. Obstetrics for nurses. with fever,may satisfactorily explain thetemperature. Uterine Cultures.—As a matterof scientific interest and as an aidto diagnosis and prognosis, aculture may be made from theuterine lochia by the followingtechnic: A culture tube, as illus-trated, consists of a bent glasstube, through which is passed astrong silk thread ^\-ith a few rub-ber bands tied on one end. Thistube, together with a vaginalspeculum and a tenaculum for-ceps, is sterilized by boiling. Thepatient is subjected to the usualperineal preparation, and, afterbeing placed upon a steriledouche pan, is drap
. Obstetrics for nurses. with fever,may satisfactorily explain thetemperature. Uterine Cultures.—As a matterof scientific interest and as an aidto diagnosis and prognosis, aculture may be made from theuterine lochia by the followingtechnic: A culture tube, as illus-trated, consists of a bent glasstube, through which is passed astrong silk thread ^\-ith a few rub-ber bands tied on one end. Thistube, together with a vaginalspeculum and a tenaculum for-ceps, is sterilized by boiling. Thepatient is subjected to the usualperineal preparation, and, afterbeing placed upon a steriledouche pan, is draped with steriletowels. Meanwhile, the physi-cian, after sterilizing his hands,introchices the speculum, drawsdown the cervix and then passesIbc tube well into the uterine•avity. Traction, upon the freeend of the silk produces a partial vaciiuni and draws into the iiibe someof the lochia. Bacteriological examination of the material thus ol)tainedwill prove the pj-esence or alisence of l)acteria; and, in the former in-. FiG. ir)0.—TTtprinc culture tubes. (Williams.) ABNORMALITIES OF THE PUERPERIUM 343 stance, proper cultural methods will permit their identification. Aniiitra-uteriiie douche of hot sterile water is usually <;iven after the cultureis taken. In uninfected cases, the lochia obtained from the uterus will befound sterile for the first five or six days after delivery, but thereaftera gradual invasion by putrefactive organisms occurs, which renders theresults obtained of no value. On the other hand, early in the puerperium,when serious infections usually begin, the procedure gives valuable in-formation. The time of onset and height of the fever, together with the severityof the symptoms, likewise indicate something of the nature of the , a virulent streptococcus infection usually produces a febrile reac-tion to 103° to 104:° F. (° to 40° C.) on the third or fourth day,whereas the milder organisms produce a slighter elevation on the fourth,fif
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectobstetrics, bookyear1
