Transactions - Luzerne County Medical Society Volume N . 15

Transactions - Luzerne County Medical Society Volume N . 15

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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. 1907 edition. Excerpt: ... uterus does not relax and retain a certain amount of hemorrhage; it is this retained blood that often gives rise to the grave condition of sepsis and causes putrid intoxication. I do not believe that any one would leave a woman with a part of the placenta in the uterus. The very fact of knowing the serious consequences in allowing it to be retained would make the obstetrician most cautious. I can very well remember the very first case of labor I attended, while hospital resident in 1880, where the woman had a complete adherent placenta and I was obliged to separate and peel it off from the uterine walls. The patient made a good and uneventful recovery and is living to-day; nor did I consider the great danger involved in the procedure, but having a similar case, years later, it caused me considerable anxiety in having the patient get well without any septic complications, using at the time all possible precautions so as not to infect the woman m removing the placenta. In healthy women the uterus is very tolerant, and it is a good symptom to have the uterus contract spasmodically, as it closes the mouth of the vessels at the placental wound and prevents the poisoned material from being conveyed into the general circulation, which is one and the chief cause of septicemia. I recall a case where the woman, after confinement, complained of a very offensive odor, occurring at stated intervals. On examination, per vagina, it was not perceptible, but in dilating the cervix, a large amount of foul smelling pus escaped, which no doubt was the result of broken down clots retained in the uterine cavity; irrigating the uterus with an antiseptic solution the patient had no further trouble from that source. How are we to prevent our patients from more

Product details

  • Paperback | 40 pages
  • 189 x 246 x 2mm | 91g
  • Miami Fl, United States
  • English
  • black & white illustrations
  • 1236515587
  • 9781236515582