The American text-book of obstetrics for practitioners and students . rhage from uterine fibroids and other growthsfrom the uterine walls, in bleeding after birth when the uterus was relaxed,and in profuse menstruation—in fact, in all cases of uterine hemorrhage. Thewater should have a temperature of 112° F., and an irrigator or a fountainsyringe is preferable to the ordinary instrument. A little vaselin or cosmolinshould be applied to those parts of the external sexual organs with which thefluid comes in contact as it escapes from the vagina, for without this precautionthe patient will compla
The American text-book of obstetrics for practitioners and students . rhage from uterine fibroids and other growthsfrom the uterine walls, in bleeding after birth when the uterus was relaxed,and in profuse menstruation—in fact, in all cases of uterine hemorrhage. Thewater should have a temperature of 112° F., and an irrigator or a fountainsyringe is preferable to the ordinary instrument. A little vaselin or cosmolinshould be applied to those parts of the external sexual organs with which thefluid comes in contact as it escapes from the vagina, for without this precautionthe patient will complain of severe burning. The nozzle of the syringe orirrigator should not be passed into the uterus until the stream has begun, thusguarding against the possible introduction of air; it is gradually carried ashigh in the uterine cavity as desired, the escaping stream making a way. asit were, and facilitating this movement. Another method of arresting uterine hemorrhage is bimanual compression(Fig. 103). The patient lies upon her back with the lower limbs drawn up ;. Fu;. 103.—Bimanual compression of the uterus. the obstetrician introduces one hand into the vagina, both hand and vaginahaving been carefully disinfected, and passes two or three ringers up to the pos- 134 AMERICAN TEXT-BOOK OF OBSTETRICS. terior vaginal vault, so that he can exert a firm pressure upon the posteriorpart of the cervix; the other hand, placed upon the patients abdomen, graspsthe fundus and the posterior wall of the uterus, drawing them forward, thevaginal fingers at the same time pushing the cervix in the same direction;thus the uterus is anteflexed and firmly held, so that hemorrhage for the timeis impossible. The vaginal fingers may be applied to the cervix anteriorly,and the external hand to the fundus and the anterior surface of the uterus,and thus the organ may bp retroflexed and arrest of bleeding be accomplished. Fritsch n speaks favorably of what he calls the rational bandaging of theabdomen
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