Philosophy of OsteopathyStill, A. T. (Andrew Taylor)
Philosophy
Philosophy of Osteopathy
Still, A. T. (Andrew Taylor)
Osteopathic medicine
You are there to assist it to get out of the place it has occupied so
long. You must begin first to rotate or roll the placenta first one way
and then another, up, down and across the vagina, by gently pulling the
cord. Look out or you will pull the cord loose from the placenta; then
you will have made your first blunder,--no cord to pull placenta with,
and the mother bleeding and faint from loss of blood. Now is the time
and place to save life. Pass your hand forward into the soft parts to
get your fingers behind the placenta; now give a rolling pull and bring
it out with the hand. You will find it an easy matter to get your hand
into the vagina and womb after the birth of the child. Get all the
placenta out, then take a wad of cloth or rags as large as the child's
head, and press it under the cross bone of the pelvis; push the cloth
under and up, so as to completely plug the pelvis. Now pull the hair
gently over the symphesis, which will cause the womb to contract by
irritation.
PREPARING FOR MOTHER'S COMFORT.
All is now done but to provide for the mother's comfort, which is your
next duty. Draw her chemise down her back and legs until it is straight,
then with safety pins, pin the chemise on inner side of thighs so that
the chemise will go around both thighs separately. Now you have the
shirt fast to keep it from sliding upwards, and you are ready to make a
band of the chemise to support the womb and abdomen. Bring the chemise
tightly together for two or three inches above the pelvis to form a
band. Previous to pinning, draw the lump (womb) you feel above
symphesis, up, then pin, and the belt you have made of the chemise will
support the womb. All is safe now, but you must not leave for two hours.
You may have delivered a feeble woman, who may flood to death after
delivery of the child, if you do not leave her safe. I have in mind one
case who flooded all of two quarts at a single dash. The first symptom
was a pain in the head.
POST-DELIVERY HEMORRHAGE.
I know of only two causes that would produce hemorrhage or bleeding
after the child is delivered. One is when the afterbirth (placenta), is
separated from its attachment to the womb and still retained in the
womb or vagina, or when a part is separated and still lies in the womb,
that retention of placenta prevents the natural circular contraction of
the womb, to close on itself and retain it, with force enough to prevent
the further discharge of blood, would give a chance for a continued
stream. Then should the patient bleed profusely after the placenta has
been removed, another cause would be in pulling away the afterbirth, as
part of the upper portion of the womb may be pulled to an inverted
position, which would be like a hat if you press the top down with the
hand. Then there is a chance for leakage because of this unnatural fold
made in the womb.
TREATMENT FOR.
Public-domain text, read in full here on John Shaqi.
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