The Matron's Manual of Midwifery, and the Diseases of Women During Pregnancy and in Childbed: Being a Familiar and Practical Treatise, More Especially Intended for the Instruction of Females Themselves, but Adapted Also for Popular Use among Students and Practitioners of MedicineHollick, Frederick
Science
The Matron's Manual of Midwifery, and the Diseases of Women During Pregnancy and in Childbed: Being a Familiar and Practical Treatise, More Especially Intended for the Instruction of Females Themselves, but Adapted Also for Popular Use among Students and Practitioners of Medicine
Hollick, Frederick
Chloroform; Gynecology; Indian Territory; Midwifery; Obstetrics; Pregnancy
Sometimes the mouth of the womb or other soft parts, will not give way,
but remain obstinately rigid, so as to render the continued expulsive
efforts of the womb of no avail. If this state continues too long the
parts become swollen, hot, and dry, and extremely painful, so that
the slightest touch causes acute suffering. The abdomen also becomes
exquisitely tender, fever sets in, with cold sweats, the head begins
to wander, the features express great anxiety and suffering, and the
voice alters so that it can scarcely be recognized. These symptoms will
sometimes be established, and become rapidly worse in a remarkably
short time, so that the patient will appear to pass suddenly from a
condition of comparative ease and safety to one of extreme peril and
suffering. The child also suffers in an equal degree, the continued
pressure upon its head having a most injurious effect. The bones
overlap to a great distance, the scalp is engorged with fluid, and all
its blood-vessels are ready to burst; the brain is severely compressed;
the circulation in it is suspended, and apoplexy frequently ensues.
Even when one of these protracted cases eventually terminates without
immediate mischief, there is much subsequent evil to be feared. The
bruised parts frequently slough away, so that fistulas are formed, and
the whole remain so permanently weak that they can never afterwards
retain their places.
The most usual resort in these cases of obstinate rigidity is
_blood-letting_. This frequently induces relaxation immediately,
and also checks the tendency to inflammation and fever. In many
cases however, if not in all, it may be dispensed with, and should
always be so if possible. Very frequently it produces as much evil
as good, by alarming the patient, and by creating a debility which
cannot afterwards be removed. Simple warm _fomentations_ will often
make the rigid parts give way; and so will lubricating them with
soothing ointment, or better still anointing them with the _Extract of
Belladonna_. This frequently acts like a charm, and opens the rigid
os tincæ in a few minutes. Injections of thin starch and laudanum are
also excellent, and may be advantageously administered before applying
the Belladonna. The _Galvanic Battery_ may also be employed, it having
induced relaxation in many cases, when all other means failed; as will
be seen by the cases quoted in "Practical Facts."
If the labor really does progress though slowly, it is generally best
to have patience and let it take its course. If however the patient is
likely to sink before it is completed, or if it is at a stand still,
and cannot be accelerated, artificial delivery may be necessary. It is
seldom however that all of the above mentioned means fail.
OBLIQUITIES OF THE WOMB.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account