The pathology and treatment of childbed : a treatise for physicians and students. ... From the second German edition with many additional notes by the author / by Dr. F. Winckel; translated by James R. Chadwick.

Date:
1876
Catalogue details

Licence: Public Domain Mark

Credit: The pathology and treatment of childbed : a treatise for physicians and students. ... From the second German edition with many additional notes by the author / by Dr. F. Winckel; translated by James R. Chadwick. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    cannot be accomplished, the catheter must be used ; even con- versation is he avoided, and solicitous friends are to be debar- red from entering the room. If the woman is not so anemic as to cause evil results to he apprehended with any movement, and milk appears in the breasts, the child may be applied to the breasts ten or twelve hours after the hemorrhage has been checked. If, however, the anemia is considerable, it is better to wait one or two days, and then make the attempt when the woman has somewhat rallied, A uterus, which has been re- laxed h}^ hemorrhages, may he stimulated to contraction by ajutlying the child to the breast. At first, cow’s milk should he given in addition to the breast-milk, so that the mother shall not he disturbed too often or too continuous!}^ by her olTspring. If the woman is suffering from extreme anemia, is very weak, or has a scanty sup])ly of milk, the child should not he given the breast, since it onlyyloes injury, exaggerates the nervous irritability, disturbs the night’s rest, etc. The bladder must he emptied every 8-4 hours, either voluntarily, or, if that is impossible, with the catheter. The functional activity of the skin should he ]>romoted by warm clothing. Care should he taken to insure a suflicient supply of fresh air, the temperature of the room being maintained at 66° F. In the early days, the infusion of ergot is still to be administered, if the bleeding proceeds from the placental site. The diet should ho ehielly hupiid, not too hot; milk, bouillon, water- gruel, yolk of eggs, and oven small cpiantities of red wine. A dejection must Ijc procured on the 2d or 3d day by an enema of cold water, and repeated the succeeding days. Early sitting u|> in bed should he firmly forbidden; after the 4th-5th day the lateral deculhtus will occasionally he preferable. But such lying-in women as these must keep their beds longer than others, not rising before the 12th-14tli day at the earliest, since second- ary hemorrhages, displacements of the uterus,and fainting turns are to he apprehended, and even sudden death may occur when the bed is left too early. If there is oedema of the feet upon standins;, the legs must he swathed with flannel bandages. Equal parts of quinine and iron in form of a pill, or tinctura ferri pomati (0.6 grm. 4 times a day) should he given to such individuals to hasten recovery ; hitter tonics are serviceable, as