The principles and practice of obstetrics . f them remaining in (FlG 59)the uterine cavity, which would often result in more or less annoy-ance to the patient—such as increased and distressing after-pains,and sometimes hemorrhage. When the placenta is found partiallyprotruding through the os uteri, it will, perhaps, be better toseize it with the lingers, and thus bring it away; this mode ofextraction will incur no risk of rupturing the cord, which possiblymight occur in making traction upon it when the point of its inser-tion into tie placenta cannot be detected by the finger. Rt moral of Coag
The principles and practice of obstetrics . f them remaining in (FlG 59)the uterine cavity, which would often result in more or less annoy-ance to the patient—such as increased and distressing after-pains,and sometimes hemorrhage. When the placenta is found partiallyprotruding through the os uteri, it will, perhaps, be better toseize it with the lingers, and thus bring it away; this mode ofextraction will incur no risk of rupturing the cord, which possiblymight occur in making traction upon it when the point of its inser-tion into tie placenta cannot be detected by the finger. Rt moral of Coagula.—As soon as the delivery of the after-birth has been accomplished, the finger should be carefully intro-duced into the vagina for the purpose of bringing away anycoagula that may be there, and it should especially be ascertainedir/>, ?/>, r there is a riot keeping the mouth of the icomb open ; if so,it must be immediately removed. I have known very great dis-tress ensue to the patient from the neglect of this simple precau-. 376 THE PRINCIPLES AND PRACTICE OF OBSTETRICS. tion, in consequence of the severity of (lie contractions induced bythe irritation of the clot. In one ease which I have now in mymind, I am very confident that the presence of a large coagulum,acting as an irritant upon the os uteri, was the sole cause of con-vulsions, which were near proving the destruction of the occurred in the person of a young primipara, of an extremelysensitive nervous organization ; she had been in labor sixteen hours,when she was happily delivered of a healthy living son; soon afterthe expulsion of the after-birth, she was attacked violently withpuerperal convulsions, although there had been no approach to aconvulsive spasm during the progress of her labor. Her physician,a most worthy and conscientious gentleman, becoming very natu-rally much alarmed at the supervention of convulsions, requestedme to see the case in consultation with him. Before I arrived, sheh
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Keywords: ., bookcentury1800, bookdecade1860, bookpubli, booksubjectobstetrics
