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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    hand should be immediately introduced within the uterus, to empty it of coagula, and to stimulate it to contract, whilst pressure is made on the abdomen and the uterus grasped with the other. Besides this, such other means as have been already recommended to restrain the flow of the blood should be promptly and perseveringly adopted; and, as a last resource, transfusion may be employed. [Transfusion is attended with danger, and has failed m the hands of many experienced practitioners. The Lability to the entrance of air, during the operation, unless it be performed with the greatest caution, would lead us never to recommend it except as a derniere ressoiirce. It is, moreover, a matter of con- sideration whether many of the successful cases of transfusion, which have been placed on record, might not have done equally well under ordinary treatment. Although the majority of transfusion cases have terminated fatally, we are glad to state that there have been a few exceptions to this rule. With re- gard to one of the cases related by Dr. Waller, there is some doubt whether the patient would have reco- vered, had it not been for the transfusion of blood into her veins. — J. M. W.] Wlien the uterus does not readily and completely contract, a small portion of blood is poured out, which coagulates, and keeps up hcemorrhagc until it is removed from the organ by manual interference, or uterine contractions. Its expulsion will be accele- rated by friction on the uterus externally. Now and then, uterine hajmorrhage is the conse- K 3