Aids to obstetrics : double part / by Samuel Nall.

  • Nall, Samuel.
Date:
[1885?]
Catalogue details

Licence: Public Domain Mark

Credit: Aids to obstetrics : double part / by Samuel Nall. Source: Wellcome Collection.

    104/150 (page 100)
    Lacerations of the Vagina. Extent.—They may be mere abrasions of the surface, or may be more extensive, and result in vesico-vaginal or recto-vaginal fistula. Causation.—Pressure produced by the head, or injury by the forceps are the commonest causes. Treatment.—Slight cases simply require cleanliness; if a fistula is produced it will require surgical treatment after- wards. Lacerations of the Perineum. Extent.—They may be very slight, or may extend up to the sphincter ani, or even through the sphincter into the rectum. Treatment.—In very slight cases, rest in bed and cleanliness will suffice; if at all extensive, or if the rectum be involved, the wound ought to be united by sutures at once, the sutures making the entire circuit of the wound. The patient should be kept in bed with her knees tied, and the urine drawn off with the catheter every six or eight hours. The sutures should be removed in about seven days, XXXIX.-THROMBUS OF THE VAGINA AND VULVA. Definition.—Effusion of blood into the cellular tissue of the vulva and vagina during or immediately after labour. The hsemorrhage may be arterial or venous. The effusion may occasionally extend along the vagina to the cellular tissue in the iliac fossa, or upwards beneath the peritoneum to the kidneys posteriorly. The result of the hsemorrhage is the forma- tion of a tumour in the vagina or vulva, varying from the size of a hen’s egg to that of the foetal head. Causation.—This condition depends on distension of the vessels consequent on pressure of the presenting part of the foetus; it is also partly due to the straining efforts of the mother. Symptoms and Signs.—A swelling appears at the vulva, over which the skin is blue and tense. Rupture of the swelling may