1000000031

\ '1

be:

prercrib~d

for

the p:nicnt, who filould

t ~ke

(rcql1ent.

Jy,

1lnd a

Jittle

at a time; lml abo\'c all -thinris. cili·;k.:- n

or muuon broths, adminiltered in the

(,Il11e

nunner, fo r

fea r of overlod.ding rhe wC'akcncd tlomach and

oC~J(jon·

ing rcachings: the(e Tepe.ncd in frnall quantities, will

gradu.J1y 611 Ihe exhau(l-ed vards, anJ kecp

Ihe eir·

,culatioo.

lhe

pul (e continues (hong,

wi ll be proper

to arder repe3ted draugh ts

barley.w.uer,

acidulatcd

with 'clixir vitriol:

bUI

rhe ci rcul:uion be weak and

Janguid, clr:.tr:té't of lhe bark,

dilfolved

oq. ci"namo:

n¡j tenuir,

and

giHn

in fmall dnughts.

exhibited in

any alher · form,

\ViII be ferviceable;

the

(ame time,

¡ulling Ihe patient to rdl wilh opiale.. T hefe. iodeed,

when Ihe 6r11 violence of Ihe Aood is abaled, íf properlr

and eauliouOy ufed, are geoerally more e/feélual tbao any

olbcr

m'edicioc.

01' /he

AFTER· PAIN •.

ArT....· PAINS eommonly happen when Ihe Gbrou.part

of 'the blood

¡.

rcuined in the

uterus

or vagina, and

formed ioto.large clo", which are detained by the fudd en

contradion of (he os internum

and

externum, after the

plaeeora í. delivered: or, if Ihefe rhould be e"traéled,

othe.. will fomcrimes be formed, though Dot fo large a.

che 6rll, bceaaf¿ tbe catity of the womb

í~

eonlinual ly

dimioifhiog after tbe birth . The uterus, in cootraél:ing,

prclfes down thefe,.

coagulum~

to the os intcrnum; which

boing agaio gr.dually Urcrehed, proJuee. a <legree of la·

boor pOlios, owing to

the irritanon

nerves : in con–

fequtD ce of

this

uneafinef"

the

woman fqueczes

(he womb

.. io ré,1 labour ; ·the force being increafed, the clo.. are

purhed .Ioog, aod "heo they are delivered, rhe grow.

...fy, The larger.tbe qu.ntilY is.ofthe eoogulared.blood,

lhe reverer are the

pOlios,

ana rbe Jonger ,hey' continue.

Womeo io Ihe 6rll child feldom have ·afrer. paíns; be–

caufe, afrer delivery, Ihe womb i. fuppofed

eonlraél,

aod purh o'ff the clo.. with grearer force in the

6r.ll

than

iD Ibe followiog labou,, : áfrer.p.ins may alfo proeeed

from obftrullions in the veffels,

3Dd

¡rrrtatiaos

the os

ioternum. In arder

prevent or remove tbefe

paios.

fGon ·as Ihe pIJeenra i. feparared and delívered, the hand

being

iDtroduc~d

ioto the uterus, may clear

of all the

~oagula.

'Vhen Ihe womb is felr through the p.riete. of

the abdomen larger thao ufual, íl may be lakeo· for granl'

ctI.

that tbere is either another dilild, or a lerge quantity

of Ihi, e10lted blood; .nd, whieh foever ít may be, ' there

iI •

oeceflily for i.. being extraéled,

the placenla

comes away ·of ¡trelf, and the

after-pains are

violcflt,

they m. y be alleviared and earri,d olf

opi~re:

for,

by /leeping and fweatíne pleqlífuny. the 'irriralion.i. re·

moved,

the evacuations are increafed. the

merÍ

iD·

fenfibly relaxed, and the co.gula /Iide e.Gly 'Iong . Wheo

the difcharge of Ihe loehi. i. fmall, the afrer· pains, if

moderate, ought

nol

ro be

rdhained ;

becaure

rhe Cqucez..

