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
Catalogue details

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.

    252/370 (page 238)
    had time to contract in the ordinary way, may thus become the seat of irregular contractions; and when these occur at the cervix uteri, a case of internal hajmorrhage may be very readily induced.—J. M. W.] A very superficial retrospect of the causes of uterine haBuiorrhage whicli have been enumerated, will teach the vast importance, First, of securing or restoring the contractile powers of the uterus; and, Secondly, of avoiding everything that can even in- crease the force or frequency of the action of the heart and arteries. [A third and most Important indication must not be overlooked—that of removing the placenta, when this hasmorrhage is owing to adhesion, retention, or partial separation of this organ. — J. M. W.] To secure these objects, much that is preventive may be done by the mere avoidance of those causes which have been specified, and many of which are under our control; and much that is curative, by the observance of those general directions which were siven for the management of cases of accidental hge- morrhage occurring during labour. Although the loss of a small quantity of blood is common on the detachment and expulsion of the pla- centa, and does not demand interference, yet it is of the highest moment not to defer the adoption of ener- getic measures until formidable consequences begin to appear; because, if haemorrhage is allowed to proceed, although it may not immediately endanger the life of the patient, the constitution may be so en-