File:A textbook of obstetrics (1899) (14778171742).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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ase in temperateclimates occurs almost exclusively in hospitals. It is usuallyfatal, the- death-rate being over ninety per cent. The treatmentshould always include an immediate and a thorough disinfectionof the navel. Melena, or gastro-intestinal hemorrhage, is an extravasa-tion of blood into the stomach and intestines, occurring most DISEASES OF THE NEW-BORN IXFA.XT. 9 often in the first few hoijrs of life. Duodenal ulcer, some con-genital defect increasing intra-abdominal blood-pressure, intus-susception, or hemophilia may be the cause. The child mayvomit bright, unaltered blood, or the vomit may be coffee-grounds in character. The blood from the bowel is black incolor, and is mixed with meconium, hence the name melena.It is to be carefully distinguished • from the vomiting of bloodderived from a fissured nipple in the mother and ingested withthe milk. In melena the infant shows unmistakable symptomsof internal hemorrhage. Treatment.—Gallic acid, gr. ij, may be given every hour.
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Fie. 618. ■Atresia of the ureter: A, Kidney ; 1!, ureter; C, bladder (authors casein University Maternit) ;. Ergotin hypodermatically, an ice-bag to the abdomen, and hotbottles to the flanks and thighs. Stimulation may be required.The mortality, in spite of intelligent and energetic treatment, isfifty per cent. Bloody discharge from the genitalia of female children isnot very rare. It shows an activity of the sexual organs anal-ogous to the breast changes in the new-born. The condition isnot dangerous, and requires no treatment. The blood comes 820 THE NEW-BORN INFANT. from the uterus, like the menstrual discharges—in fact, the dis-charge is a true menstruation, as has been demonstrated inpostmortem examinations of infants who died from intercurrentaffections. It appears three or four days after birth, and lastsonly a few days. Sudden death of apparently healthy children Is an accidentnot infrequently demanding an explanation by the attendingphysician. Among the causes may be foun

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