¡ng which

they

occafion, promotes lhe orher

evacuadop,

whieh í. oeeetrary for , he recol'ery of the patienl. Af·

ter-pa¡ns may alfo proceed from an obflrultidn

fome of

rhe ,dfels, occaGoning a '(mall inftammation of the o!. in·

tcroum and ligament!; and the fquc"czing thereby oecarion·

cd, mar

001

only help to propel tbe obfiruéllOglluid, Imt al-

F ' E

fo (if not too violem) eontribule tO Ihe narunl difcharge.·

O( /he

LOCHIA .

WE have already obferl'cd, that the deli.ery of the·

ehild and placenra i. foll" wcd by an elllux of ·more or

Icfs Llood, dífchargeu from Ihe uterus, whieh, by the

irnmediate evacuation of the large vefi"ds, is allowed

conlraét

¡t(eJf

the more freely, without the

ul!hger

of an

infl.mmarion. whieh would probably

h.ppe~

in the coo–

tradion,

lhe g reat

vclfels

were

nOI

emptied

al the fame

time : but, as the fluids

the fmaller .

velfds

caDDal

fo {oon evacuated, or

returned into

the .eoa

caTa, ·jl

necetrary, that, after Ibe great difeharge is abated, a /lo",

and gradual evacuation lhould cantinue,

unci l

the

womb

rhall be eontraéled to ne.r Ihe fame Gze which il had be–

fare pregnancy; and to this

attain¡ about'the eighteenth

or twenlicth day . frer delivery, though the period i. di!·

ferent in

difF~rent

women.

Wheo the large vetrels afe emptied immediatelr after

delívery, Ihe difeh>rge frequenrly ce.fes for feyeral hou",

uOlil the fluid. io the fmaller vetrel. are propelled iOlo the

larger, and tben begins to flow agaío, of a paler eolour.

The red eolour of the loehia eommonly eontioue. tiJl

the 6flh day, Ihough ít i. alway. turning more and more

ferou. (rom the begínníng ; .but, .bout the fifth day, it

Aow.off a e1ear, or fometimes (Ihough feldom) of a green–

irh liol ; for, the mooth. of the vetrd, growing graduall)'

narrower.

lhe contraétion oí

the

uterus, al

Jan

al–

lów Ihe ferou. part only ro paf.: a. fo.r the greenirh hue,

it i.

fu~pofed

ro proeced fram a ditrolution of Ihe cell.lar

or cribrirorm membrane or mucus, · lhat furrouDded the

forraee .of tbe

pl~eeDta

and ehorion; ·part of whíeh, being

lert

in the

ulerus, hecomts livid"decays, and, di{folviog•

mixes witlt.and tinélures lhe difeharge as it patres along.

Though lbe loehia, a. we have already obferved, eom–

menly

cODtinue

to the eighteenth or twentieth day. they

afe every

dar

diminifhioc in ,quantity, and

fooncel:

celfe'

in thoCe women who fuckle

lheir

childrcn, or have

had

e?<traordinary

dirc~uge

6rll;

bUl

the colour, qlJantity,

and duration, differ in difterent

women,:

in fome patiems,

«he red eolour difappea". on Ihe firll, or feeond d.y;

and in otber" though ri\rely ,

cantinues more

ler,

the cnd of the month: the evacuatíon in fome

Yery

fmall, in others exceffive: in ene womao

ceafes very

foon, in ¡nother flo\Vs

d,uring

che

whole

month:

yet,

all

of thefe palients rh,1I do well.

Sorne .lIedge. that Ibis dífeharge from Ihe Ulerus i.

lhe {ame with th:a from a wound of a

large

furface: but

is more reafonable to

Cuppore,

th at the ,:hange o( coJour–

and diminutioo

quantity proceed from the flow con–

tr..étioo ·of the ve(fds; becaufe, previous to pus, there

mu([ have

b!!en

lace:rations or impoClhumes,

and

iD wa–

men \Vho have fuddenly died afrer delívery no woond or

excoriarían hath :ilppeared upon the 'jDner

furface

of the

\Vomb, which

fomet imc:s

found

altogether fmooth, and

other

tim!!, rough

and unc:qual

that pan to which°

Ihe

pl~ccnla

adhered. The fpace .t.bat i. oeeupied before

ddivery, from being fix ¡nches in

diametc:r,

or eighteeDL

inches¡in circumfcrence,

will ,

foon

after (he

birtb,

he con–

tuéled

oue third

founh of Ihefe dimcilúon.,