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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    should be introduced every morning, and the bladder should be emptied by the catheter several times every day. Mr. Barnes, of Exeter, had two* of these cases under his care; he wrote to ask my ad- vice, and I mentioned this plan to him, which he tried, drawing off the patient's urine three or four times a-day with a catheter. In two months, on making an examination of the parts, he found the fis- tulous communication much smaller. He replaced the bottle in the same manner; and in a few months the opening was completely closed. It is not neces- sary that the surgeon should attend daily to draw off the patient's urine. Teach a patient or a nurse the anatomy of the parts, and let either of them in- troduce the catheter. This complaint is a most dis- tressing one, and demands on the part of the medi- cal practitioner the greatest attention, and the care- ful employment of any remedy which promises to be effectual. n) POLYPUS UTERI. Menorrhagia arises from functional derangement of the uterus. Hemorrhage, or flooding, may, how- ever, ensue from an alteration of the structure of the uterus; and it is an important rule, in obstinate and long-standing cases of hemorrhage from this organ, which have resisted the usual remedies, to examine the state of the parts per vaginam, by which alone the cause of the symptoms may be discovered, and an appropriate treatment adopted. Some profuse discharges from the uterus are the precursors of abortion ; some arise from scirrhus producing vari- * More than two cases are alluded to in the paper of Mr. Barnes on this subject, read by Mr. Gooch to the Medical and Chirurgical Society. See Med. and Chirurg. Transactions, vol. vi. p. 583.