"By far the most important remedies in these cases of uterine hemorrhage are constant and powerful pressure over the fundus uteri, the application of cold around the pelvis, and the free administration of wine, brandy, and other stimulants: ergot is indicated, but it most frequently produces no effect. The pressure and cold are always within our reach, however sudden the attack may be. The hypogastrium should be strongly compressed with the binder, and a pad of folded napkins placed under it, and in addition the hand should be firmly applied over the fundus uteri. I do not know who it was that first employed compression of the fundus uteri in cases of flooding after the birth of the child; but it has been often recommended, and there are few practitioners in this country who are not fully aware of the importance of the binder and pad, in exciting permanent and regular uterine contractions. Dr. M'Keevor states, that in 1815 it was recommended by Dr. Labatt in his lectures, and for a number of years before this Dr. Labatt was accustomed to recommend a thick firm pad, or compress over the pubes, previous to the application of the ordinary binder, where, in former labors, uterine hemorrhage had taken place. Dr. M'Keevor states, that of 6665 women delivered during the years 1819 and 1820, only 25 were attacked with hemorrhage after the birth of the child. Of these, 15 occurred before the expulsion of the placenta, ten afterwards, and in all the results was favorable. He saw only two fatal cases during the time he was in the Dublin Lying-in Hospital, and he attributes this small mortality partly to the process of parturition being left entirely to the unassisted gradual efforts of the uterus; partly to the patient having been kept cool and quiet, free from all sources of disturbance and irritation; but, above all, to the careful application of the binder immediately after delivery, by which means the expulsion of the placenta, and permanent contractions of the uterus, are most effectually secured, and whenever any tendency to hemorrhage did occur before the removal of the placenta, the first point invariably attended to was to tighten the binder, and in the event of this not succeeding, a thick firm compress, made by folding a couple of large coarse napkins into a square form, was placed over the region of the uterus, and the binder again adjusted. In the great majority of instances, these, with the admission of cool air, checked the discharge; if not sufficient, additional pressure was made with the hands.