Obstetric aphorisms : for the use of students commencing midwifery practice / by Joseph Griffiths Swayne.
- Swayne, Joseph Griffiths, 1819-1903.
- Date:
- 1913
Licence: In copyright
Credit: Obstetric aphorisms : for the use of students commencing midwifery practice / by Joseph Griffiths Swayne. Source: Wellcome Collection.
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![CA8IS8 UKQUIKINO A CON8l.'l/JA’J'JON. hm; iij'^nivuU-H tills eonilitioii. Jii cases dealt with in the early staifcs, <'Ood results may be expected from the above measures. If sij'ns of (general iieritonitis supervene, the peritoneal cavity should lie opened through the vagina and free drainage established. In all c.ases free stimulation is necessarj’; brandy is tolerated in large doses and appears to l>e distinctly beneficial. Opium and morphia, in just sufficient quantity' to relieve pain and no more, may be given. Quinine is of some value and is always harmless, and ergotin will assist in promoting uterine action and aid in the expulsion of clots or other retained substances. Reliance on drugs alone, however, will prove futile in cases in which definite septic infection is present, and more energetic measures will always be necessary'. The removal of the entire uterus has been advocated and prac‘tis<;d by some who claim that success has followed this rather drastic procedm-e. • Cases of puerperal sepsis are apt to be followed by' various secondary affections, such as su]»i)uration in the p»elviB, septic thrombosis of the veins in the pelvis, septic endo- carditis and py'semia. These affections may either succeed an acute or subacute infection, or be present in some cases from a very eaidy date. Pelvic Inflammation. This may occur iu one of two foniis according to the locality affected. In one form it may affect the pelvic peritoneum, giving rise to a localised perito- nitis ; in the other the cellular tissue of the pelvis is affected, the affected structures being wholly extra- peritoneal. Pelvic Perito7iitis. Ill this condition the general symptoms are those](https://iiif.wellcomecollection.org/image/b28088712_0216.jp2/full/800%2C/0/default.jpg)
