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.

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    general rule, tliat they are admissible in but few in- stances, and ought only to be exhibited to such an extent as may be necessary to restore and sustain the circulation. [In hjemorrhage from any other source than that of the uterus, syncope is sometimes of service, but in the cases under consideration it cannot be depended upon. Modern research has shown that the only effectual means of arresting the flow of blood, is to induce contraction of the uterus; to effect this it will often be necessary to exhibit brandy and ergot with a liberal hand.-J. M. W.] It is not unusual for a woman to be apparently dolno- very well for some little time after delivery; and yet, although the uterus shall have contracted m a great measure, blood may be poured out into its cavity, so as to re-distend it, and, in consequence of the coagula blocking up the mouth of the womb, no hemorrhage shall appear per vaginam. A woman under such circumstances will complain of being faint, and of tinnitus aurium; her countenance will become pallid; nausea, vomiting, and extreme rest- lessness sometimes follow; the pulse sinks; and, if she be not speedily relieved, she expires after one or two gasps, or a slight convulsive paroxysm. Sucli symptoms naturally lead to an external and internal examination, which detects a re-distended uterus, filled with coagulated and fluid blood. Under these circumstances no time must be lost, or vacillating and inefficient treatment may soon place the patient beyond the reach of remedies. One