The practice of obstetrics, designed for the use of students and practitioners of medicine . ht assume the Sims position, which favors the entrance of air intothe uterine sinuses and possibly air embolism. The management of the puer-perium consists chiefly in: (i) cleanlmess and (2) rest. In regard to cleanlinessthe woman should be aseptic when she enters the lying-in bed; and after laborshe should be kept as aseptic as possible. In regard to asepsis before labor,it is taken for granted that the pregnant woman has formed the daily habit ofgeneral bathing, cleansing the mouth, and external geni
The practice of obstetrics, designed for the use of students and practitioners of medicine . ht assume the Sims position, which favors the entrance of air intothe uterine sinuses and possibly air embolism. The management of the puer-perium consists chiefly in: (i) cleanlmess and (2) rest. In regard to cleanlinessthe woman should be aseptic when she enters the lying-in bed; and after laborshe should be kept as aseptic as possible. In regard to asepsis before labor,it is taken for granted that the pregnant woman has formed the daily habit ofgeneral bathing, cleansing the mouth, and external genitals. I. Asepsis during the Puerperium.—In ordinary cases the resources of naturecannot be equaled by those of art. I have noted the importance of limiting vaginalexaminations as much as possible in the first and second stages, and the danger ofunnecessary manipulation in the third stage. No physician is competent tomanage a case of labor who cannot in the great majority of cases so conduct thethird stage that no internal manipulations are necessary. The same principles RETENTION STRAP. Fig. 919.—Abdominal Binder and Breast Support for the Normal retention straps connecting the lower edge of the binder to a band about the thighsare used only when the binder shows a tendency to slip up above the pelvis.—{Froma photograph^ of treatment should guide him in the management of the puerpermm. Douchesare not indicated unless unfavorable symptoms arise; e. g., high temperature orlocal fetor. (See Treatment of Septic Infection, Part VII.) Cleanliness of thepatient and bedding, strict antisepsis of the external genitals, including disin-fection of lochia and thorough ventilation of the lying-in room, are importantpoints to be remembered, (i) Antisepsis of the external genitals: This is bestsecured by washing with sublimate i : 4000, lysol solution (2 per cent.), and pay-ing special attention to the flexures of the thighs or any folds or creases of skinwhich may serve
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectobstetrics, bookyear1
