The practice of obstetrics, designed for the use of students and practitioners of medicine . antiseptic precautions. I am accustomed to combine Krausesbougie method with a gauze packing of the lower part of the uterus. The gauze,iodoform or plain, is rapidly run into the uterus after the introduction of thebougie with one of the modern cannula packers (see Fig. 1069) until slight resist-ance occurs. Vaginal packingis then accomplished with thesame instrument, by simplywithdrawing the end of the can-nula from the os and continuingthe packing in the vagina. Ihave never known this combinedmethod
The practice of obstetrics, designed for the use of students and practitioners of medicine . antiseptic precautions. I am accustomed to combine Krausesbougie method with a gauze packing of the lower part of the uterus. The gauze,iodoform or plain, is rapidly run into the uterus after the introduction of thebougie with one of the modern cannula packers (see Fig. 1069) until slight resist-ance occurs. Vaginal packingis then accomplished with thesame instrument, by simplywithdrawing the end of the can-nula from the os and continuingthe packing in the vagina. Ihave never known this combinedmethod to fail to induce laborwithin twelve hours. Tamponade of the Vaginaand Cervix.—The above methodmay be made considerably moreeffective by a preliminary tam-ponade of the cervix. After about the thirtieth week artificial dilatation is not usually necessary. Before thattime the cervix may be dilated by Hegars dilators or by the cautious use of oneof the branched dilators until it will admit the finger. The cervix should then bepacked with gauze and the vagina tamponed. (Compare page 884.). Fig. 1068.—Management of Inevitable Abor-tion. Packing the Cervical Canal and Va-gina WITH Sterile Gauze.
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectobstetrics, bookyear1
