A practical compendium of midwifery : being the course of lectures on midwifery, and on the diseases of women and infants, delivered at St. Bartholomew's Hospital / by the late Robert Gooch ; prepared for publicaton by George Skinner.

  • Gooch, Robert, 1784-1830.
Date:
1849
Catalogue details

Licence: Public Domain Mark

Credit: A practical compendium of midwifery : being the course of lectures on midwifery, and on the diseases of women and infants, delivered at St. Bartholomew's Hospital / by the late Robert Gooch ; prepared for publicaton by George Skinner. Source: Wellcome Collection.

Provider: This material has been provided by the Harvey Cushing/John Hay Whitney Medical Library at Yale University, through the Medical Heritage Library. The original may be consulted at the Harvey Cushing/John Hay Whitney Medical Library at Yale University.

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    not tender on pressure, the pulse is neither rapid nor full, and the skin is not hot; on the contrary, there is a general sense of chilliness, and the feet are par- ticularly cold. If proper remedies are employed, the disease will in general be cured; but this success is by no means invariable. A young female, fleshy and full of blood, got very wet during menstruation ; the discharge was suppressed, to which succeeded headache, a hot skin, and rapid pulse, pain and tenderness in the region of the uterus, &c.: physicians were consulted, but she died, and on examination the uterus was found in a state of mortification, the result of intense inflammation. The treatment of this disease must be adapted to the variety of it under which a patient suffers. If of the inflammatory kind, which would be denoted by the presence of febrile symptoms, together with con- tinued pain and tenderness in the region of the ute- rus, it must be treated by such bleedings, both general and local, as by leeches, as the violence of the symp- toms may demand, and by all those other means comprised in the antiphlogistic plan. By such treatment the inflammatory action will most proba- bly be subdued; and on its subsidence, the menstrual discharge will be renewed, and proceed in the cus- tomary manner. But supposing a suppression of this kind occurs in one of the other class of females; here we shall obtain more benefit from that which is termed the antispasmodic, than from the antiphlogistic plan; but in this case it is proper to purge, and that smartly. Put the patient into the warm hip bath, administer diluent drinks, and give antispasmodics, such as five grains of pulv. ipecac, comp. and three grains of camphor, every four hours, until all the symptoms subside. The injection of antispasmodic remedies, such as laudanum, or asafcetida, into the rectum, will sometimes act like a charm ;—in the latter I have