. An American text-book of obstetrics. For practitioners and students. lacenta praevia in which the bleeding is severe, whether in prcgnaucy or inlabor, and the os barely admits the finger and is rigid, or the cervical canal isnot readily penetrable: most obstetric authorities agree in advising a tampon. DYSTOCIA. 593 Winckel uses for this purpose iodoform cotton, and others advise iodoformgauze (Fig. 389); creolin gauze would be just as useful and has no unpleasantodor. Auvard* recommends cotton or charpie, 1500 grams being needed:this material is made into balls the size of a walnut, which a
. An American text-book of obstetrics. For practitioners and students. lacenta praevia in which the bleeding is severe, whether in prcgnaucy or inlabor, and the os barely admits the finger and is rigid, or the cervical canal isnot readily penetrable: most obstetric authorities agree in advising a tampon. DYSTOCIA. 593 Winckel uses for this purpose iodoform cotton, and others advise iodoformgauze (Fig. 389); creolin gauze would be just as useful and has no unpleasantodor. Auvard* recommends cotton or charpie, 1500 grams being needed:this material is made into balls the size of a walnut, which are placed in a 2per cent, solution of carbolic acid, or in a 4 per cent, solution of boric acid,or in a 1 : 1000 solution of corrosive sublimate, until thoroughly being used the fluid absorbed by these balls is squeezed out, and tofacilitate their introduction and to secure thorough packing an antiseptic cerateis used. Fiftv or sixty of the balls will be needed. A Sims speculum greatly facilitates the introduction of a tampon. Winckel . ~ ??-?. Fig. 389.—Placenta praevia : vagina tamponed with gauze. states that a tampon may be applied so thoroughly that not a drop of bloodcan escape from the vulva. He leaves the tampon in place in central andlateral placenta prsevia until the os is completely dilated, so that either thepresenting part of the child can enter the os, thus itself making a tampon, or,by the introduction of the hand, the hips are brought down, thus accomplish-ing the same end. Barnes f would not leave a tampon in the vagina longer * Pajot has said that a hatful of the material will be required. f The following passage is taken, not from his paper at the Brussels Congress, but from hisObstetric Medicine and Surgery: Vaginal plugs are treacherous aids, requiring the most vigor-ous watching. The plug, introduced with so much pain to the patient, soon becomes com-pressed, blood runs past it or accumulates above or around it, and the tide of life ebbs
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectobstetrics, bookyear1
