File:A textbook of obstetrics (1899) (14591559268).jpg

Identifier: textbt00hirs (find matches)
Title: A textbook of obstetrics
Year: 1899 (1890s)
Authors: Hirst, Barton Cooke, 1861-1935
Subjects: Obstetrics
Publisher: Philadelphia : Saunders
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: Open Knowledge Commons and Yale University, Cushing/Whitney Medical Library

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es of hemorrhage arelacerations of the birth-canal, rupture of blood-vessels, andplacenta previa. The hemorrhage of placenta praevia occursearly, with unruptured membranes, with feeble pains or in theirabsence altogether, and the symptoms of uterine rupture and oflacerations along the lower birth-canal are absent. In the rareevent of a ruptured blood-vessel along the lower birth-canal, theblood does not How from the uterine cavity. Treatment.—If a placenta praevia is detected during preg-nancy, gestation should be terminated at the end of the seventhmonth, or at any time thereafter that the diagnosis is estab-lished. The hemorrhage before the thirty-second week isscarcely ever dangerous,1 though in one case I was obliged toinduce abortion before the fifth month on account of a loss ofblood that was almost Incessant. After the seventh month the 1 In the 128 deaths of Miillers statislic--> there was not one before the seventh month. LABOR COMPLICATED B YACCIDENTS AND DISEASES. 53 I
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Fig. 4°5-—One Leg has been drawn down, so that the OS is tamponed and theplacenta directly compressed by the hips of the child ^Miiller). 532 77//-; PATHOLOGY OF LABOR. woman may bleed to death at any time before medical aid canreach her. The induction of labor and its conduct should be asfollows : Send for an assistant to administer an anesthetic ;place the woman in the lithotomy position, with her knees sup-ported by nurses or attendants ; cleanse both hands and arms asfor a surgical operation ; wash out the vagina with tincture ofgreen soap and hot water by means of pledgets of cotton ; givea vagina) douche of bichlorid of mercury I : 4000 ; dilate thecervix by inserting first one finger, then a second, and next the

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