A textbook of obstetrics . , at blood heat,should be injected bygravity into the loosecellular tissue betweenthe shoulder-blades (hy-podermoclysis), underthe breasts, or directlyinto an artery or a convenient apparatusfor this purpose is shownin figure 412, but it willscarcely ever be at handwhen wanted, and, be-sides, time is wastedlooking for and laying bare a blood-vessel. A good substitutefor the transfusion apparatus is a large aspirating needle and afountain syringe or funnel. With this appliance, with whichevery obstetrician should be provided, fluid may be#forced intothe cellula
A textbook of obstetrics . , at blood heat,should be injected bygravity into the loosecellular tissue betweenthe shoulder-blades (hy-podermoclysis), underthe breasts, or directlyinto an artery or a convenient apparatusfor this purpose is shownin figure 412, but it willscarcely ever be at handwhen wanted, and, be-sides, time is wastedlooking for and laying bare a blood-vessel. A good substitutefor the transfusion apparatus is a large aspirating needle and afountain syringe or funnel. With this appliance, with whichevery obstetrician should be provided, fluid may be#forced intothe cellular tissue or into a blood-vessel. The funnel and needleshould have a place in every well-supplied obstetric-instrumentbag. The extremities should be bandaged toward the trunk (auto-infusion) so as to force as much blood as possible to the heart,the large blood-channels, and the brain. Compression of theabdominal aorta helps to this end. Actual transfusion of bloodfrom one person to another, or from some animal, is no longer. Fig. 412. — Intravenous injection. LABOR COMPLICA TED BY ACCIDENTS AND DISEASES. 543 advisable. It is rarely practicable, and the results are no better,if as good, than are obtained by the injection of .salt solution. The physician should make it an invariable rule to stay withhis patient until her condition is entirely satisfactory. The anemiapersisting after the hemorrhage is checked and reaction is estab-lished should be treated by a full liquid diet, animal broths, andiron. The intense headaches of cerebral anemia that may per-sist or recur for some time are best treated with opium. Lacerations of the Walls of the Birth=canal.—Any portion ofthe soft structures surrounding the birth-canal, from the fundusuteri to the vulva, is liable to spontaneous rupture, or to trau-matic perforation during labor. Rupture of the Uterus.—The uterus may be ruptured by over-distention of the lower uterine segment. It may burst open fromtop to bottom in certain diseas
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Keywords: ., bookcentury1800, bookdecade1890, bookidtex, booksubjectobstetrics
