Dr. Conquest's outlines of midwifery : intended as a text-book for students, and a book of reference for junior practitioners.

  • Conquest, Dr.
Date:
1854
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Licence: Public Domain Mark

Credit: Dr. Conquest's outlines of midwifery : intended as a text-book for students, and a book of reference for junior practitioners. Source: Wellcome Collection.

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    of the cervix uteri, consequent on each contraction of the womb, necessarily separates the placentae attach- ments, and hajmorrhage is the inevitable result. Hasmorrhage from placenta prcevia will sometimes ensue as early as the seventh month of gestation. It may be suspected when the patient is seized with an instantaneous gush of blood, which comes on without any premonitory symptoms, and for which she can- not assign any cause. The placenta may be wholly or only i partially attached to the circumference of the OS uteri. Gare must be taken not to mistake a clot of blood for a placental presentation. The pla- centa may be distinguished, on examination per va- ginam, by its lobular and flesh-like feel.—J. M. W.] SCrcatment ol accitfcutal ?atcrinc ?gacmorrIjage. From whatever cause flooding may arise, it should always be viewed as a perilous symptom, and as one demanding prompt and active interference. The following general directions must be uni- versally and rigidly observed: — The woman should be laid on a mattress in a hori- zontal posture, having the pelvis raised higher than the shoulders, by some support less yielding than a feather pillow. The doors and windows should be opened, and the patient have no other covering than decency demands. No fire should be permitted to be in the room, and every talkative friend ought to be excluded. As little food as possible is to be given, and that neither warm nor spiced. In fact.