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
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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
pressure with the fingers around the whole orifice; apply the binder,
give ergot and stimulants, and the uterus will, in all probability,
contract upon its contents, and expel them without further trouble.
If the hemorrhage should, however, continue after the employment of
these means, delivery must be accomplished by the forceps, craniotomy,
or by turning, according to the peculiarities of the case. In women
who are liable to attacks of flooding after the expulsion of the child
or placenta, rupture the membranes at the commencement of labor, even
before the os uteri is much dilated, if the presentation is natural,
and you will often succeed in entirely preventing hemorrhage."
The recommendation to bleed may be with good reason objected to, at
least in the great majority of such cases; and I cannot but think that
a timely and persevering use of the ordinary remedies, namely, keeping
quiet, using acid drinks, and cold fomentations to the abdomen, would
do away with any necessity for it at all. I question very much if ever
bleeding really prevented abortion from flooding, and I cannot but
think that it has often brought it on sooner. Nevertheless, if all
other means fail to arrest the discharge, and there are no decided
objections to the contrary, it might be cautiously tried; though the
policy of taking _more_ blood from a person who is already losing _too
much_, is not very evident.
I have often known the most severe flooding stopped, merely by the
female lying on her back, drinking plentifully of lemonade, and
applying cold wet cloths over the abdomen. A small dose of laudanum
occasionally is also useful; and complete rest and tranquillity of
_mind_ is as indispensable as rest of the body. Many females flood
and miscarry merely from worrying and fretting themselves, and from
passion, or strong excitement, _particularly of a certain kind_. This
in short must be carefully avoided, and the patient must live strictly
as if a widow.
This accident is likely to occur in subsequent pregnancies, at nearly
the same time, and should therefore be guarded against by a careful
avoidance of all excitement, or violent bodily exertion, during the
whole time. Keeping the bowels gently open, and practising a regular
diet, are also requisite. A good supporting bandage is also of frequent
service. For much more valuable information on this subject however,
I refer to my work on "_The Diseases of Women_," in which it is fully
treated.
CHAPTER XXII.
ECLAMPSIA, OR CONVULSIONS DURING LABOR.
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