A nurse's handbook of obstetrics . The symptoms that pointto the death of the foetus are cessation of fetal heart sounds andactive movements, general malaise of the mother, the occasionalappearance of a foul-looking, though not necessarily offensive,discharge from the vagina, dull pain in the back and limbs, andshrinking and general flabbiness of the breasts and abdomen. The physician should be notified if these suggestive symp-toms develop, and if he finds, on examination, that the child isactually dead, he will usually proceed to empty the uterus at once. During labor the mother may suffer f
A nurse's handbook of obstetrics . The symptoms that pointto the death of the foetus are cessation of fetal heart sounds andactive movements, general malaise of the mother, the occasionalappearance of a foul-looking, though not necessarily offensive,discharge from the vagina, dull pain in the back and limbs, andshrinking and general flabbiness of the breasts and abdomen. The physician should be notified if these suggestive symp-toms develop, and if he finds, on examination, that the child isactually dead, he will usually proceed to empty the uterus at once. During labor the mother may suffer from eclampsia, hemor- RUPTURE OF THE UTERUS. 257 rhage either from placenta prsevia or placental separation, rup-ture of the uterus, inversion of the uterus, and sudden deathfrom heart failure or other cause due to intercurrent constitu-tional disease. Eclampsia and hemorrhage have already been sufficientlydiscussed, and as the physician will usually be in attendance atthis time, the nurse will be relieved of all Fig. 124.— Rupture of the uterus. The specimen is opened opposite the laceration inns wall (A), and the points (B B) indicate the ends of the severed cervical ring. Theroughened area of placental attachment is plainly seen at the upper part of the uterine cavity. Rupture of the uterus (Fig. 124) often resembles greatlythe concealed hemorrhage of placental separation, the generalsymptoms of shock and collapse being common to both condi-tions, but the essential difference is that placental detachmentoccurs before or early in labor, while rupture of the uterus canonly happen after the woman has been in severe labor for a con-siderable time. If the fcetus escapes through the tear into the17 258 A NURSES HANDBOOK OF OBSTETRICS. abdominal cavity, Caesarean section will be necessary for itsremoval, while if it can be delivered through the natural pas-sages by forceps or version, the surgeon may either open theabdomen and sew up the rent, or pack the uterine
Size: 1379px × 1813px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, bookid54510150rnlm, bookyear1915
