Notes on Obstetrics (Paperback)

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. 1904 edition. Excerpt: ...the stomach tube may be tried. If vomiting is constant, give the stomach a rest--complete. Somatose may be given. Rectal alimcntation: peptones--fluids; dextrin; peptonized milk--oz. vi.--at each injection, and not oftener than eight or six hours. Diarrhea may increase the trouble and stops the treatment.. Suggestion--Since the vomiting is so often a neurosis, or is on a neurotic basis, suggestion may be of value. Many of the means here recommended act in this way and the physician is justified in using its full power. MedicaI--No specific for this disease. Host of remedies used with apparent success and dismal failure, which shows that there is no specific and that cases terminate frequently spontaneously. Remedies of four classes: 1. Local anestheties. Hydrochl. of Cocaine. gr. 1/8 in oz. 1 of water. Has little influence in the bad nausea and vomiting, but may help to retain some food for awhile. Menthol gr. %; to.Q, in water. Volatile oils, peppermint, wintergreen. Cracked ice swallowed whole may relieve thirst. D 2. Mechanical. Drugs. Bismuth, Oxalate cerium, etc. Digestive ferments do not act as well as in the non-pregnant state. Claims made for lngluvin. When gastritis or atonic dyspeptic symptoms appear, Tr. Nucis Vomicae and Hcl, especially if alcoholic basis. Usually as the disease gets worse, drugs of more harm than good. 3. De: resso-motors. Bromides, Chloral, Morphia, in order named, given in large doses by rectum--dr. ss of Na. Br. Chloral in egg water every eight hours. Morphine, gr. % hypo., once; effect is apparent but may increase the nausea. Give Atropia with it. In some cases of centric vomiting alcohol has a good effect. Dry Champagne or brandy. If it is retained may go on with other food.-4. E.rternal remedies. Ether..