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
To the above remedies I would only append one other, which has, on many
occasions succeeded, when all others have failed, namely _Galvanism_.
This has, at the last moment, when the female was sinking, brought
on uterine contractions, stopped the flooding, and saved her life.
The application is very simple; one pole being placed on the back,
immediately between the hips, and the other over the uterus. Or one
of the poles may be coated with wax, all but the end, and introduced
into the vagina, so that the unwaxed part may touch the mouth of the
womb, while the other is placed over the fundus, or on the back, as
found most efficient. The power should be sufficiently strong to
produce contraction, and the application must be continued till the
contraction remains after the pole is withdrawn. No medical man should
give any female up who is flooding, no matter how severely, till he has
tried Galvanism. In my "_Neuropathy_" and "_Practical Facts_" will be
found many cases, with such plain directions that any one could follow
them and apply it.
The presentation of the placenta, or its growth over the mouth of the
womb, is the most serious cause of flooding, and generally makes any
attempt to check it of no avail, except _delivery_. The discharge
however nearly always occurs before the full period, and either causes
miscarriage or necessitates premature delivery. Dr. Lee remarks:
"In the greater number of cases of placental presentation the
discharge of blood takes place spontaneously in the seventh and eighth
months of pregnancy, and cannot be referred either to bodily exertion,
external violence, nor to any unusual determination to the uterine
organs, or congestion of their vessels. The hemorrhage generally comes
on suddenly, when the woman is in a state of rest, and the blood
continues to flow until faintness or even syncope takes place. It
often ceases entirely, and the patient resumes her usual occupations,
and has no dread of another attack. But after an interval of several
days, and sometimes not before two or three weeks, the flooding is
renewed, and perhaps with increased violence, or a constant profuse
discharge takes place, and a decided effect is produced upon the
constitution,--the pulse becomes rapid and feeble, and the countenance
pale. Similar attacks return at longer or shorter intervals, and if
delivery be not accomplished by art, sooner or later death takes
place. The first attack of flooding seldom proves fatal, but it
sometimes does so; for in the second case related in the table, which
occurred in the British Lying-in Hospital, the life of the patient
was at once extinguished by a single gush of blood from the uterus. I
examined the body after death. The centre of the placenta was over the
centre of the os uteri.
Public-domain text, read in full here on John Shaqi.
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