The married woman's private medical companion : $b embracing the treatment of menstruation, or monthly turns, during their stoppage, irregularity, or entire suppression. Pregnancy, and how it may be determined; with the treatment of its various diseases. Discovery to prevent pregnancy; its great and important necessity where malformation or inability exists to give birth. To prevent miscarriage or abortion. When proper and necessary to effect miscarriage. When attended with entire safety. CausesMauriceau, A. M.
Science
The married woman's private medical companion : $b embracing the treatment of menstruation, or monthly turns, during their stoppage, irregularity, or entire suppression. Pregnancy, and how it may be determined; with the treatment of its various diseases. Discovery to prevent pregnancy; its great and important necessity where malformation or inability exists to give birth. To prevent miscarriage or abortion. When proper and necessary to effect miscarriage. When attended with entire safety. Causes
Mauriceau, A. M.
Abortion; Pregnancy; Women -- Health and hygiene
When no symptoms indicating an increased action in the vessels of the
womb are present, astringent medicines should be employed. And, in cases
where the discharges have not continued long, and the strength not much
impaired, it is often sufficient to arrest the disease by giving fifteen
or twenty drops of elixir vitriol, or six or eight grains of alum
dissolved in a glass of cold water every hour; or, what is preferable,
alum whey, sweetened to the taste, in doses of a small cupful, as often
as the stomach will receive it. But, if the discharge be obstinate, we
should have recourse to pills of sugar of lead and opium.[6]
In no instance which has come under my knowledge, where the hemorrhage
was in consequence of a laxity of the uterine vessels, have these pills
failed in producing the desired effect.
In those cases where the hemorrhage is profuse, or of long continuance,
and resists the means already pointed out, it will be proper to inject
into the uterus from a gill to half a pint of a strong decoction of oak
bark, in which one or two drachms of alum have been dissolved, or as
much of the saturated solution of alum in water, in order to constringe
and strengthen the vessels of the womb. This may be repeated twice or
thrice a day, according to circumstances.
When symptoms of an increased action in the vessels of the womb are
observable, the tincture of foxglove, in doses of twenty drops every
four hours, constitutes the best remedy.
When there is reason to suppose the hemorrhage proceeds from a scirrhous
or ulcerated state of the womb, all that can be done, is to afford
temporary relief by giving opium in large doses. Indeed, opiates may be
given with advantage in every case where there is considerable pain or
anxiety, and the patient much exhausted. Under these circumstances, from
one to two teaspoonfuls of laudanum, or from two to four grains of
opium, according to the urgency of the case, will be useful not only in
giving a check to the discharge, but also in preserving the strength,
and abating nervous irritation. In most cases it is preferable to give
opium in the form of injections to allay the spasmodic pains of the
womb; and, when administered in this way, clysters of thin starch or
gruel, in each of which two teaspoonfuls of laudanum are added, should
be given every two hours until relief be obtained. (_See Abortion and
Flooding._)
_Regimen._
The diet, at the time of excessive discharge, must be light and cool.
The drink must always be cold, as ice-water, lemonade, or tamarind
beverage. Port wine, in such cases, is too frequently resorted to, which
uniformly does harm by increasing the circulation.
_Prevention._
To prevent a recurrence of the attack in those who are subject to it,
the patient must necessarily avoid the causes by which it has been
produced.
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