A Treatise On Obstetrics for Students And Practitioners

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Primi- gravidse above the age of thirty are also more liable to eclampsia than are younger women. Multigravidee whose powers of excretion have been repeatedly taxed by previous pregnancy are exposed to danger of eclampsia. Women in poor circumstances who are overworked, poorly fed, and exposed to dampness and cold are often seized with eclamptic convulsions.
The treatment of eclampsia should be largely preventive, and this complication will grow less common in proportion as the excretions of th
...e pregnant patient are carefully watched during the period of gesta- tion. In the presence, however, of eclamptic convulsions, the physi- cian's duty lies in two directions: First, to promote vigorous elimi- nation; and, second, promptly to empty the uterus. The former is to be accomplished by the use of hot packs, the administration of purga- tives, the injection by transfusion of normal saline solution, and the use of chloroform to control convulsive seizures and prevent asphyxia.
To give a hot pack in these cases a rubber sheet should be laid upon a bed and covered with a blanket.


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