Identifier: practiceofobstet00edga (find matches)
Title: The practice of obstetrics, designed for the use of students and practitioners of medicine
Year: 1910 (1910s)
Authors: Edgar, J. Clifton (James Clifton), 1859-1939
Subjects: Obstetrics
Publisher: 3rd ed., rev
Contributing Library: Columbia University Libraries
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:
.—(From aphotograph taken at the Emergency Hospital.) Repair of the Perineum.—Lacerations of the vagina and perineum shouldnow be carefully closed with appropriate sutures. (See Part X.) Ergot.—If the retraction of the uterus should not be entirely satisfactory afterit is emptied, and manipulations and the Cred6 method have not induced contrac-tions, fluid extract of ergot may be given by the mouth or subcutaneously. Theusual dose is one-half to one drachm by the mouth and twenty minims hypo-dermically; it may be repeated if required. This drug is especially useful afterchloroform anesthesia, since the uterus sometimes does not contract quitepromptly after its employment. Ergot used after the uterus is empty is usefulas a preventive not only of hemorrhage, especially in multiparae and atonic cases, 494 PHYSIOLOGICAL LABOR. but of sepsis, and as an aid to involution and in the prevention of after-pains.The contraction of the uterine muscle keeps the sinuses closed, preventing the
Text Appearing After Image:
Fig. 636.—Credes Method of Placental Expression.—(The upper illustration is froma photograph taken at the Emergency Hospital.) formation of clots and the entrance of sepsis, and also hastens involution bycurtailing the blood-supply to the uterine muscular tissue. On the one hand, I THE MANAGEMENT OF LABOR. 495 know of no valid objection to the use of one or two doses of ergot after confine-ment; and, on the other, the drug thus used adds materially to the safety andcomfort of the patient. Post-partum Douche.—There is at present some controversy as to the advis-ability of giving a vaginal douche after delivery of the placenta. The analogybetween the indications for the ante-partum and the post-partum douche is not,as some have supposed, perfect. Before delivery the vaginal mucous membraneis intact and bathed in the acid bactericidal mucus of the vagina. Hence, asKronig has shown experimentally, ante-partum douches, by diluting and washingaway this mucus, actually delay thedestruc

Note About Images