Identifier: textbt00hirs (find matches)
Title: A textbook of obstetrics
Year: 1899 (1890s)
Authors: Hirst, Barton Cooke, 1861-1935
Subjects: Obstetrics
Publisher: Philadelphia : Saunders
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: Open Knowledge Commons and Yale University, Cushing/Whitney Medical Library

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ing lactation. Her last child wastwelve months old. In the milk which could be squeezed out ofthe right breast colostrum-corpuscles were discovered. Anothercase was one of chronic ovaritis. Twenty-three months hadelapsed since the last labor, and eleven since weaning. Themilk which exuded from the breast contained colostrum-cor-puscles. In the breast of a woman fifty-six years old, whichwas removed for carcinoma, about a teaspoonful of milk wasfound, very rich in colostrum-corpuscles. This womans young-est child was eight years old. In a case of galactorrhea whichhad persisted for four years these bodies were also discovered.The presence of colostrum-corpuscles in the milk is not a prooftherefore, of a recent delivery. Diseases of the Mammary Glands.—Areola.—The glandsof Montgomery may become inflamed, and their infection mayhad to mammary abscess. Treatment.—Infection of the areolae should be avoided by 1 British Med Jour., 1888, ii, i>. 047- ANOMALIES IN MILK SECRETION. I 5
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Fig. 478.—Massage of the breasts (Dickinson^. 654 PATHOLOGY OF THE PUERPERIUM. cleanliness. Each inflamed and suppurating gland should beopened, curetted, and its interior touched with strong bichloridsolution. Exaggerated pigmentation of the areolae often persists afterpregnancy ; it fades away in the course of lactation or after thechild has been weaned. Congestion and engorgement of the mamma? occur in almostevery case on the third day, when lactation is instituted. Treatment.—Excessive congestion may be avoided by admin-istering a saline purge on the evening of the second day. Thebreasts must be thoroughly evacuated at regular intervals by thechilds mouth, reinforced, if necessary, by massage and a breast-pump. Hot fomentations may give great comfort ; but if thecongestion and pain persist, lead-water and laudanum is the best

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