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
It usually happens however, in spite of every precaution, that matter
will form, and its discharge become necessary. As soon as this is
evident, it should be promoted as much as possible, by hot fomentations
and poultices, till the head of the abscess is sufficiently distinct
for it to be safely opened. While the swelling is going on the pain
is often very severe, and it should be eased as much as possible, by
using laudanum in the fomentations, or by putting on an opium plaster.
After an abscess has opened and discharged, it should be kept open for
some time, by little pledgets of lint, to prevent its closing up too
soon, otherwise a portion of the matter may be shut in by the wound
healing over it, and another abscess will form. Warm poultices and
lotions should also be used afterwards, to promote the discharge as
much as possible, but they should not be used after it has evidently
begun to cease naturally. In short every means pointed out should be
used energetically in the first stage, to _prevent_ the gathering, but
if it takes place in spite of them, then it should be _hastened_ and
_discharged_ as early as possible, to prevent its extending. After
this, when it has evidently all escaped, the wound may be suffered to
heal, and the patient must be enjoined to be very careful in future,
for the same accident will be very liable to reappear.
Sometimes these abscesses become very extensive, and remain for a long
time. I have known ten or twelve on one breast, and I have known them
to continue open for many months. When this is the case it is much
to be deplored, as it is very likely indeed to destroy the breast,
and may even lead to more serious results. Attention therefore cannot
be bestowed upon them too early or too unremittingly, particularly
if the female be scrofulous, or of a very full habit. Sometimes the
inflammation attacks both breasts, and at other times only one, in
which case every effort should be exerted to prevent its extending
to the other. In many persons the same side is always affected, and
becomes a scape-goat as it were for the other.
When the means used succeed in scattering the swelling, its dispersion
is usually followed by some critical discharge, such as diarrhœa, or a
great flow of urine, or even by profuse perspiration, which shows how
nature operates in removing the diseased matter, and cautions us not
rashly to check such discharges.
Public-domain text, read in full here on John Shaqi.
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