The practice of obstetrics, designed for the use of students and practitioners of medicine . sition. Thecompound ointment of gall, and ointments of carbolic acid, cocain, andwitch-hazel I have found useful.\ ? 19. Vegetations.—These oftenfollow gonorrhea, especially whenthe rules of cleanliness are notobserved; they are confined to thevulva. Cleanliness and the fre-quent application of an astringentpowder, as oxide of zinc, or bis-muth and salicylic acid, boro-glyceride and tannin, will be suffi-cient for treatment; bad cases may * ,,^«j,./be touched with chromic acid, butoperative treatment s
The practice of obstetrics, designed for the use of students and practitioners of medicine . sition. Thecompound ointment of gall, and ointments of carbolic acid, cocain, andwitch-hazel I have found useful.\ ? 19. Vegetations.—These oftenfollow gonorrhea, especially whenthe rules of cleanliness are notobserved; they are confined to thevulva. Cleanliness and the fre-quent application of an astringentpowder, as oxide of zinc, or bis-muth and salicylic acid, boro-glyceride and tannin, will be suffi-cient for treatment; bad cases may * ,,^«j,./be touched with chromic acid, butoperative treatment should beavoided during pregnancy. 20. (Edema of the Vulva ().—(Edema here may be uni-lateral or bilateral; it may be due to renal insufficiency, in which case it is alwaysbilateral, or to mechanical pressure of the enlarging uterus and fetus upon thepelvic veins. It may also be due to general anasarca, or to local inflamma-tion, as specific vaginitis. When excessive, ulcerative sloughing of the labiamay occur, and labor be obstructed (see Part V). In the treatment the cause. Fig. 467.—CEdema of the Vulva. TOXEMIA OF PREGNANCY. 291 is to be sought out and treated: diuretics for the renal insufficiency; an abdomi-nal support for pressure; proper treatment for local inflammation. Hot fomen-tations and multiple puncture of the tense skin are palliative; the latter shouldbe avoided when possible, for fear of local infection. 21. Eczema of the Nipple.—This, when occurring during gestation, is apt tobe a very obstinate affection. For treatment the general health should receiveattention. Locally the parts affected should be kept clean, frequent washingbeing avoided; antiseptic, astringent, and desiccating applications should be used;powdered oxide of zinc and salicylic acid make a good application. The nipplesare to be guarded from irritation and exposure to the air by a protective dress-ing, which, however, should not press upon them. The condition is apt to resisttrea
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectobstetrics, bookyear1
