The practice of obstetrics, designed for the use of students and practitioners of medicine . forms of uterine displacement, and her too early getting up may causehemorrhage by dislodging clots from the uterine sinuses, or thrombosis mayoccur in the veins of the broad ligament with danger of embolism in the heart THE MANAGEMENT OF THE PUERPERIUM. MOTHER. 695 or lungs. The duration of the rest in bed is variously given as seven, fourteen,to twenty-one days. The first is too short except in very unusual cases. Arest of two weeks followed by gradual resumption of ordinary activities isthe usual pe
The practice of obstetrics, designed for the use of students and practitioners of medicine . forms of uterine displacement, and her too early getting up may causehemorrhage by dislodging clots from the uterine sinuses, or thrombosis mayoccur in the veins of the broad ligament with danger of embolism in the heart THE MANAGEMENT OF THE PUERPERIUM. MOTHER. 695 or lungs. The duration of the rest in bed is variously given as seven, fourteen,to twenty-one days. The first is too short except in very unusual cases. Arest of two weeks followed by gradual resumption of ordinary activities isthe usual period required. Involution of the uterus is not completed for aperiod of five or six weeks, but if a patient is kept in bed as long as that sheloses flesh and strength and her appetite fails. When the patient first gets up,she should remain up only an hour or so in the day. 6. Prophylaxis in the Puerperium.—While we cannot be so aggressive inour methods in the puerperium as in labor, yet there is much that may beaccomplished in the way of prophylaxis. The all-important question at this. Fig. 920.^Pelvic Binder and Pelvic Fig. 921.—Pelvic Binder and Perineal Floor Support for Use after the Support. Posterior View. Puerperium.*—(From a photograph.) time is. How can we best secure involution in the puerperal state ? It is duringthe puerperium that we should rivet our attention on the prevention of sub-involution, especially in cases following the premature interruption of preg-nancy. Were closer attention given this subject in practice, the sequelaeof subinvolution—metritis, endometritis, retrodisplacements, and prolapse—would be less frequently met with. (i) The Abdominal Binder.—The proper treatment of the relaxed ab-dominal walls after delivery is of great importance for cosmetic reasonsand to prevent the results of pendulous abdomen. A certain amount of * These binders may be obtained from the Home Bureau, 52 West 39th Street, NewYork City. 696 PHYSIOLOGICAL PUERPER
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectobstetrics, bookyear1
