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June 21, 1890


JAMA. 1890;XIV(25):905. doi:10.1001/jama.1890.02410250025006

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Prof. Otto Küstner has recently added an interesting and complete study of this subject to the literature of obstetrics (Deutsche Med. Wochenschr., 1, 1890). He divides hæmorrhages into two classes: first, those caused by rupture of the genital tract; second, those from relaxation of the uterus. Among the remedies recommended for this latter condition are ergot stimulation by heat, and massage of the uterus. If these do not succeed, the iodoform gauze tamponade of the uterus is recommended. This last method, in his judgment, not only excites uterine contraction, but also exerts direct pressure upon the bleeding part. In cases where the source of the blood can not be at once made out the entire genital tract should be tamponed.

We may well ask, in the light of this communication, what, if anything, has been added to the treatment of post-partum hæmorrhage? With the single exception of tamponement, after the

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