Pituitrin hypodermically. Pack uterus with sterile gauze or weak iodoform gauze. Strict asepsis for all intrauterine maneuvers. _Treat_ anæmia with transfusion, elevation of foot of bed, coffee, external heat, hot rectal enemas, stimulation, bandaging of legs. Strychnine sulphate, adrenalin, or camphorated oil may be required in usual dosage. Hypodermoclysis. (See Minor Operations, p. 206.) After the bleeding stops, the food must be most nutritious—milk, eggnog, rich soups, chicken and mutton broths, oyster stew, and beef steak as soon as she can take it. A diet of fluids and stimulating foods that raise the blood pressure will most quickly relieve the symptoms. [Illustration: Fig. 100.—The knee-elbow posture. (Bumm.)] [Illustration: Fig. 101.—The knee-chest posture.] =Eclampsia= occurs in the last three months of pregnancy as a rule, and most frequently just before or during labor. In about one sixth of the cases only, the attack may follow labor. The attack is characterized by violent convulsions, which come on with little or no warning unless the urine has been carefully watched. [Illustration: Fig. 102.—The exaggerated lithotomy position obtained with a sheet sling. (American Text Book.)] [Illustration: Fig. 103.—The improvised Trendelenburg position. (American Text Book.)] The _prodromal symptoms_ have already been described under albuminuria in pregnancy (p. 77). The marked features may be repeated for emphasis: _persistent headaches_, _disorders of vision_, spots before the eyes, blindness, edema of cheeks, eyelids, feet and hands, _pain at the pit of the stomach_, _dizziness_, _nausea and vomiting_ and ringing in the ears. Suddenly the convulsion occurs, the facial muscles twitch, then the limbs and body are shaken by violent muscular spasms. The body becomes rigid, the tongue protrudes and the face is livid and cyanotic. The spasm usually lasts from one to five minutes and is succeeded by coma that lasts an hour or more. In some instances there is no return to consciousness before the next attack, which comes on every hour or half hour, though occasionally only one seizure is noted. [Illustration: Fig. 104.—The dorsal position with stirrups. (Dorland’s Dictionary.)] The blood pressure is greatly increased and the urine is diminished, the temperature rises to 101° or 102° F. When death ensues, it is most frequently due to edema of the lungs or cerebral hæmorrhage. The greater the number of convulsions, the more serious the outlook as to life, and it is said that after twenty seizures fifty per cent of the mothers die. Under the best treatment approximately fifty per cent of the babies die. [Illustration: Fig. 105.—Dorsal position across the bed. (Bumm.)] There is no routine treatment for eclampsia.