Practical midwifery; handbook of treatment . -ishment to remain alive, and may tlien develop intoa polypus-like mass which is known by the nameof a fibrinous mole (Fig. 4). The formation ofsuch a growth is marked liy fresh or increasedhaemorrhage, and the only proper treatment con-FiG. 4.—Fieri- gjg^j_, ^^^ j^^ removal bv the finger or curette in theNOUS Mole. , , , ., , manner already described. NegT/ECTED Abortiois^.—When either abortion or miscarriagehas been alloAved to p]-oceed without treatment to a point atwhich the patient is greatly exhausted by luemorrhage, or tillsepsis has distinct
Practical midwifery; handbook of treatment . -ishment to remain alive, and may tlien develop intoa polypus-like mass which is known by the nameof a fibrinous mole (Fig. 4). The formation ofsuch a growth is marked liy fresh or increasedhaemorrhage, and the only proper treatment con-FiG. 4.—Fieri- gjg^j_, ^^^ j^^ removal bv the finger or curette in theNOUS Mole. , , , ., , manner already described. NegT/ECTED Abortiois^.—When either abortion or miscarriagehas been alloAved to p]-oceed without treatment to a point atwhich the patient is greatly exhausted by luemorrhage, or tillsepsis has distinctly set in, it was formerly the custom to counseldelay until efforts to improve the patients general condition hadbeen successful, in the fear that local treatment might induce col-lapse or an increase of inflammation—an accident which in the pa-tients exhausted condition might hasten a fatal termination. Themore modern view is, that the immediate, gentle, and thoroughlyaseptic use of the curette, if followed by the administration of a. PREGNANCY. 61 careful intra-uterine douche, is almost invariably the best treat-ment, antl this is the only course which can now be is certainly injudicious to resort to general sustaining mea-sures in the treatment of collapse from haemorrhage while thebleeding is still going on, and it is rarely ]jossible to prevent stillfurther loss of blood in such cases until after the complete evacu-ation of the uterus; while an arrest of septic absorption canhardly be hoped for as long as the original souice of infectionremains in place—theoretical considerations which are sustainedby the fact that practical experience proves that the operation isattended by but slight exhaustion and that sepsis in particular isusually found to decrease rapidly after the removal of the ovum,provided that the most rigid antisepsis is employed throughoutthe operation. If in such cases a temporary improvement is fol-lowed by recurrence of the trouble, a
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectmidwifery, bookyear18
