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
In most cases flooding is preceded by dull pain in the loins and
groins, and a sensation of weight and dragging. Similar sensations
however are often produced by other causes, which makes it difficult to
predicate, with any degree of certainty, whether the patient is about
to flood or not. The very first appearance of blood from the vagina
must therefore be watched for carefully, as that removes all doubt,
and warns us to be prompt with the proper remedies. Sometimes a female
will flood internally, the blood being retained by the passage being
closed or plugged up by clots, or by its passing behind the membranes,
or under the centre of the placenta. These internal or concealed
hemorrhages are very dangerous, as the patient may lose much blood
before her condition is suspected. It is therefore necessary to bear
this in mind, and carefully use every means to ascertain whether such
an accident has occurred or not. In general the indications are pretty
plain, the patient suffering from deep seated and distressing pains in
the back and groins, with great weakness in the limbs, faintness, weak
pulse, dimness of sight, ringing in the ears, coldness of the hands and
feet, swelling of the abdomen, and finally fainting, particularly if
the retained blood suddenly escapes, which it usually does.
In the early months there is more danger to the child from flooding
than there is to the mother, because it is nearly certain to lead to
abortion. In the latter months, on the contrary, the mother runs the
greatest risk, as the child may then live if it be expelled, while the
mother may sink and die from excessive loss of blood. There are many
females of a very full habit, who suffer but little from hemorrhage,
unless it be excessive, indeed some seem to be benefitted by it, and
are thus relieved from headache and convulsions. It should, however, be
carefully watched, and its effects duly noted.
The treatment of flooding must depend materially upon its severity, and
the time when it occurs. In the early months, when the discharge is
slight, and when it causes little distress, simple means will answer.
The patient must lie on her back, on a hard mattress, with the pelvis
raised, by means of a pillow, higher than the rest of the body. The air
must be kept fresh and cool around her; she must keep herself quiet in
body and mind, live rather low, and drink freely of cooling drinks,
such as soda water, lemonade, tamarind tea, or ice water. [The fullest
directions for making and using all these drinks will be found in my
"Diseases of Woman."]
Public-domain text, read in full here on John Shaqi.
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