Aladdin was the only son of a poor widow who lived in China; but instead of helping his mother to earn their living, he let her do all the hard work, while he himself only thought of idling and amusement. One day, as he was playing in th... Read more of Aladdin And The Wonderful Lamp at Children Stories.caInformational Site Network Informational
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Treatment of the Inevitable Abortion





Category: Obstetrics or Midwifery

If the cervix is hard and the canal
is not dilated, especially if the bleeding is free, the vagina should be
packed full at once, if possible, with iodoform gauze. Rolls five yards
long and two inches wide can be bought perfectly adapted to this purpose.
A speculum should be used (Sims' or Graves') and the gauze should first be
packed tightly into corners (fornices) around the cervix, then over the
cervix and well down to the outlet. This should be held in place by a
proper (T) bandage. The gauze can be removed in from twelve to twenty-four
hours, and the ovum will generally be found lying upon the upper part of
the packing, or in the canal that is now dilated, from which it can easily
be removed. Sometimes it is necessary to repack and allow it to remain for
another twelve hours as the canal has not been sufficiently dilated by the
first packing. This packing not only causes the canal to dilate but
usually stops the bleeding. After the ovum has been expelled an antiseptic
vaginal douche should be given twice a day for a week or longer.

If at the first examination the cervix is found softened and the mouth of
the womb is open, but the womb has not yet expelled its contents, the
sterile (clean) finger may be introduced into the womb and the ovum and
membranes loosened and taken away, while this is being done counter
pressure should be made over the abdomen. After the womb has been cleared
of all its contents an antiseptic solution should be used, carefully, in
the womb to wash it out, and this followed by washing out of the vagina.
The after treatment is the same as that for labor at full term. The woman
should remain in bed at least ten days.





Next: Placenta Praevia

Previous: Treatment of Threatened Abortion



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