ent by adding to a pint of water a quarter ounce of alum or
tannin. The hot astringent injections tone up the lower supports of the
uterus, and cleanse the passage. The patient should remain in a
recumbent position for some hours after the douche if possible.
Considerable rest hastens a cure. Take the rest in the fresh air when
weather permits. Persistent use of sitz baths will be found helpful.
For prolapsus the simplest form of internal supporter is a small roll of
cotton. After the organ is carefully put into position this supporter
should be pressed up against the mouth of the womb, the patient
meanwhile lying upon her back. The ball of absorbent cotton should be
large enough to be retained in position, and should be saturated with a
weak solution of glycerine and alum or glycerine and tannin before being
applied. A piece of white cord should be tied firmly around the centre
of this tampon by which it may be removed. Remove before taking the
douche.
Persons who feel unable to purchase an elastic or other abdominal
supporter can make a substitute (not so good, but of considerable
service) from unbleached muslin made in the shape of the letter T, and
having the cloth double. It should go up to the waist and be made to
fit over the hips, then should be fastened firmly in front with
safety-pins, and the cross-piece be drawn up from the back and fastened
securely in front.
The daily exercises are the most important part of the treatment. They
must be begun gradually, and taken at greater length as strength is
gained. Those for prolapsus will be given first:--
The patient should lie upon a rug, or on a firm long sofa or couch. The
feet should be drawn up as close to the body as possible. Now lift the
lower part of the body so that the hips and lower portion of the trunk
will have no support but what comes from the feet and shoulders. Hold
this position for a minute or two (longer when able without much
fatigue). After a few minutes' rest repeat. This exercise may be
continued from twenty to thirty minutes, according to patient's
strength. The elevation of the hips in this exercise aids in the
restoration of the organ to its natural position. This exercise should
be continued daily, the number of times being increased as strength
increases.
A second exercise which is very helpful in prolapsus is to support the
body on the toes and elbows with the face downward, and the hips raised
as high as possible. Another ex
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