The Eugenic Marriage, Volume 2 (of 4): A Personal Guide to the New Science of Better Living and Better BabiesHague, W. Grant (William Grant)
Science
The Eugenic Marriage, Volume 2 (of 4): A Personal Guide to the New Science of Better Living and Better Babies
Hague, W. Grant (William Grant)
Eugenics; Hygiene; Marriage
There are a large number of cases of criminal abortion in which septic
poisoning occurs caused by the utensils or instruments used in inducing
the abortion. All of these cases are operative cases which must be
attended to promptly to save life.
TREATMENT OF THREATENED MISCARRIAGE.--Not all of the cases of beginning
miscarriage end in miscarriage. If the physician is sent for in time he
can very frequently give directions that will, if carried out
faithfully, avert the disaster. Success is more likely to attend those
cases in which the trouble has been caused by some accidental injury, as
a fall, or blow, or extra exertion. This is more especially the case if
the woman has previously borne children, is healthy and in good
condition and whose womb is known not to be diseased. In these cases
there is a partial separation of the fetus from the wall of the womb,
which causes the bleeding. The physician will direct that the woman be
put to bed, in a quiet, darkened room. He will instruct the nurse to
sterilize the external genital region: a sterile gauze dressing is then
left in place. Some form of prescription will be given to diminish the
patient's nervous fear and to allay any tendency on the part of the womb
to contract. It is always essential and very important to save
everything that passes from the womb during the course of a threatened
miscarriage in order that the physician may know exactly just what the
condition is. Each cloth, each clot of blood will have to be examined
before the proper treatment can be pursued in safety.
When the miscarriage cannot be prevented it is called an "Inevitable
miscarriage."
TREATMENT OF AN INEVITABLE MISCARRIAGE.--In these cases every precaution
is taken, just as in a normal confinement, to avert blood poisoning. The
hands, instruments, dressings, etc., are carefully rendered sterile and
the whole field must be surgically clean. The physician will conduct the
case as conditions justify and as the situation develops.
AFTER TREATMENT OF A MISCARRIAGE.--It is one of the many thankless tasks
of a physician's life to insist on each patient staying in bed at least
ten days after a miscarriage. The average woman and frequently the
intelligent woman fails to appreciate the absolute necessity for this
procedure. It is necessary and it is the physician's duty to insist on
it being done in the interest of the woman. Many of the multitude of
diseases of women are caused by disregarding advice on such occasions.
THE TENDENCY TO MISCARRY.--If a woman, for any reason, has had a
miscarriage, her womb will tend to miscarry at the same period during a
subsequent pregnancy. If the miscarriage should occur during her first
pregnancy the tendency to miscarry will be greater than if acquired
after she has had a baby.
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