A textbook of obstetrics . Fig. 478.—Massage of the breasts (Dickinson^. 654 PATHOLOGY OF THE PUERPERIUM. cleanliness. Each inflamed and suppurating gland should beopened, curetted, and its interior touched with strong bichloridsolution. Exaggerated pigmentation of the areolae often persists afterpregnancy ; it fades away in the course of lactation or after thechild has been weaned. Congestion and engorgement of the mamma? occur in almostevery case on the third day, when lactation is instituted. Treatment.—Excessive congestion may be avoided by admin-istering a saline purge on the evening of t
A textbook of obstetrics . Fig. 478.—Massage of the breasts (Dickinson^. 654 PATHOLOGY OF THE PUERPERIUM. cleanliness. Each inflamed and suppurating gland should beopened, curetted, and its interior touched with strong bichloridsolution. Exaggerated pigmentation of the areolae often persists afterpregnancy ; it fades away in the course of lactation or after thechild has been weaned. Congestion and engorgement of the mamma? occur in almostevery case on the third day, when lactation is instituted. Treatment.—Excessive congestion may be avoided by admin-istering a saline purge on the evening of the second day. Thebreasts must be thoroughly evacuated at regular intervals by thechilds mouth, reinforced, if necessary, by massage and a breast-pump. Hot fomentations may give great comfort ; but if thecongestion and pain persist, lead-water and laudanum is the best. Fig. 479.—Breasts disfigured by exaggerated pigmentation of the areolae. application. A mammary binder is almost always a necessarypart of the treatment. The pressure and support which it affordscontribute more than any other single item in the managementof these cases to prevent excessive congestion and the investigations of llonigmann 1 and Ringel,2 itappears that human milk contains normally the staphylococcuspyogenes albus, as well as the staphylococcus aureus. Thesemicro-organisms wander in along the milk-ducts from the produce, usually, no ill results, unless the vitality oi theepithelial cells is reduced by engorgement of the gland with milk 1 F. Honigmann, Bakteriologische Untersuchungen ueber Frauenmilch, In-aug,-I ) Breslau, [893. Ringel, Ueber den Keimgehalt der Frauenmilch, Milnchen. , 1894, No. 27. AXOMALIES IX MILK SECRETIOX. OS 5 and blood, as in the caked bn They may then take an active part in the development of a mamma
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Keywords: ., bookcentury1800, bookdecade1890, bookidtex, booksubjectobstetrics
