Kounodori 2 (コウノドリ)

An epidural? Do I want?

At your first exam, we did explain it right?

Did you?

Hey, it is your own body!

Well, then let me explain again.

Yamazaki's illness, pulmonary artery stenosis,

The arterial valve going from the heart to the lung

makes the artery narrow because the valve is narrow.

To send blood to the lung,

the heart is a pump that works hard.

and thus it puts a burden on the heart.

But since I've been treated, I've been totally fine.

Yes, there are no problems with everyday life.

However, giving birth is different.

In the situation with natural childbirth, when the baby is born,

the mother has to use all her body's strength to push.

The labor pains put an unusually high burden on the heart.

During delivery, it's necessary to release you from the pain.

Somehow, I don't really understand.

Therefore your heart will go....

come apart like...

saying you should give birth like that.

Oh, oh, you are so smart!

Well yea...

Well I heard from a friend, it was shocking.

When the baby was born, it hurt like being struck with lightning.

Lightning? Therefore rather,

Epidural is a Godsend.

Sano san, about Minami chan's ventricular septal defect,

the hole in the membrane has gotten much smaller.

It looks like even without surgery, it will probably be OK.

Is that... true?

Yes. Isn't that good.

Well about day care, is it OK for them

to take her now? Day care?

I was originally planning to return right to work,

but I've now passed the original plan.

Shirokawa Sensei.

Oh, if she stays stable as it is,

day care should be no problem.

However we should continue with the checkups.

If you would please.

Because if I rest any more, I'm at my limit.

Come see us again. Take care.

Oh, Sano san. Sano san.

Sano san.

Minami chan's checkup?

Yes, they said she can now start day care.

That's good, Mi chan.

Hey if you have time, won't you pop in to obstetrics?

Oh aren't the obstetrics exams over now?

But getting the nursing on schedule, and other schedules must be hard, right?

With you're body being sluggish, it'd be good to visit with Shinomiya Sensei,

there's nothing troubling you?

Somehow, you are worried about me?

But I am OK.

Right, well if there's anything, come anytime, OK.

Yes, excuse me.

Is that right, you're full now?

Understood.

Not this place either.

Don't cry.

Postpartum, is not an obstetrician's specialty.

That may be... Postpartum,

with it's preamble, everyone casually talks about it, but

it is the territory of psychiatry when someone falls into depression.

I know but... What it is that we can do,

give them instruction on postpartum, then direct them to seek

the psychiatric department, is all we can do.

Well, but me too, I'm a little concerned with Sano san.

When she was here for the exam, she never looked at Minami chan's face.

When I talked about her health, she only talked about work.

Sano san, right after birth, was really concerned how the baby's illness

would affect her job.

The edinburgh test result? Yes, here.

An edinburgh?

The edinburgh test is postpartum survey

given to postpartum mothers to assess risk.

They are questions that easily identify depression symptoms.

They personally fill out? Yes.

Well then, even if they have symptoms, can't they hide it?

Well... Certainly as Akanishi Sensei says,

that can be a problem however, there are SOS that can be shown on the edinburgh.

There are many mother's that will not ask for help themselves.

The score shows there is no problem.

But we need to be cautious.

I will talk to the regional health nurse about Sano san one more time.

Komatsu san, isn't that out of ink?

I know, I know...

Hey I was using that. Well I know...

Looking at that, and not being able to do anything,

it's so frustrating.

But I do understand what Shinomiya says.

Kounotori Sensei, seems there's a Yamazaki Reiko san

at the reception desk. The epidural one.

What, she doesn't have an exam today?

Yamazaki san, are you OK?

Sensei. Yes.

I saw a fire.

A fire? In apartment three next door,

it had flamed up but, when I asked the old lady later,

she said that when a pregnant woman sees a fire, it means a baby's about to be born,

Well then I couldn't sleep....

That just a superstition.

Huh? Aside from seeing a fire,

I'm worried that you're not sleeping, it's not good for the baby.

Oh, no sorry, I was just so worried...

It's OK. If you're worried about anything,

please come anytime.

No send them away. Shinomiya,

Well sending them away, even for such superstitions,

but if all the pregnant people came, it'd be a problem.

Lately it seems that so many come in for the littlest things.

We only have so much time for treatment, so it's a bit annoying.

It's fine.

If they have any worries, it's good that they come.

Well but... and further

calling Yamasaki san the epidural is little surprising.

It's rare at PERSONA,

Is it?

It is our hope here that they won't have epidurals.

For heart problems and such that have a need for it only.

But lately they've increased, I have a friend that gave birth that way, but

she said postpartum was much easier. I think it's the needs for the time,

some countries in the west have more than half with painless births,

isn't Japan just behind the times? Well about that,

Then you should specialize in obstetrics?

Obstetrics? Everyday making a transport,

starting the anesthesia to manage the expected labor pains,

how do you think you can do that at every hospital?

In our hospital's situation,

with the number of obstetricians and anesthesiologists, we cannot do much more.

Overseas with their number of obstetricians,

they can do it.

Try using your head, Junior kun.

Sorry.

Good job.

Here.

Why that?

You seemed down.

I'm not particularly down.

It's just he didn't need to be so mad.

Well that is true, but.

But when Shinomiya Sensei says something, there's always a precise reason.

I not going to become an obstetrician.

My dad's a doctor too, well I mean I'm just starting,

well what's the quickest path.

Well apart from that thought, I didn't intend to say this but,

while you are here,

to the patients, you are an obstetrics doctor also.

don't forget that, OK.

You could tidy up a bit. Cause you came without calling.

You should always have it clean. You're not taking care of yourself either.

Really my daughter can't do anything, sorry.

Yasutaka san too here's this, it is safe to come home.

It's OK, at the company,

I'm called the child rearing man.

You had been nursing before, now you're changing to formula?

Cause she's going to be starting day care, it'll be trouble if she's not used to formula.

Day care?

I'm planning to go back to work next week, worried about the project I started.

Oh, won't they be OK without you?

There's others that can do your job,

However no one can replace a mother,

until they're 3 years old, it's better to be with them as much as possible.

What is that... There the thing with the heart,

You just barely gave birth, put your body to it's limit,

Isn't this how it's supposed to happen?

No, Okaasan, that's... Yasutaka san, you the one that goes out and works,

you stay at home and raise the child, that is best.

A couple is two people as one.

A concert inside the hospital?

Well we're having an informal gathering of NICU graduates,

we're wondering if we could get you to play the piano?

Take care.

You sure I'm OK? Of course.

The children of course, the mothers and for the families.

While they're raising them, they just can't get out,

there's many that don't have time to listen to music.

Have they been able to interview Sano san?

The public health nurse has gone to the house many times, but...

I'm Uchida the regional health nurse, I'm calling to talk with you.

Seems like she's always out when they go.

My mother said, when you're pregnant, you can't let your body get cold,

Therefore I have 4 layers under my jacket.

Two layers of leg warmers, pokkapoka

Oh, Yamazaki san, you OK?

Sorry, could you bring some water.

No, don't need it, I'm only drinking hot water.

Hot water? Yamasaki san,

Yamasaki san.

Oh hot!

Yamazaki san, whatever it is, don't overdo it.

No, but my mother...

Certainly you don't want your body to get cold,

However, because you have on so much clothes, it makes you sweat a lot,

that's not good for your heart.

Also during pregnancy, your amount of blood increases, so you need more liquids.

Don't fuss over hot water, normal water is fine,

make sure you drink plenty.