A text-book of practical obstetrics, comprising pregnancy, labor, and the puerpal state, and obstetric surgery . manipulation is as fol-lows: The curette seeks to penetrate between the ovum andthe uterine wall, the external hand being conscious of and thusindirectly controlling the action of the instrument. When dis- ARTIFICIAL ABORTION. 45 lodged in this manner, if the finger cannot complete removal,the ovum-forceps should be used to grasp and to extract it. The haemorrhage from these manipulations is, as a rule,considerable, but the external hand grasping the uterus maysoon cause efficient c
A text-book of practical obstetrics, comprising pregnancy, labor, and the puerpal state, and obstetric surgery . manipulation is as fol-lows: The curette seeks to penetrate between the ovum andthe uterine wall, the external hand being conscious of and thusindirectly controlling the action of the instrument. When dis- ARTIFICIAL ABORTION. 45 lodged in this manner, if the finger cannot complete removal,the ovum-forceps should be used to grasp and to extract it. The haemorrhage from these manipulations is, as a rule,considerable, but the external hand grasping the uterus maysoon cause efficient contraction. When satisfied that the uterushas been thoroughly emptied, a |-drachm of ergot or 10 minimsof ergotole should be injected into the nates, the intra-uterinetnbe should be inserted into the cavity of the uterus and theorgan washed out either with a 1 to 5000 solution of bichlorideof mercury or with a 3-per-cent. solution of creolin. The laststep, and we believe a most important step, is the insertion tothe fundus of a sterilized-gauze drain. The object of this drain is twofold: At times, owing to. Fig. 27.—Intra-uterine Dressing Forceps. flexion at the level of the internal os, drainage from the uterinecavity is imperfect and the retained secretions might give rise toseptic symptoms; furthermore, no matter how exact our asepsis,an error in technique may creep in, and, if local sepsis shoulddevelop, we want above all things free external drainage, in orderto avoid, as far as is possible, extension to the Fallopian drain, therefore, is prophylactic in its aim. It can do noharm, and it may be the means of preventing serious damage. The steps detailed will answer for the induction of abortionand for its completion in the average case under the fourthmonth. Occasionally, however, the cervix is rigid, and thenthe steel-branched dilator and the finger cannot secure ample-enough dilatation. In such an event many practitioners resort 46 OBSTETRIC SURGERY. to tents
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Keywords: ., bookcentury1800, bookdecade1890, bookpubli, booksubjectobstetrics
