In the unfortunate case which I desire to report, on Thursday, Feb. 3, 1910, I ordered a mercury bichlorid vaginal douche, two quarts, strength 1 to 4,000. The patient, 34 years of age, delivered on January 27, had completed seven full days of her puerperium. This was her second confinement.
While the nurse was giving the douche, the patient suddenly experienced a sharp pain in the left side of the pelvis, and at the same time there was a hemorrhage so alarming that the nurse, having in mind nothing but danger from loss of blood, quickly prepared and gave a second douche the same as the first, as the best means of controlling the bleeding. The patient in the meantime felt frightened, faint, and chilly, and her pulse was just over 100. The nurse then telephoned to me.
On arriving at the house I examined the patient with a speculum,
MABBOTT JM. MERCURIC-CHLORID POISONING: ASSOCIATED WITH SECONDARY HEMORRHAGE FROM VAGINAL DOUCHE GIVEN SEVEN DAYS AFTER DELIVERY. JAMA. 1911;LVII(6):448–449. doi:10.1001/jama.1911.04260080012004
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