Aids During Labour: Including the Administration of Chloroform, the Management of the Placenta, And Post-Partum Haemorrhage

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The same practice is to be followed, the hand is to be in- troduced, and pressure made externally, the lower part of the uterus emptied of clots, and the stricture somewhat dilated; the hand is then either to be retained, or reintroduced if it had been withdrawn, and moved gently in the slack part of the womb, to excite if there be haemorrhage still, or any new clot is to be re- moved.^t Dr. Churchill remarks : " When all * Op. cit. p. 353, 354. f Page 510.
160 POST-PARTUM HEMORRHAGE.
has faile
...d, Dr. Gooch recommends the introduc- tion of the hand into the uterus, for the purpose of exciting it to contract by the irritation. I have no doubt of its success, but it is so hazardous a practice that nothing" would in my opinion justify it but the failure of all previous means. "^ Mr. Roberton, in describing a case, writes : " Delivery, by turning, was effected with facility, and without being accompanied or followed by hsemorrhage. The placenta was found detached, and was brought away; but the uterus showed no disposition whatever to contract ; it lay flaccid in the abdomen.

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