File:The practice of obstetrics, designed for the use of students and practitioners of medicine (1910) (14777304632).jpg

Identifier: practiceofobstet00edga (find matches)
Title: The practice of obstetrics, designed for the use of students and practitioners of medicine
Year: 1910 (1910s)
Authors: Edgar, J. Clifton (James Clifton), 1859-1939
Subjects: Obstetrics
Publisher: 3rd ed., rev
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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ent procedure, andshould be regarded as an operation—one to be performed with scrupulouscare and ^attention to detail. The following are the sources of danger. Shockfrom uterine distention or from too hot or too cold solutions; poisoning, e. g.,by bichloride of mercury or carbolic acid; abrasions of the soft parts resultingin new foci of infection; dislodgment of clots from the puerperal venous INTRAUTERINE IRRIGATION. 883 sinuses which may enter the general circulation, and entrance of fluid intothe Fallopian tubes and peritoneal cavity. The intrauterine douche tube should be of glass or metal, that it may besterilized by boiling, should be of medium caliber, and have a suitable curve(Fig. 1059). Tubes of tin, the shape of which can be altered at will, are con-venient, and metal male catheters may be used in an emergency. The tubeshould be perforated at the sides and there should be no opening at the end.The current of fluid should be continuous, not interrupted; a fountain syringe
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Pig 105S.—Intrauterixe Irrigation. The upper illustration shows a faulty method. Note the firm grasp of the fundus. is to be preferred, and every care should be taken to prevent the entranceof air. The douche bag should be held at such a height that the current issufficient but not strong, two or three feet above the patients pelvis beingusually the proper height. The quantity of fluid may vary with the indications,less than one quart being rarely used. Solutions: Within the uterus we irrigatewith plain sterile water or sterile decinormal saline solution; 0.5 per cent, ofcreolin or lysol, 50 per cent, alcohol, and sublimate solution in the strengthof I : 10,000, which last should be followed b)^ a second irrigation of plain 884 OBSTETRIC SURGERY. sterile water. Administration: The patient should be in the dorsal position,and, when practicable, in the lithotomy position. As stated elsewhere, arecently delivered patient should never be placed in the Sims position onaccount of the dang

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