The principles and practice of midwifery : with some of the diseases of women.
- Milne, Alexander
- Date:
- 1871
Licence: Public Domain Mark
Credit: The principles and practice of midwifery : with some of the diseases of women. Source: Wellcome Collection.
Provider: This material has been provided by Royal College of Physicians, London. The original may be consulted at Royal College of Physicians, London.
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![does not appear, there are a variety of distressing sjTnptoms. If the girl be plethoric, there will be febrile symptoms, a corded pnlse, flushed face, sense of fulness about the head, and throbbing headache. In the ansemic girl these febrile manifestations are awant- ing, but she shares with her more plethoiic sister the otlier troublesome si^ns. These are :—Feeling of weight at the lower part of the abdomen and back every month j back pain; shooting pains down tlie thighs, and over the ovaries ; weaiisomeness, yawning, sighing. Sometimes there are hysterical seizures, ac- companied with dyspnoea, consti[)ation, incontinence of urine. Pale-coloured blood may be coughed uji, or come away with the sputum j or it may assume the form of an epistaxis, a haematemesis, or a melajna. Pains in the side or between the shoulders, intoler- ance of light and of noise, anorexia, dyspepsia, and general malaise, are also common. These various symp- toms—the menstrual molimen—may, persist and ap- pear, month after month, for a long period, until the function is established, or the hapless giid sinks into a state of in'etrievable debility. It will be our duty, however, to strive hard to avert such a catastroplie— to aid nature as far as we are able in the production of the needed reproductive force. In those cases where there is organic obstruction to the outflow of the menses, the discharge has accumu- lated in numerous cases to sucli an extent as to simulate pregnancy. 552. Treatment.—In retention from obstruction, of course surgical treatment is demanded. The hymen has often to be cut through. The v^aginal walls may have to be foi'cibly separated, or by means of the knife. The os and cervix may have to be tunnelled with a pointed probe or trocar. But j)revious to operative ])rocedure, it is undei’stood that the physician has previ- ously tried all the other means, medical and hygienic, before resorting to it; that is to say, we do not rush](https://iiif.wellcomecollection.org/image/b24991235_0595.jp2/full/800%2C/0/default.jpg)
