Femina, A Work for Every Woman — John Stuart Mill — John Shaqi
Femina, A Work for Every Woman
John Stuart Mill · en
During and after confinement is another important time for the
employment of vaginal washes. The _lochial discharge_, which is one
of the ordinary accompaniments of the newly-delivered woman, is a
discharge from the uterus, which continues for several days, growing
less and less, for a few weeks, when, in a normally healthy state
of affairs, it should cease entirely. The lochia is the oozing from
the mouths of the blood-vessels of the womb where the placenta or
afterbirth was attached, together with the passing off of the old
lining membrane of the womb, while the organ is returning to its
original condition. At first the discharge is bloody, and it may
retain this character for two or more days after delivery; then the
color is changed, partaking more or less of a watery nature and
presenting a yellowish hue; it then becomes whitish and ultimately
ceases altogether. After the first four or five days the lochial
discharge often becomes very offensive; this is a sign of putrescence
or decomposition, and the only remedy in this, as in all other similar
instances, is to wash the vagina thoroughly with borax water, or with a
preparation for which a prescription will be given further on.
In every case of delivery, the mouth of the womb is more or less torn
or lacerated; this is unavoidable, and it is generally harmless. One
of the surgical humbugs is to sew or stitch, or attempt to stitch,
these little harmless tears together, not of course for the good it
will do the patient, because she is more likely to be injured by this
meddlesome surgery, but to make a business and a fee. The common
practice of these and kindred surgical expedients is one of the crying
evils of an overcrowded profession which is trying to keep itself
employed at all hazards.
The vagina also receives more or less injury during an ordinary
confinement; if the midwife or the doctor is too meddlesome or in too
big a hurry to get through, he will use the forceps, which simply
means, to pull the child out and through the vagina, before nature has
had time to dilate or stretch the parts sufficiently, to allow the
child to pass through the maternal organs without injuring them. As a
result of this brutal haste, frightful lacerations are incurred, which
require immediate attention, but small lacerations heal without any
further treatment than to keep clean.
After every confinement there is considerable sore or raw surface,
with which the offensive discharge comes in contact, to become readily
absorbed or taken up into the system, giving rise to fevers or
inflammations of the womb and other pelvic organs. If one has a wound
on any part of the body, the first thought would, or rather should, be
to keep it clean; exactly the same treatment is required for wounds of
the womb and vagina.