File:A treatise on obstetrics for students and practitioners (1896) (14755206164).jpg

Identifier: treatiseonobstet00davi (find matches)
Title: A treatise on obstetrics for students and practitioners
Year: 1896 (1890s)
Authors: Davis, Edward Parker, 1856-
Subjects: Obstetrics Radiography in obstetrics Obstetrics Obstetrics
Publisher: Philadelphia and New York, Lea brothers & co.
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons

View Book Page: Book Viewer
About This Book: Catalog Entry
View All Images: All Images From Book
Click here to view book online to see this illustration in context in a browseable online version of this book.

Text Appearing Before Image:
this complication maybe successfully dealt with if septic infection does not occur. Casesarise in which the placenta may be adherent to the wall of the uterus so firmly that the finger and blunt curette cannot completely remove it. In these cases it is better to use no violence in removing retained tissue, but to make the uterus aseptic and maintain the birth-canal in an aseptic condition until the placenta becomes dislodged by necrosis of the cells of the placenta and uterine decidua. This is to be accomplished by thoroughly douching the uterus with carbolic acid or creo-lin, 2 per cent., tamponing it with iodoform-gauze and tamponing the vagina with bichloride of mercury gauze, 1 : 2000. The external parts must remain covered by an antiseptic occlusion dressing and be thoroughly cleansed with bichloride solution, 1 : 4000, after each micturition and defecation. In from thirty-six to forty-eight hours in the majority of cases the placenta will be found loosened and will often be PLATE XII.
Text Appearing After Image:
Abortion (Foetus and Placenta) at Eighteen Weeks. Actual size, 20 em. long-. ABORTION AND PREMATURE LABOR. 371 expelled by the contractions of the uterus. Care should be taken that the womb is maintained in a condition of firm contraction by ergot,fifteen drops every six hours, with strychnine, -^ grain, every six hours. The tampon of iodoform-gauze may remain for forty-eight hours in the uterus, but the tampon of bichloride gauze should be renewed in the vagina daily. If thorough antisepsis be practised, the placenta will be expelled or may be removed without danger to the mother. (Plate XII.) The most dangerous forms of abortion are those termed criminal abortions. They are commonly practised by ignorant persons who know nothing regarding septic poisoning. Any convenient article may be used in an endeavor to rupture the membranes; thus knitting-needles, hairpins, pieces of wire, short sticks, scissors, pieces of whale-bone may be employed. Professional abortionists commonly use the uterine so

Note About Images