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 an abortion be threatened from any cause, the same general practice
must be adopted as recommended for _flooding_, the indications being
the same. I believe myself that in most cases, except from accidental
violence or internal disease, miscarriage may be averted. I knew a
lady who had miscarried many times, always at the same period, who
avoided it at last by simply _preventing constipation_ from the first
commencement of pregnancy, and by using an enema every evening of warm
starch and water, pretty thick, with about thirty drops of laudanum.
This was administered by means of a common injection pipe, just before
going to bed, and continued till after she had quickened, and repeated
occasionally after that, if she felt any premonitory symptoms of
uterine disturbance. If the patient be of a full habit, she should
also, _from the very beginning_, live low, keep the bowels free, and
the skin in good action, and take gentle regular exercise in the open
air.
When all the means used are found of no avail, and it becomes evident
that the fœtus must be expelled, every endeavor should be used to
assist nature in its removal as early and as safely as possible. For
this purpose the same treatment, as far as practicable, must be pursued
as in a real labor. If the hand can be conveniently introduced, without
undue force, it may be so, to remove clots, or to take hold of any
part of the fœtus which may present, and assist in its extraction.
In the early months considerable help may be given, sometimes by
introducing the finger into the mouth of the womb, with a little
extract of Belladonna, to promote its relaxation, but no _force_ must
be exerted in doing so. If any part of the after-birth can be laid hold
of it should be withdrawn, but no extraordinary effort must be used
to reach it. Frequently it happens that a portion of the after-birth
remains in spite of all attempts to take it away, and there is a
_possibility_ that it may produce inflammation of the womb, but no very
serious apprehensions need be felt of such a result, providing the
patient is properly attended to in other respects. The retained portion
gradually decays, and passes away, merely occasioning inconvenience
and being very offensive. The danger from leaving it except at a very
late period, is generally thought to be less than that from using any
forcible means to remove it.
The best means for correcting the offensive discharge are cleansing and
antiseptic injections. Warm soap suds are very good, or a decoction of
Peruvian bark in water. Strong _coffee_ is also excellent, or a weak
solution of chloride of lime. The bowels must be kept free, and the
skin carefully cleansed and well rubbed. On all occasions when the hand
can be introduced with moderate and safe efforts it should be so, and
the after-birth removed.
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