Identifier: americantextbook02came (find matches)
Title: The American text-book of obstetrics for practitioners and students
Year: 1903 (1900s)
Authors: Cameron, James C. (James Chalmers) Norris, Richard C. (Richard Cooper), 1863-1937 Dickinson, Robert Latou, 1861-1950
Subjects: Obstetrics
Publisher: Philadelphia : W.B. Saunders & Co.
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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it is necessary to know its limitations as well as its indications, andmore important than all is an intimate knowledge of its technique. Thephysician should give the matter his personal attention when there is not athand a nurse upon whom he can rely for its proper performance. The im-portant contra-indication to breast-massage is interstitial inflammation of thpbreasts. It is a method of treatment of great value for the relief of pain andtension in the breasts, due to engorgement with milk when the infant fails toempty the breast properly, especially when the nipple is sore. Breast-massageis also useful in mastitis to empty the gland-acini of their contents, and evenof pus in the early stage of parenchymatous abscess; thus it has often savedthe anxiety, pain, and sequelee of lancing such an abscess. Technique of Breast-massage.—After cleansing the breast the entire skin-surface of the breast is anointed with a lubricant, preferably with camphorated DISI U3E8 01 I III. BBEA8T. Il.A
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■ • of the breast (from photographs). PATHOLOGY OF THE PUEBPEBIUM. 281 or carbolized oil. It is the writers practice either himself to perform or toteach his nurse four distinct manipulations. The firsi mauipnlatiou i- oneof gentle and quickly-repeated strokes of the finger-tips (PI. 48, Fig. 1).The breasl can conveniently be supported during the manipulation by thepatient placing her forearm under the breast, drawing the breasl upward, andsupporting it. Starting at the periphery of the gland, the fingers are separatedami are brought together a- the tip- of tin- fingers terminate the stroke at thenipple. Each segment f the gland should thus be rapidly stroked in su<sion, paying particular attention to the region f the nipple, and, short ofproducing much pain, the pressure f the finger-tip- should gradually beincreased. After this manipulation has been practised for about five minutes and pain isno longer experienced, the operator supports the breast in t

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