S COMFORT.

All is now done but to provide for the mother's comfort, which is your
next duty. Draw her chemise down her back and legs until it is straight,
then with safety pins, pin the chemise on inner side of thighs so that
the chemise will go around both thighs separately. Now you have the
shirt fast to keep it from sliding upwards, and you are ready to make a
band of the chemise to support the womb and abdomen. Bring the chemise
tightly together for two or three inches above the pelvis to form a
band. Previous to pinning, draw the lump (womb) you feel above
symphesis, up, then pin, and the belt you have made of the chemise will
support the womb. All is safe now, but you must not leave for two hours.
You may have delivered a feeble woman, who may flood to death after
delivery of the child, if you do not leave her safe. I have in mind one
case who flooded all of two quarts at a single dash. The first symptom
was a pain in the head.

POST-DELIVERY HEMORRHAGE.

I know of only two causes that would produce hemorrhage or bleeding
after the child is delivered. One is when the afterbirth (placenta), is
separated from its attachment to the womb and still retained in the
womb or vagina, or when a part is separated and still lies in the womb,
that retention of placenta prevents the natural circular contraction of
the womb, to close on itself and retain it, with force enough to prevent
the further discharge of blood, would give a chance for a continued
stream. Then should the patient bleed profusely after the placenta has
been removed, another cause would be in pulling away the afterbirth, as
part of the upper portion of the womb may be pulled to an inverted
position, which would be like a hat if you press the top down with the
hand. Then there is a chance for leakage because of this unnatural fold
made in the womb.

TREATMENT FOR.

My method of relief is to insert the hand, and with back of fingers
smooth out all folds. Before you draw the right hand from the womb place
left hand on abdomen, catch the womb between the thumb and finger and
withdraw hand. With the left hand pull the hair above symphesis or
scratch the flesh just above across the region of the symphesis, just
enough to make an irritation. After the hand is out of vagina pass a
small bundle of cloths as far under the symphesis as would be necessary
to hold everything up, then fasten chemise; beginning at symphesis draw
it tight for about two inches abov