The student's guide to the diseases of women / by Alfred Lewis Galabin.

  • Galabin, Alfred Lewis, 1843-1913.
Date:
1881
Catalogue details

Licence: Public Domain Mark

Credit: The student's guide to the diseases of women / by Alfred Lewis Galabin. Source: Wellcome Collection.

    154/434 (page 136)
    DISEASES OF WOMEN. tumour is especially liable to escape recognition. Froml early pregnancy hyperplasia is usually distinguished by the greater sensitiveness of the uterus, and by the persistence of menstruation, whereas,in pregnancy, therd has usually been amenorrhea at some period, though hemorrhage may be present when abortion is threaten] ing. This distinction, however, may fail in the case of hyperplasia associated with the commencement ofl climacteric irregularities. The most valuable sign by which to distinguish the pregnant uterus is the' moral globular enlargement of its body as felt bimanual* and its greater softness and indistinctness, due to the! chiefly fluid nature of its contents. Variation in tliel consistence of the uterus, due to the alternation off contract ion and relaxation, may often be detected earn in pregnancy, and is a very valuable sign if it exists, since it is far more marked in pregnancy than in any other uterine enlargement. In molar pregnancy, hoM ever, the. uterus may never be soft or flaccid. Softening of the cervix is an important sign, if present, but it is often absent in the early stage of pregnancy in a multipara.* Treatment.—(1) Prophylactic.—The most important part of prophylactic treatment consists in the judicious management of the puerperal state and of abortion, in which should be included the utmost care to avoid causes of septic or traumatic inflammation, liest fur a due period, mainly in the horizontal position, should be observed, but a too continuous maintenance of the dorsal position, especially on a soft bed. should he avoided, as tending to cause venous stagnation and retain discharges. The child should be suckled, if possible, for at least from four to six weeks, even it' the mother's milk requires to be supplemented. It would lie of advantage if, in all cases, at the end of the puer- peral period an examination could be made to ascertain that no displacement had arisen, or lesion < f cervix remained. Whenever sanguineous or mueo-purulent discharge continues too long after delivery, such an examination should not be omitted. After abortion m