Immigration and Customs Enforcement Management Controls Over Detainee Telephone Services

This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1892 edition. Excerpt: ...often after the completion of labor, than before or during that process. As to frequency of occurrence I quote from the American System of Obstetrics. Deneux was able to collect 62 cases, but had himself seen but three in a practice of 14 years. Paul Dubois saw one case in 14,000 labors. Winckel met six cases in 20,000 confinements. Hugenberger, 11 in 14,000 deliveries. Tn Vienna it was noted 18 times in 33,241 births. This would indicate a frequency of one in 1,600 births. The diagnosis usually can be readily obtained, if one is familiar with the fact that such an accident may occur at any time in the case of the parturient patient. Authors state that the pain is of a sharp, lancinating character, and if the tumor is external, and of any size, its general character, appearance, and location serve to identify it. As to prognosis. Early writers on the subject inclined to regard such hemorrhage, when of any extent, as a dangerous and frequently fatal complication of labor. At the present time a better knowledge of the character of the lesion, and consequently a more appropriate method of treatment, have served to greatly reduce the mortality of such cases. If the tumor be small, it generally disappears without treatment. If large and with a recently delivered patient, the first danger is from haemorrhage, if the sac ruptures, and later, should such rupture not occur, from septic infection or gangrene. If the haemorrhage takes place within the pelvic space it may prove suddenly fatal from rupture into the peritoneal cavity. Winckel summarizes the experience of puerperal hematoma as f ollow8: 1st. Death from haemorrhage with or without rupture of the tumor. 2d. Death following suppuration of the sac, and septicaemia...