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
If at any time one of these varices should burst, it need occasion no
alarm, unless it be seated on a large vein, and the bleeding becomes
profuse. To stop it, bind on firmly over the rent any firm _cold_ body,
as a flat stone, or a large silver coin, passing the bandage several
times round. In slight cases a simple cold compress will be sufficient,
or a little powdered alum, or some vinegar and water. In short any of
the usual remedies for stopping bleeding from wounds. The female must
be quite still till it is stopped, and must be careful when she begins
to move about again, because it is liable to break out afresh. Those of
a very full habit must live low, and avoid all stimulants, so as not to
increase the quantity of blood in the body more than is necessary. It
is advisable to remove the varices, as much as possible, before labor
comes on, particularly if they are situated on the lips, or in the
vagina, because they may burst during delivery and cause considerable
inconvenience, or even danger. It is rare that these swellings continue
after delivery, but if they should do so, the same treatment must be
persisted in as before.
HÆMORRHOIDS, OR PILES.
These are troublesome annoyances at any time, but particularly during
pregnancy, and unfortunately they are very common at that time. They
are, no doubt, chiefly caused in the same way as varicose veins, that
is by the enlarged womb preventing the proper flow of the blood in
the small veins, and so causing them to swell, and form tumors. They
may in fact be called varices, as truly so as those on the limbs.
In many persons however they are undoubtedly brought on merely by
_Constipation_, which will undoubtedly either cause them or make them
much worse when otherwise produced. In general they become worse as the
pregnancy advances, because the womb becomes larger and the bowels are
more apt to be confined.
As long as they only cause inconvenience, without any particular
distress or urgent symptom, they may be let alone, or be slightly
treated in the way of palliation, till after delivery, when they
will disappear. Occasionally however, they grow to a large size, so
as to hinder the passage of the bowels, and prevent the patient from
sitting down or walking. They may then cause inflammation, and bring
on falling of the intestine, or abortion, by the straining which they
necessitate when the bowels are moved. And even if these extreme
results do not follow, there may be serious derangements of the general
health, indicated by difficulty of breathing, sleeplessness, headache,
and fever. In short there are few of the derangements incident to
pregnancy so annoying as this, and unfortunately, from its nature, the
sufferer dislikes to speak of it and seek the necessary assistance.
Many prefer undergoing the most excruciating agony for months, rather
than complain, which shows the necessity for females knowing how to
treat themselves, when possible.
Public-domain text, read in full here on John Shaqi.
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