Diseases of the Organs of Generation. 325 



more secure by attaching the ropes to a surcingle as well. 

 This truss must of course be removed when true labor- 

 pains come on. 



In eversion of the womb give a full dose of chloral, 

 raise the hind parts, place the womb on a sheet, wash it 

 with warm water and laudanum, wrap it tightly in a linen 

 bandage, beginning at the free end, then press that free 

 end inward and so with the successive parts till the whole 

 has been introduced into the abdomen. Remove the loos- 

 ened bandage and apply the truss. 



INFLAMMATION OF THE WOMB. 



Causes. Lacerations, bruises and other injuries in par- 

 turition or in removal of the afterbirth, exposure to cold 

 or wet after parturition, retained afterbirth, etc. 



Symptoms. Two or three days after parturition a shiv- 

 eriug fit, colicky pains, looking at abdomen, plaintive cries, 

 twisting of the tail, shifting of the hind feet, tenderness of 

 loins and abdomen, arching oi the loins, vulva red and 

 swoUen, frequent straining with foetid discharge, the hand 

 introduced into the womb finds both its neck and body 

 dilated with fluid contents, the belly becomes tense and 

 swollen, there is grinding of the teeth, insatiable thirst 

 and loss of power over the limbs. The pulse and respira- 

 tion are accelerated and the temperature of the body 

 raised. It may end in poisoning of the blood with pus or 

 absorbed putrid matters, or in gangrene, or if recovery en- 

 sues it may be perfected in two or three weeks. Peritoni- 

 tis and enteritis frequently coexist and are equally fatal 

 at this period. 



Treatment. "Wash out the womb, as in leucorrhoea, with 

 chlorine water or a solution of chloride of lime, perman- 

 ganate of potassa or carbolic acid, adding a solution of 

 gum Arabic, glycerine and laudanum to. render it more 

 soothing. Give an active purgative (in the cow sulphate 

 of soda 1 lb.) and foUow this up by tincture of aconite foul 

 times a day, and nitrate of potassa and chlorate of potassa 



