Clinical and critical contributions to obstetric science and practice / by Robert barnes, M.D.

  • Barnes, Robert, M.D.
Date:
1854
Catalogue details

Licence: Public Domain Mark

Credit: Clinical and critical contributions to obstetric science and practice / by Robert barnes, M.D. Source: Wellcome Collection.

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

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    was diminislied, but indications of approaching menstruation obliged me to defer the operation. By rest, astringent injec- tions, and salines, the inflammation subsided still more; but on the occurrence of menstruation the loss of blood was great, and the inflammation returned. When the catamenia ceased, I again applied the nitrate of silver, and prescribed astringent injections. On the 26th, the inflammation being in my opinion sufficiently subdued, I removed the polypus by torsion, having first drawn it gently out of the cavity of the cervix, so as to enable myself to grasp the pedicle firmly. When thus drawn out of the cervix it was found to consist of three lobes, and was very soft and red. The operation was attended by a trifling loss of blood, but some pain. On the second night after the operation some hysterical excitement appeared; the pulse was 110; she complained of acute spasmodic pain in the region of the womb, with bearing-down; there was a moderate degree of febrile movement, with sickness; a distressing cough came on. On the following day a small clot came away, and the symp- toms were relieved, excepting the pain. Pressure behind the pubis seemed to cause pain, and she complained of great sore- ness on sitting up. By the use of emollient injections, seda- tives, with hydrocyanic acid, she got gradually better. On the 2nd of January, all febrile excitation having subsided, as well as symptoms of acute inflammation, I ordered her mineral acids and lead injections. On the 9th, an examination by speculum showed the cervix in a more healthy condition; the vivid injection had faded, and there was but little discharge from the cavity. On the 26th, I added some tincture of iron to the mineral acids. She had now recovered tolerable health; her appetite was good; she could walk about without pain; the bearing- down had disappeared; the leucorrhcea was almost gone; she felt strong and well. On examination now the os was found perfectly natural, and the womb had risen to its proper place in the pelvis. Case 2.—W , single woman, aged thirty-six. This patient