. An American text-book of obstetrics. For practitioners and students. Fig. 150.—Frozen section of the uterus, showing placenta and partially-detached membranes (Freund). bladder has been emptied. The tamponing may be done with the aid of aSims speculum if assistance is at hand; if not, then a bivalve speculum maybe used, or, as is preferred by some, one or two fingers of one hand are intro-duced into the vagina and there act as a guide. With dressing forceps oneend of the strip of gauze or a pledget of the tampon material is passedinto the vagina along the introduced fingers, and is accuratel
. An American text-book of obstetrics. For practitioners and students. Fig. 150.—Frozen section of the uterus, showing placenta and partially-detached membranes (Freund). bladder has been emptied. The tamponing may be done with the aid of aSims speculum if assistance is at hand; if not, then a bivalve speculum maybe used, or, as is preferred by some, one or two fingers of one hand are intro-duced into the vagina and there act as a guide. With dressing forceps oneend of the strip of gauze or a pledget of the tampon material is passedinto the vagina along the introduced fingers, and is accurately packed by 270 AMERICAN TEXT-BOOK OF OBSTETRICS. them into, against, and about the os and the cervix. The tamponingshould be continued in this way until the vagina has been moderately antiseptic pad is placed over the vulva and is held in place by a Tbandage. Moderate doses of fluid extract of ergot (Tftxv to 3ss) should be. X Fig. 151.—Frozen section of the uterus, showing retained membranes (Freund). administered every two or three hours, together with quinin or strychniawhere these are indicated for debility. If there is much pain, 5 grains ofpheuacetin will give the patient comfort without interfering with uterinecontractions. A second tampon and other accessories should be in readi- THE PATHOLOGY OF PREGNANCY. 271 ness before the removal of the first. The tampon should be removedcarefully after from six to twelve hours, when, as is usual, the entireovum or the fetus alone will be found in the vagina or adhering to thetampon. If the ovum has not been expelled or only a portion has beenthrown off, we should tampon again, after emptying the bladder and douch-ing the vagina, in the same manner as before. If after the removal of the second tampon it is found that the membraneshave ruptured, and only a portion, if any, of the ovum has been expelled, theuterine cavity should be explored by the introductio
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectobstetrics, bookyear1
