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
The danger from hemorrhage during labor is greatest when it commences
the earliest, because it has then the longest to last. From any of the
causes mentioned it is evident that it must continue till delivery is
accomplished, and therefore if it appears at the commencement of the
labor it may cause the death of both mother and child, before the
labor can be terminated. The danger is greatest however to the child,
unless the flow be very profuse indeed, and then it is equally so to
both. After delivery the danger is of course only to the mother; and
the rapidity with which it may compromise her life is in some cases
fearful. Dr. Lee thus speaks of such cases.
"But one of the most dangerous varieties of uterine hemorrhage is that
which follows the expulsion of the placenta, or its removal from the
uterus by art. Sometimes the blood escapes in great quantities from
the uterus immediately after the removal of the placenta, and the
pulse ceases at the wrist, and consciousness is entirely lost in a few
seconds. There is no symptom before labor has commenced, or during its
progress, to warn you of what is about to take place. The child has
been safely delivered, the placenta has come away in a short time, and
while you are perhaps congratulating yourself on the happy termination
of the labor the blood begins to trickle over the bed upon the floor,
or the patient suddenly complains of great faintness. In such cases
there may be either a want of uterine contraction, or the contractions
may not be permanent, but be followed by relaxation and the effusion
of a large quantity of blood, which may either appear externally,
or remain to become coagulated, and distend the uterus. For several
hours after delivery, in some cases, this alternate relaxation and
contraction goes on, to the great hazard of the patient, and if her
condition be not clearly ascertained, and the proper remedies be
employed, death may unexpectedly take place."
In regard to the treatment, he gives such excellent and practical
rules, that I cannot do better than quote them.
Public-domain text, read in full here on John Shaqi.
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