A textbook of obstetrics . nservative manage-ment of the third stage of labor. He insists upon waiting one and a half hours be-fore expressing the placenta ( Ber. u. Arbeiten, Marburg, Bd. iii). 3 Lor. cit. 4 Zur Frage der Behandlung der Chorion-Retention, Archiv f. Gyn.,Bd. xxxi, S. 56. 5 Archiv f. Gyn., Bd. scvii, S. 278. 6 Loc. cit. 7 Klin. Beitr. zur Gyn. u. Geburtsh., 1SS4, S. 146. 8 Loc. rit. y Lehrbuch, 10. Autl., 797. 592 PATHOLOGY 01- THE PUERPERIUM. that retained amnion and chorion practically never cause bleed-ing, even when retained in toto. On the other hand, Winckel1and Hegar - h
A textbook of obstetrics . nservative manage-ment of the third stage of labor. He insists upon waiting one and a half hours be-fore expressing the placenta ( Ber. u. Arbeiten, Marburg, Bd. iii). 3 Lor. cit. 4 Zur Frage der Behandlung der Chorion-Retention, Archiv f. Gyn.,Bd. xxxi, S. 56. 5 Archiv f. Gyn., Bd. scvii, S. 278. 6 Loc. cit. 7 Klin. Beitr. zur Gyn. u. Geburtsh., 1SS4, S. 146. 8 Loc. rit. y Lehrbuch, 10. Autl., 797. 592 PATHOLOGY 01- THE PUERPERIUM. that retained amnion and chorion practically never cause bleed-ing, even when retained in toto. On the other hand, Winckel1and Hegar - have shown that retained membranes could give riseto puerperal hemorrhage, as well as to septicemia. Martini re-ports 28 eases o\ retained chorion in which there was no fever—that is, no pathological condition, as uterine inflammation,decomposition of thrombi, etc.—to account for bleeding, and yetamonsj these cases there were two severe hemorrhages, eight ofminor grade, and six times a prolongation of the blood) Fig. 452. — Fibrinous polypus (FrSnkel). That retention of hypertrophied and angiomatous deciduamay be an etiological factor in puerperal hemorrhage there cm beno doubt. If the decidua is hypertrophied during pregnane}-,the amount of tissue retained in utero may be he mass may act as a foreign body within the uterine cavity,preventing firm contraction, and so predisposing to hemorrhage;or else, adhering to the uterine wall, it may attract an unnecessary 1 Berichte u. Studien, 1874 79; Path. u. rherap. des Wochenbettes. 2 Path, u. Therap. der Placental Retention, 1862. PUERPERAL HEMORRHAGES. 593 amount of blood to the whole organ, with the same a small portion of deciduous membrane, as well as shredsof adherent chorion and amnion, or placental fragments, mayform the foundation of polypoid tumors reaching occasionallyconsiderable size, composed chiefly of firmly clotted blood orfibrin. The growth of these bodies is like stalactite
Size: 1507px × 1659px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1890, bookidtex, booksubjectobstetrics
