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AFTER-BIRTH. Usually contractions occur and the after-birth is readily expelled; if not, clothes wrung out in hot water laid upon the bowels will often cause the contraction of the uterus, and the expulsion of the after-birth. If the cord bleeds severely inject cold water into it. This in many cases removes the after-birth.
THE LOCHIA. The vaginal discharge which regularly follows the termination of pregnancy gets its name from the Greek word lochia. At first the discharge is pure blood, because it issues exclusively from the vessels left open by the removal of the after-birth.
As long as we do not bow to mandarins, as long as the Academy of Sciences does not replace the pope, politics as a whole and society, down to its very roots, will be nothing but collection of disheartening humbugs. We are floundering in the after-birth of the Revolution, which was an abortion, a failure, a misfire, "whatever they say."
Usually, however, it is preferable to save her further efforts of this kind, and, as a routine, the physician places one hand upon the abdominal wall, grasps the womb, and, during the contraction, makes firm pressure downward. The maneuver expels the after-birth, which consists of the placenta, the membranes, and the umbilical cord.
In abortion, the foetus is often putrid before it is discharged; and the placenta, or after-birth, rarely or never follows it, but becomes decomposed, and, as it drops away in fragments, emits a peculiar and most noisome smell. This smell seems to be peculiarly annoying to the other cows: they sniff at it and then run bellowing about.
Let there be relatively too much of it, too little of the other glands, and the grosser transfigurations and ailments of the child-bearing period follow. Once pregnancy is terminated by labor, the placenta is expelled from the body as the after-birth. The placenta removed, a new arrangement of the balance of power among the endocrines becomes necessary.
Two very large agate basins or wash-bowls for washing doctor's hands and for antiseptic solutions. 23. Vessel for after-birth. 24. Three large pitchers; one for boiling water, one for cold boiled water, and one for antiseptic solution. 25. Tumbler for boric acid solution for washing baby's eyes, with fine old linen sterilized. 26. One dozen freshly laundered sheets, and two dozen towels. 27.
But the midwife may be sure of it, if she puts her hand up to the entry of the womb, and finds there another watery gathering, and the child in it presenting to the passage, and if she find it so, she must have a care of going to fetch the after-birth, till the woman be delivered of all the children she is pregnant with.
After these are born, the rest of the body slips easily into the world, and the second stage ends. THE PLACENTAL STAGE. Although the third stage is chiefly concerned with the separation and the delivery of the after-birth, on which account it is known as the placental period, the description of other no less remarkable events belongs here.
Our interest at present, however, is to learn how the after-birth has assisted toward the growth of the child. THE PLACENTA. The after-birth has puzzled scientists as well as the laity, and not until comparatively recent times have its origin, structure, and use been satisfactorily explained.
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