Sajous's analytical cyclopædia of practical medicine . as to the treat-ment of abortion. It seems conven-ient to consider that there are threegeneral plans : expectant treatment,treatment by tamponade, forced dila-tation of the cervix and curettement. Expectant Plan.—The term expect-ant is not a good one as a rule, and itbecomes most unsuitable if it is mis-understood. Lusk was perhaps the most prom-inent advocate of the expectant planof treatment. He urged that, when inthe third month the ovum is thrownoff without the rupture of the mem-branes, the hemorrhage rarely as- 166 ABORTION (WRIGHT).
Sajous's analytical cyclopædia of practical medicine . as to the treat-ment of abortion. It seems conven-ient to consider that there are threegeneral plans : expectant treatment,treatment by tamponade, forced dila-tation of the cervix and curettement. Expectant Plan.—The term expect-ant is not a good one as a rule, and itbecomes most unsuitable if it is mis-understood. Lusk was perhaps the most prom-inent advocate of the expectant planof treatment. He urged that, when inthe third month the ovum is thrownoff without the rupture of the mem-branes, the hemorrhage rarely as- 166 ABORTION (WRIGHT). sumes dangerous proportions, andexplained hoAv llie uterine contrac-tions sometimes pressed the ovuminto the cervix. During these uterinecontractions the ovum descends andthe upper portion of the body of theuterus retracts. Some coagulation ofthe blood takes place between theovum and the retracted uterine walls,while the ovum forms a tamponwhich fills the cervix like a ball valve,and thus restrains the there is no interference, the. OvT-im, five weeks. ovum, after being retained for a timeas described, is frequently expelledentire, leaving the uterus in the bestpossible condition for satisfactory in-volution. In such cases, and they areby no means uncommon, nature hasdone well. AVhy should we try toimprove or interfere with such mag-nificent Avork? Opinions still differ greatly as towhether active or conservative meas-ures are preferable, l)ut at the Strass-burg clinic, in charge of Fehling,active treatment is the usual very important guide for the man-agement of the case is what she callslatent complications, namely, that while nothing pathologic can be pal-pated, yet the patients complain ofpains during internal of the vaginal portion ofthe uterus or tissues around indicatesincipient inflammation, showing thatthe morbid process is not restrictedto the endometrium but is extendingbeyond it. This calls for strict con-servative
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectmedicine, bookyear190
