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
The manner in which it terminates is also different in different cases.
The fluid resulting from the inflammation may either be absorbed, or
suppuration may ensue, and the matter be discharged, either from one
of the natural passages or from an artificial opening; or it may not
be discharged at all. Sometimes gangrene or mortification ensues,
and sometimes the inflammation partly subsides and becomes chronic.
When it terminates by resolution, which is the most favorable mode,
the patient begins to improve about the fourth or fifth day; the
pains become less acute, the swelling and tenderness become less, and
the milk, lochia, and other secretions that were suppressed begin
to reappear. The patient is also able to lie either on the back or
sides, and soon feels conscious herself that she is improving. But
even when a turn for the better has decidedly taken place, too much
confidence should not be prematurely felt, nor should there be any
relaxation of attention, for the slightest causes may bring back all
the symptoms with more than their former severity. When suppuration
ensues, which is most commonly the case, a mass of fluid forms in
the womb or abdomen, and is plainly indicated, either by its moving
about or by a portion escaping from the body. In this case also the
pain and tenderness decreases, and the abdomen seems less hard, but
the pulse becomes weaker, a sense of weight is felt about the womb,
the extremities become cold, chills come on, and gradually the powers
of the system seem to fail till complete exhaustion ensues. When
gangrene or mortification ensues, the termination is nearly the same,
but more rapid, and all the above symptoms are more marked. When it
passes into the chronic form, there is but little permanent abatement
in the severity of the symptoms for some time; they partially lessen
at intervals, but return again, sometimes with renewed vigor, and it
remains long a matter of doubt whether the disease has really passed
the critical period or not. Recovery takes place occasionally in this
form of the disease, but more frequently the patient becomes daily
weaker and more emaciated, diarrhœa and slow fever set in, the vital
powers steadily sink, and at last death ensues. This fatal termination
may however be delayed for an indefinite period, and may ultimately
result from Consumption or Dropsy, both of which frequently follow
chronic puerperal fever.
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