CuaptTer XII. 
SOME PATHOLOGICAL CONDITIONS 
FOLLOWING PARTURITION. 
Vaginitis.—Inflammation of the Vaginal 
Mucous Membrane. 
The causes are injuries at parturition, unskilful use 
of instruments, large foetus, extension of inflammation 
from metritis, etc. 
The inflammation may lead to, or be complicated 
with, ulceration, gangrene, or mortification. 
Symptoms.—Swelling of the lips of the vulva and 
their membrane, which may become dark red or lead 
color. Mucous discharge, which increases, and becomes 
whitish, purulent, and may be fetid. Ulceration may 
supervene, and portions of the membrane slough. 
Treatment.—Simple cases may make a spontaneous 
recovery. Cleanliness, attention to diet, and injections 
of mild astringents, and anodynes, if necessary. For 
the more serious stages, antiseptics and general 
constitutional treatment. 
Metritis. 
This is an inflammation of a portion, or of all of the 
structures composing the walls of the uterus. It may 
be acute, or sub-acute. The causes of acute metritis 
are, injuries to the wall, in parturition, or injuries caused 
by the contractions in mal-presentations. 
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