In most handbooks on Midwifery, excepting a few of the more modern, puerperal convulsions are divided into three classes; viz., the hysterical, the epileptic, and the apoplectic. It is difficult to understand why such a classification was ever made. There is only one of these three that has any claim to be considered a distinct disease sui generis; and that is the epileptic form, or puerperal e...

on Puerperal Eclampsia. In one of the issues of the B. M. J. or Lancet last year an article appeared strongly advocating nitroglycerine liypodermically and by the mouth, specially the former. One very severe case recovered in this hospital under this treatment. Delivery was effected as rapidly as possible. Mins. ii of a 1% Soln. of Nitroglycerine were injected every two or three hours. Chlorofo...

to such painful sacrifice of mothers. I may tell you at the outset that I have nothing fresh to communicate, but I have marshalled, at some trouble, a formidable array of figures which cannot fail to convince the most callous that it is our duty to use all our endeavours to protect the mothers of England and Wales, about 4,000 of whom annually die in childbed. Puerperal Mortality naturally divi...

Streptococcus pyogenes (group A streptococcus) causes a variety of diseases, including acute pharyngitis, impetigo, rheumatic fever and the streptococcal toxic shock syndrome. Moreover, S. pyogenes was responsible for the classical example of a nosocomial infection, the epidemics of puerperal fever (childbed fever) that caused the death of numerous women in earlier centuries. The most extensive...

Puerperal hematoma is one of the life threatening obstetrical emergencies. Surgical ligation of bleeding vessel may not always be possible for the patients who were hemodynamically unstable, hence pelvic arterial angiography may be preferred as the first line treatment modality for these cases. Pelvic arterial angiography and embolization is a safe, tolerable, and minimally invasive treatment m...

Puerperal genital hematomas are uncommon causes of postpartum hemorrhage but can be a cause of serious morbidity and even maternal death. When puerperal genital hematomas are clinically occult despite signifi cant blood loss or found as delayed postpartum hemorrhage, there is a high risk of shock. We report a case with shock accompanied by rupture of progressive retroperitoneal hematoma through...

Portable and departmental ultrasound scanning has become an increasingly utilised investigative tool in the diagnosis of puerperal complications. It must be emphasised that an understanding of the normal ultrasonographic appearance of the postpartum uterus is a prerequisite for the accurate diagnosis of puerperal pathology. This article aims to review the current understanding and application o...

Puerperal mastitis is a potentially serious illness among lactating women which traditionally has been thought to be associated with primiparity, stress, improper nursing technique, and incomplete emptying of the breast. However, none of these putative associations has been examined analytically in recent years. Further, the incidence of mastitis in the United States has not been estimated sinc...

In a paper contributed by us to the Indian Medical Gazette in 1922 we submitted an analysis of 450 cases of eclampsia treated at the Madras Maternity Hospital between the years 1908 and 1922, and then touched thereln on some factors which we thought weie of Primary importance in the treatment of the disease. Since the publication of this papei, we have had under our treatment a large numbei cas...

Streptococcus pyogenes (Group A Streptococcus; GAS) is a major cause of severe postpartum sepsis, a re-emerging cause of maternal morbidity and mortality worldwide. Immunological alterations occur during pregnancy to promote maternofetal tolerance, which may increase the risk for puerperal infection. PGE2 is an immunomodulatory lipid that regulates maternofetal tolerance, parturition, and innat...