The puerperal diseases : clinical lectures delivered at Bellevue Hospital / by Fordyce Barker.

  • Benjamin Fordyce Barker
Date:
1876
Catalogue details

Licence: Public Domain Mark

Credit: The puerperal diseases : clinical lectures delivered at Bellevue Hospital / by Fordyce Barker. Source: Wellcome Collection.

Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.

    33/590 page 9
    prescribe from five to ten grains of quinine niglit and morning, but this is rarely needed for more than a day or two. The liniment is the following: -^. Chloroform, §j, lin. sapo. co., § vj. M. Wet a piece of flannel of double thickness, large enough to cover the whole uter- ine region, and lay upon the skin, immediately covering the patient with the bed-clothes. The application, for the first moment, causes a disagreeable sensation of cold, which is at once succeeded hy a burning, but not ungrateful heat. A patient whom I saw a few wrecks since in consultation had been suffering intense agony for over forty-eight hours, and, in addition, she was experiencing the disagreeable effects of large doses of morphine that had been given her to relieve the pain and induce sleep. One dose of ten grains of quinine, ^vith the application of the liniment I have just men- tioned, gave her entire and permanent relief. . I should not omit to mention that, in some few cases, cramps in the legs seem to take the place of after-pains. I believe Drs. McClintock and Hardy were the first to call attention to this fact, which my own ex- perience has verified in two or three instances. The cramps disajDpeared after the expulsion of coagula from the uterus. Tlie Locliia.—This is the term, applied to the dis- charges which take place from the vulva from the time of delivery until puerperal convalescence is complete. In different women, who are perfectly healthy, there are great variations in the quantity, duration, and character of the discharge. It is at first sanguineous, being com- posed princi]3ally of the blood which oozes from the open mouths of the uterine veins. It then becomes greenish yellow, thick and oleaginous, and lastly, thin, and serous. During the first twenty-four hours, the patient usually
    digitised image 1
    digitised image 2
    digitised image 3