A textbook of obstetrics . emperature in privatepractice without the assistanceof a trained nurse. A strongfaradic current is extremelyefficient, but a batten isscarcely ever at hand whenit is needed. Monsels solution will stopthe bleeding, but it leavessuch firm and adherent clotsin the uterine cavity that sep-ticemia will very likely followfrom their decomposition, andthere is danger, besides, of anextension of the thrombosisto the uterine and pelvic ves-sels. Iodin and turpentine have done good service by theirirritating qualities, but there is danger of metritis from theiruse, and they mig
A textbook of obstetrics . emperature in privatepractice without the assistanceof a trained nurse. A strongfaradic current is extremelyefficient, but a batten isscarcely ever at hand whenit is needed. Monsels solution will stopthe bleeding, but it leavessuch firm and adherent clotsin the uterine cavity that sep-ticemia will very likely followfrom their decomposition, andthere is danger, besides, of anextension of the thrombosisto the uterine and pelvic ves-sels. Iodin and turpentine have done good service by theirirritating qualities, but there is danger of metritis from theiruse, and they might leak into the abdominal cavity throughthe tubes. Great virtue has been claimed tor special modesof compressing the uterus (Fig. 411) that are supposed toclose the mouths of the bleeding vessels. When these methodsare effective it is by irritating the uterine muscle, rather thanby the pressure exerted upon the vessels of the placental 1 Diihrssen, Ueber die Behandlung der Blutungen post partum Yolkmannsche Sammlung, ^ Fig. 410. — Packing the puerperaluterus with i^auze to control postpartumhemorrhage (Edgar). LABOR COMPLICA TED B YACCIDENTS AND DISEASES. 541 site. Compression of the abdominal aorta has been proposedas a means of checking postpartum hemorrhage by diminishingthe blood-supply to the womb. This plan, in my opinion, isabsurd. When it has apparently succeeded it was by the irrita-tion of the womb, or of the sympathetic nerves supplying it, onaccount of the deep abdominal pressure above the fundus. Finally, the bleeding may cease spontaneously by thrombusformation or by syncope, but these agencies are never to beawaited in practice. The physicians duty is not always done when he has checkedthe bleeding. An acute anemia must be dealt with that, if dis-regarded, will be as dangerous as a continuance of the hemor-rhage. There is a rapid, feeble pulse ; or, it may be, an entireabsence of radial pulsation. The body-surface, especially of the
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Keywords: ., bookcentury1800, bookdecade1890, bookidtex, booksubjectobstetrics
