The practice of obstetrics, designed for the use of students and practitioners of medicine . Fig. 933. — Extension of Infectionthrough the lymphatics from theUterine Cavity to the Parame-trium AND Fig. 934. — Extension of Infectionthrough the Veins from the Uter-ine Cavity in Puerperal Pyemia. 716 PATHOLOGICAL PUERPERIUM. together. The treatment consists in the removal of the cause and in vaginalirrigation. IV. Birth Traumatisms.—These have been considered under PathologicalLabor (Part V). They include rupture of the uterus, lacerations of the cervix,vagina, vulva, and perineum; a
The practice of obstetrics, designed for the use of students and practitioners of medicine . Fig. 933. — Extension of Infectionthrough the lymphatics from theUterine Cavity to the Parame-trium AND Fig. 934. — Extension of Infectionthrough the Veins from the Uter-ine Cavity in Puerperal Pyemia. 716 PATHOLOGICAL PUERPERIUM. together. The treatment consists in the removal of the cause and in vaginalirrigation. IV. Birth Traumatisms.—These have been considered under PathologicalLabor (Part V). They include rupture of the uterus, lacerations of the cervix,vagina, vulva, and perineum; also certain more remote lesions, like peronealparalysis. These injuries, especially those of the cervix, are generally recognizedas among the most important factors in puerperal morbidity. V. Changes in the Bacteria of the Genital Region.—It is conceded that inthe great majority of cases the uterus and its contents are sterile beforedelivery. Exceptions are found in cases of endometritis and putrefaction ofthe dead fetus. It was formerly believed that the vagina was also sterile savein cases of gonorrhea, but the very extensive researches of Stolz,* Hofmeier,and Lenhartz have shown that a healthy
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectobstetrics, bookyear1
