A manual of obstetric practice : for students and practitioners / by A. Dührssen ; translated and edited from the 6th amended and enlarged ed., by John W. Taylor and Frederick Edge.

  • Dührssen, Jacob Alfred, 1862-1933.
Date:
1897
Catalogue details

Licence: Public Domain Mark

Credit: A manual of obstetric practice : for students and practitioners / by A. Dührssen ; translated and edited from the 6th amended and enlarged ed., by John W. Taylor and Frederick Edge. Source: Wellcome Collection.

Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.

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    limbs of the kolpeurynter are attached to the loop by- means of catch forceps. Soon after introduction of the kolpeurynter smart pains come ou, which in three of my cases expelled the kolpeurynter within three hours. In two of these casea the child was born immediately after, and in the third case internal version and extraction were performed on account of the recui'rence of bleeding. In this method of kolpeurysis the physician must be at hand all the time in order to be able to stop the bleeding after expulsion of' the kolpeurynter by delivery at the right time. If the kolpeurynter is not expelled it is allowed to I'e- main for twelve hours, and it is then removed by pulling on its lower end, after which internal version and extrac- tion are done at once. The arrest of haemorrhage by this method is an abso- lutely safe one, and further it renders vei-sion unnecessary in many cases. If, however, interference is necessary, then after extraction of the kolpeurynter the cervix is so dilated that internal version can be done, and the child extracted at once, whereby its chances of living are much improved. By boiling or brushing with corrosive sublimate solu-- tion the kolpeurynter can be so safely disinfected that there is no danger of septic infection from the long stay of the kolpeurynter in the uterus. In the period after delivery the already anaemic mother must be saved as much loss as possible. This rule is all the harder in that the muscularly weak lower uterine segment physiologically contracts less than the other segment, and therefore in placenta previa even with normal contraction of the uterus, the loss of blood is greater from the abnormally vascular lower uterine segment during the period after labour than when the