The Prospective Mother, a Handbook for Women During PregnancySlemons, J. Morris (Josiah Morris)
Science
The Prospective Mother, a Handbook for Women During Pregnancy
Slemons, J. Morris (Josiah Morris)
Obstetrics; Pregnancy
It is the office of the ligaments to hold the uterus in proper
position. In consequence of pregnancy they have been stretched, and,
as we might anticipate, after the contents of the womb are expelled
the ligaments hang loosely from its sides, very much as sails hang
when a breeze dies down. Immediately after delivery, therefore, the
ligaments give the womb little or no support; eventually they shorten
and tighten, readily accommodating themselves to the existing
conditions. Until the accommodation is perfected, it is especially
desirable to permit no pressure which might push the womb backward.
It is for this reason that many obstetricians object to the time-
honored custom of applying a tight bandage about the abdomen at the
conclusion of labor; for, though bandaging is not always harmful, it
has a distinct tendency to misplace the womb. A friend who has served
as an assistant in one clinic where patients were bandaged regularly
and in another where they were not, tells me that displacements of
the womb were much more common among women treated by the former
method.
While the process of involution is altering the shape and size of the
womb, other forces are at work within the organ to provide its cavity
with a new mucous membrane. In character and in extent the inner
surface of the womb, left raw and bleeding at the conclusion of
labor, is comparable to the wound which would result if some accident
removed the skin from the palms of both hands. No one would question
the wisdom of guarding such an injury to the hands; but cleanliness
is even more necessary to the prompt and healthful restoration of the
uterine mucous membrane. However, the wound within the uterus is so
far from the surface of the body that it need not be directly covered
with a surgical dressing; sterile pads are kept over the vulva to
exclude contaminating material until the healing is completed. Since
bleeding ceases after that point is reached, we have no difficulty in
knowing when the mucous membrane has been restored.
THE LOCHIA.--The vaginal discharge which regularly follows the
termination of pregnancy gets its name from the Greek word
_lochia_. At first the discharge is pure blood, because it
issues exclusively from the vessels left open by the removal of the
after-birth. The greater part of the blood flows out of the birth
canal, but frequently some of it collects in the cavity of the uterus
or of the vagina; there it coagulates, and the clots may not be
expelled until several days later. In that event, as whatever effect
the bleeding may have had has long since passed, the appearance of
the clots is usually no occasion for alarm.
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