. A system of obstetrics . pon may be left inplace for twenty-four hours,if necessary, without injury ;Depaul did not remove it fortwelve or fifteen hours atleast, or for twenty-five orthirty hours at most. Afterits removal the vagina mustbe thoroughly cleansed withan antiseptic solution, whena new tampon is introducedif hemorrhage continues orimmediate delivery is im- Vaginal Tampon in Placenta Pravia: A. deeply-placed nrart,VnhlP . in rPrtflin o^P*dossils, to each of which a cord is attached : B, super- PiacTiraoie > m Cermin Cases,ficial dossils without cord; C, pledget of charpie or the
. A system of obstetrics . pon may be left inplace for twenty-four hours,if necessary, without injury ;Depaul did not remove it fortwelve or fifteen hours atleast, or for twenty-five orthirty hours at most. Afterits removal the vagina mustbe thoroughly cleansed withan antiseptic solution, whena new tampon is introducedif hemorrhage continues orimmediate delivery is im- Vaginal Tampon in Placenta Pravia: A. deeply-placed nrart,VnhlP . in rPrtflin o^P*dossils, to each of which a cord is attached : B, super- PiacTiraoie > m Cermin Cases,ficial dossils without cord; C, pledget of charpie or the presentation being nor-pad of cotton; D, T-bandage. , . „ , mal, some practitioners, fol-lowing the method of Wigand, among whom may be mentioned Pa jotand Bailly, wait the expulsion of the tampon by the same contractionsthat expel the child. The method just mentioned, however, is rarelyemployed by practitioners now, the majority regarding the tampon as1 Strips of iodoform gauze may be very well employed for a HEMORRHAGE DURING AND AFTER LABOR. 61 .simply a temporary means. Muller,1 after remarking that it is neithera sovereign remedy, its friends claim, nor to be entirely rejected, asits enemies desire, states that it is an important aid which should beused at the right time, and then no longer than is necessary : apply itwhen the os is rigid and only slightly opened if violent hemorrhageoccurs, for immediate delivery is impossible; time is thus gained with-out danger, for even if it does not stop it lessens the bleeding, andprepares the part- for labor. According to statistics given by Ativan!,when the tampon was used the maternal mortality was 6 per cent, andthe fcetal 55 per Rupture of the membranes was first advised by Puzo- in the treat-ment of placenta previa in 1759, and it is known a- hi- dilatation of the os with the finger preceded rapture of the mem-brane-. It the discharge of the amnial fluid be followed by vigorousuterine contract
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectobstetrics, bookyear1
