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 all contraction of the uterus, or in which the pains are extremely feeble and inefficient, with a relaxed condition of the cervix uteri. When either of these two dangerous attendants on uterine hajmorrhao-e is present, the operation of turning often produces some contractile exertions of the uterus, by which the dan- ger is materially lessened. The second method is applicable to those cases in Avhich there are labour-pains, and experience proves it may almost always be depended on as successful, [The first mode is not so often required in this species of hajmorrhage as in that arising from placenta prasvia. Puncturing the membrane, and full doses of ergot, are generally sufficient to induce a contrac- tion of the uterine fibres. If the patient be in a state bordering on collapse, turning should not be had recourse to, until she be roused by stimulants, as the sudden emptying of the womb might induce a fatal syncope. Plugging the vagina, which is allowable in pla- centa priBvia, is a dangerous expedient in these cases, owing to the internal hajmorrhage which is likely to be produced by its use.—J. M. W.] When hfemorrhage is unavoidable, the cause is, implantation of the placenta ah origine over the cervix uteri, so that flooding very naturally occurs at any time after the fifth month, whenever the expansion of the cervix uteri lacerates those vessels which pass be- tween it and the placental mass. Haimorrhage, from this cause, places the woman in most imminent danger; for, on the accession of paius