1000000031

'42

D 'V

~ltit"de

the uterus, not yet fully contraaed, haogs dowo,

/lretchiog the ligan..n.. , oecaflioning pain, eold fulverings,

and a fever: for tll! prevention of th<fe bad fymptoms, the

p"ie," mufl be k' pt quiet in bed till after the founh or

¡¡fth day, and then be gcntly lifted up in the bed·cloaths,

in a Iying poflure, uotil.thebed can be adjufled, iotowhich

fue mllfl be immediately re.conveyed, there

tI'

cootinue

for the mofl pan, till the oioth day,. after which period

womeo are oot fo fubjdl tO fevers, as immediately after

delivery . SOnle there are, who, from the nature of their

cc;:oUitutions, or other accidents

recover more {low)y;

aod fuch

~re

to be

tre,ued

with (he Carne caution arter,

as before, the ninth day, as the "fe feems to indica

te ,

others get

UPt

waJk. about, and recover,

a much (horter

time; but ,hefe may fome ,ime or o,her 'Pay dearly for

the17 fJolhárdiot:fs, by encouragiog dangerous

f~vers

: fo

lhat \Ve ought rather to err on ttJe fafe Cide, than run

aoy rifque wha,foever.

What

oext comes

under confideration, is (he clrcl.1'm–

{la

eeof retentioa and excr«ion. We have formerly ob·

ferve , that in ,ime of labour,. before . ,he head of Ihe

ehild is loaed io'o ,he pelvis, if ,he womaa has nO' had

eafy palfage io her belly ,hat fame day, tbe reélum aod

eoloo ought to be emptied by • glyller, whieh will aflifl

the labour, prevent Ihe difagreeable excretion of Ibe

f~ces before the child's he.d, and

eaabl~

Ihe patieat 10 re–

m.iD

t ·,vo

or Ihree days after, wilhout Ihe neceflily of

going 10 Ilool. However, fuould this preeaulion b: oe·

gleéted, aod tite patieot very coflive after delivery, we

luafl beware of throwiog up flimulating glyflers, or ad–

mioiflriDg {hong cathanics, lefl they fuould briog 00 too

maoy loofe flools, .whieh, if they eanoot be flopt, fome–

times produ=. fatal eoofequeoeeS, by obll rllfliog the per–

{pi radon anu lochia, and

exhaulling

th ~

woman, fo as

tba! fue will die all of a fuddea; a eatafl

r"'~he

which,halh

frequently happeDed (rom ,his praétiee. \Vherefore, if

i, be oecetra ry to empty the iateflioes, \Ve ought to pre–

fcribe oOlhiog b'.ll emollicnt glyflers, or fome very gentle

opener, fuch as manna, or

E/~{].

L !nilif)óJI/I.

BUl DO

excrelion is of

m~re

cllllfequeoce to the patieot's reco·

very, Ihan a free perfpiratioo; which is fo abfolutely De–

eetrdry, tlllt uolefs O,e has a m<iiflu re cootioually 00 the

rf.ce

or her body, for fome days .fter ¡he birth, fue

feldom recovers tO .dvanlage; her hea1th. Iherefore, ia

a great meafure depcnd, UpOD h" enjoyiog uadiflurbed

repofe, ao:! a eooflanl brealhing fweat, which preveots a

f. fer, byearrying off the tenfion, aod aflifl, ,he . equal

difohJrge of the loehia: aDd \Vhen Ihefe are Dbflruéted,

aod a fever enfues with paio aod reflletraefs, oo,hiog re–

lieves the patiem fo effdlually as refl and profufe fweat–

ing. procored by opiates aad fudorifics at th. begiooiag

of Ihe eonaplaio.. ; yet ,hefe lafl mufl be more eautiouf·

Iy prefcribed io exceflive houhan io eoal weather.

The lafl of the nonnaturals to be eoofidercd are tbe

paRioos of lhe

mind,

which atro

require p.l.rtic;ular

aUen –

tion. Tbe patieat's imaginltiotl ruufl OOt b. dillurbed by

she news of any

ext~aordinary

accidcnt

whidl

may have

happeDed tO her family or friends : for fuch ioformation

h.,b beeo koowo to carry off the labour. paios eo,irely,

afler they were beguo, aod the womao ha. fuak unJer her

d,"i.<~ion

of {pirito: aQd eveo after dclivery, theC. Un-

fe.fooable eommuoieations have produced [ueh aoxlely .,

obflruéted all th. oecetrary excretioas, aod brooghl 00 a

violent

lever

and convulGons, that cnded in death.

