The American Journal of Obstetrics and Diseases of Women and Children, Volume 39 |
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abdominal appearance become believe bladder blood body called cause cavity cent centimetres cervix changes child closed complete condition containing continued course danger death developed diagnosis difficult disease effect entirely especially evidence examination existed experience extended fact fever finger five four frequently give given glands hand head hemorrhage hospital important incision increased infection intestines kidney labor later lesions less means menstruation method months nature never normal observed OBSTETRICS occurred opening operation organs ovarian ovaries pain passed patient pelvic performed peritonitis physician placenta position possible practice pregnancy present probably produced puerperal pulse remained removed reports seems seen serum severe showed side solution sterile suture symptoms temperature tion tissue treated treatment tube tumor urine usually uterine uterus vaginal wall weeks woman women wound
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Page 767 - ... 2. The discrepancy in the results of the various investigators is due to the technique by which the secretion is obtained. 3. As the vagina does not contain pyogenic cocci, autoinfection with them is impossible ; and when they are found in the puerperal uterus, they have been introduced from without. 4. The gonococcus is occasionally found in the vaginal secretion, and during the puerperium may extend from the cervix into...
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Page 767 - ... nurse. 7 Puerperal infection is to be avoided by limiting vaginal examinations as much as possible, and cultivating external palpation. When vaginal examinations are to be made, the external genitalia should be carefully cleansed and disinfected, and the hands rendered as aseptic as if for a laparotomy. Vaginal douches are not necessary, and are probably harmful.