A textbook of obstetrics . , and septicsymptoms supervened. Inspite of these unfavorable con-ditions pregnancy continued,and the fetus lived until I wasobliged to terminate gestationon account of the anemia andthe symptoms of systemic Goodells statistics, thebest ever collected, give 54maternal deaths out of 107cases, and of the 108 children(there being one case of twins)only 7 were saved. Treatment.—The main ob-ject of treatment is to evacuatethe womb as speedily as possible, so that the uterine muscle maycontract. At the same time it must be remembered that thewoman is
A textbook of obstetrics . , and septicsymptoms supervened. Inspite of these unfavorable con-ditions pregnancy continued,and the fetus lived until I wasobliged to terminate gestationon account of the anemia andthe symptoms of systemic Goodells statistics, thebest ever collected, give 54maternal deaths out of 107cases, and of the 108 children(there being one case of twins)only 7 were saved. Treatment.—The main ob-ject of treatment is to evacuatethe womb as speedily as possible, so that the uterine muscle maycontract. At the same time it must be remembered that thewoman is in no condition to endure much additional shock. Thebest procedure is to dilate the cervix with Barnes1 bags orwith the fingers, to perforate the membranes, and then to extractthe child by tin: quickest plan available. If the presenting partis not engaged, the child should be rapidly extracted by theleg. If the head is engaged and a rapid forceps operation ispracticable, the instrument should be employed. If not, crani-. /Itmbi .owe rendoPc/ot inhigh. rog)iosis.—The mortalityemorrhage is Fig. 409.—Accidental collected between placenta and partof membranes and the uterine wall (Pinardand Varnier). LABOR COMPLICA TED BY ACCIDENTS AND DISEASES. 5 37 otomy should be performed. Ergot should be administeredhypodermatically, for postpartum hemorrhage is to be Porro-Cesarean section should be considered in the gravestcases, in which a continuance of hemorrhage and the shock of a forced delivery are more to be dreaded than abdominal sectionand puerperal hysterectomy. Postpartum Hemorrhage.—Hemorrhage may occur during thethird stage of labor, or in the first twenty-four hours of the puer-perium, from relaxation of the uterine muscle, from injuries alongthe birth-canal, from ruptured vessels, tumors, malignant growths,or ulceration in the parturient tract. Postpartum Hemorrhage from Relaxation of the Uterine Muscle.—When the placenta is separated from
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Keywords: ., bookcentury1800, bookdecade1890, bookidtex, booksubjectobstetrics