Oívio1m/

FLOODING •.

AL L womeo, wheo the placeota feparates, aod after

it is delivered, lofe more or lef. red blood, from Ihe

q uaotity of halr a pouod, to tbat of ooe pouod, or even

two; bue (bou!d ir exceed lhis propartioa, -aud cot1tioue

Bow without diminution, [he

patient.is

in great daDger

of her life: tbis hazardou. hzmorrhage is koown by the

violeoee of Ih. difehargé, welting frefu clotbs as fall as

they eao be .applied; from the pulfe beeomiog 10lV and

weak, aod Ihe counteoaoee turniog pale; theD the ex–

tremines grow eold, fue finks ioto fainliog., and,

ii'

the

difeharge is not fpeedily Ilopt, or dimioifued, is feized

with eODvulfioa., whieh often lerminate iD dea,h.

Thi. daogerou. emux i. oceaGooed by every thinl: that

hioda. Ihe emptied uterus from contratliag, fuch as great

we.knef. aod latlitude, in .eonrequeoee of repeated

Bood–

iogs before dclivery; the fuddeD evacualioo of the ute–

rus; fometimes, Ibough fc\dom, it proceed. from pUl

of the placeola's beiog left in the womb

it mar hlppeq

wheo Ihere i. aoother ehild, or more, flill undelivered

wheri the womb is kept diflended with a large quaotil'

of eoagulated blood; or wben it i. iaverted, by pullioa

too foreibly at the placeota.

lo this café, as

tn~re

i. 00 time to be lofl, aad ioler–

oal medicines eaoool aét fo fuddenly a, loanfwer the pur–

pofe, we mull have imOlediate recourfe lo exteroarappli–

catioo. If the diforder be owiog to we.koef., by IVhieh

the Uteru, is difabled from contra,'liog itfelf, fo Ihat the

mouths of the vetrds are

I.ft

opeo ; or, Ihough coatr.éted

a liltle, yet oot eoough lo reflnin the hce110rrhage of tbe

thín bJood; or if, in Ceparating tbe, placenta, tbe ac.

coucheur has fcratched or tore the íooer furface or mero·

braoc of the womu ; io thefe elfes, fueh tlii';gs mul! be

ufed as will aflifl the contraétil. power of Ihe Uleru., lod

hioder the bloód from 1I0wing fo fafl ioto it and the Deigb–

bOJlrin¡¡ vetrel.; for Ihis purpofe, cloth. dip?ed io ooy

colJ

a{lriog~nt

fluid, fuch as oxyerate,

0 1"

red tart wioe,

may be applied 10 the back aod belly. Sorne preferibe

veozfeélion

inth~

arm, to the amount offive orlix OUDees,

witb a view of makiog revulGoo: if the pulfe i. aroog,

this may be proper; otherwife,

will do more harm

thao good. Q,her. order liga,or", ror eompretliog ihe

reluroing veins at the hams, arms, and neck. ro retain as

much blood as poflible in tlle extromities aod he.d. S.fide.

thefe applicatiops, the vagioa may be 611ed ...i,h tow or

Iioen rag', dipped io Ihe above.mentioocd · liquids, ·in

which a Jiltl. allum, or faehar·f.turni huh beeo ditTolvtcl:

oay, fome praélítioD$rs ¡ojeél proof.fpirits warmed, or,..

foakiog them up in a rag <>r fpunge. introduce aod fquceze

them ioto the uterus, in order to cooClringe the

vdrels.

t~e

floodiog

pr~ceeds

from anotber child, the releo–

tioo of tlie placenta, or coagulated blood, Iltefe ougbt

immediately

extr;h.'led;

and

there

is an

ioverlion

of the uterus, it mufl be fpeed ily redueed. ShoulJ tbe

hremorrhage, by thefe melhods , abate a Jiltle, but flill

.t:Ootinue

flow, though not iD fucb a quaotity as tO

briog 00 fudden deotb, lome red wine aud jelly ought 10