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The Management of Labor and of the Lying-In Period

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    Available in PDF - DJVU Format | The Management of Labor and of the Lying-In Period.pdf | Language: ENGLISH
    Anonymous (Author)

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This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1885 edition. Excerpt: ... oozing for some time before. Where a small clot imperfectly closes a sinus, blood may slowly trickle past, coagulating in thin layers until a stalactitic mass is formed, resembling a polypus. A bit of membrane or placenta may form the nucleus of such a mass. This is the so-called fibrinous polypus. The uterine mucous membrane, either the decidua vera or serotina sometimes becomes inflamed or deeply congested in patches during gestation. This may by hypertrophic growth lead to the formation of a thickened mass of mucous membrane, which may become detached after delivery with much hemorrhage. In two cases which I have seen' the dctachment occurred on the twelfth day after labor. Flexion or version of the womb may occasion hemorrhage, by dragging upon the uterine veins and abstracting the return of blood from the uterus. Flexions may be easily produced in the softened and enlarged uterus at this time. A tight bandage 1 Trans. Am. Med. Soc., Aug. 25, 1883. may displace the womb: leaning forward to nurse the baby is a common cause: sitting up too soon when the womb is heavy and its supports are weak, may provoke it. An impacted rectum is a frequent condition after labor, and produces hemorrhage in the same way. In the latter months of pregnancy the pressure of the womb upon the colon often leads to the retention of large accumulations of fecal matter. After delivery these masses descend, and the rectum may become actually distended with them. The secondary hemorrhages are rarely so profuse as those occurring soon after delivery, but they may persist until the consequences are serious. The treatment must depend upon the cause, which it is absolutely necessary to ascertain. N o measures levelled at hemorrhage in general are likely to...
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  • PDF | 78 pages
  • Anonymous (Author)
  • Rarebooksclub.com (13 Sept. 2013)
  • English
  • 7
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