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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1865. Excerpt: ... difficulty in ascertaining the cause of the haemorrhage still no time need be lost; simple remedies, such as pressure, or pressure and cold combined, may be applied at the same time that we are making our diagnosis. In the present chapter I shall consider the causes of haemorrhage occurring after the birth of the child, but before the delivery of the placenta, their diagnosis and treatment. I shall give the symptoms and treatment of all the causes separately; where there are two or three causes present in the same case, the treatment proper for each must be undertaken. Partial Separation Of The Not Morbidly Adherent Placenta. After the birth of the infant, the uterus generally remains quiescent for a short time before it contracts to detach the placenta. Dr. Murphy has given to that condition of the uterus the very appropriate term of "suspended action," in contradistinction to that of true inertia. Now, a not uncommon cause of haemorrhage is the partial detachment of the placenta before the uterus begins to contract. The only safeguards against flooding are either adhesion of the entire placenta, or firm contraction of the uterus, its cavity being perfectly empty. Both these points are wanting when haemorrhage occurs from partial separation of the placenta during an uncontracted state of the uterus. The blood flows through the uterus unimpeded, and escapes out of the uterine sinuses lately covered by the detached portion of the placenta. The healthy afterbirth is so loosely connected to the uterine wall, that very slight disturbances may give rise to its partial detachment--e. g., exertion of the patient; coughing; the application of strong or unequal pressure on the uterus during the absence of contraction; contraction of only a small portion of the ute...
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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1865. Excerpt: ... difficulty in ascertaining the cause of the haemorrhage still no time need be lost; simple remedies, such as pressure, or pressure and cold combined, may be applied at the same time that we are making our diagnosis. In the present chapter I shall consider the causes of haemorrhage occurring after the birth of the child, but before the delivery of the placenta, their diagnosis and treatment. I shall give the symptoms and treatment of all the causes separately; where there are two or three causes present in the same case, the treatment proper for each must be undertaken. Partial Separation Of The Not Morbidly Adherent Placenta. After the birth of the infant, the uterus generally remains quiescent for a short time before it contracts to detach the placenta. Dr. Murphy has given to that condition of the uterus the very appropriate term of "suspended action," in contradistinction to that of true inertia. Now, a not uncommon cause of haemorrhage is the partial detachment of the placenta before the uterus begins to contract. The only safeguards against flooding are either adhesion of the entire placenta, or firm contraction of the uterus, its cavity being perfectly empty. Both these points are wanting when haemorrhage occurs from partial separation of the placenta during an uncontracted state of the uterus. The blood flows through the uterus unimpeded, and escapes out of the uterine sinuses lately covered by the detached portion of the placenta. The healthy afterbirth is so loosely connected to the uterine wall, that very slight disturbances may give rise to its partial detachment--e. g., exertion of the patient; coughing; the application of strong or unequal pressure on the uterus during the absence of contraction; contraction of only a small portion of the ute...
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