Excerpt from The London Medical Gazette, 1834, Vol. 14: Being a Weekly Journal of Medicine and the Collateral Sciences
Before the house is left, after the pa tient's person has been protected in the way recommended at our last meeting, a drau t, such as I have just mentioned, may prescribed; the time occupied in writing instructions for which may proba bly be ten or fifteen minutes; and it is then right to make another examination of the uterus, through the parietes of the ab. Domen, to ascertain that it has not become relaxed in the interval; the napkins, also, round the hips and on the vulva, must be again inspected, that we may assure our. Selves no external hemorrhage is going on. This latter inquiry is better left to the nurse. If upon this examination we find that the uterus is still small, and almost as hard as a foetal head - ii the linen be but little soiled - if not more than two or three coagula, the size of a walnut, have passed - we need be under no alarm with regard to the state of the patient; so far as hemorrhage is concerned, she is safe, most probably, or that labour; at any rate for the present moment. If, on the contrary, we observe a considerable discharge of blood upon the bed, if the uterus be large, soft, and flaccid or if, on pressure being applied, a coagulnm escapes, or a quantity of fluid blood passes, with agurgling noise, she is then flooding; she must not be left, but will require careful superintendence, probably for many hours.
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