down and pulled her close, remaining silent for a long time.

At that moment, the door to the examination room was pushed open.

Gu Zheng stood at the door, holding a thermal lunchbox in his hand.

No one spoke in the room, and Zhao Xiuxiu still had tear stains on her face.

He first placed the lunchbox on the corner of the table.

"Sister-in-law, please eat something first; you've been fasting until now."

The lunchbox was unscrewed, revealing white rice porridge and two peeled hard-boiled eggs inside.

Gu Zheng then took out an apple wrapped in a handkerchief from his pocket and placed it in front of Zhao Xiuxiu.

"The apple has been washed, we'll eat it later."

He pointed to the white rice porridge.

"I cooked the porridge, but I didn't add salt. Is it up to standard?"

Ye Zhen stirred the porridge with a spoon and then took a small bite.

"This meal is fine. From now on, you won't be completely averse to salt; follow the nutrition plan prescribed by Director Zhang."

"become."

Gu Zheng nodded.

"The kitchen stove at home will also be under the management of the obstetrics department from now on."

Zhao Xiuxiu held the lunchbox, her tears still wet on her face, but a smile had already appeared on her lips.

Gu Zheng then turned to the side and lowered his voice.

"Before I left, my grandparents called and mailed you some supplements."

Ye Zhen nodded: "That's great, it's just what my sister-in-law needs, she needs some nourishment."

Gu Zheng sighed helplessly: "I knew you would say that."