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OBSTETRICS AND OYNyECOLOGY. 109 Nature should lie iillowed a little more ])lay. AVirli Schultze, lie iiiiiintaius that can buy ventolin over counter uk the separation oftiie |)laceiita and decidua is aeconij)lislied naturally to a very great extent by an ooziuf; of blood hetvveen these struetures and the uter- ine wall. In this way the sejiaratiun is aceoniplished gently and gradually, and in ventolin inhaler online pharmacy the can buy ventolin over counter france j)orous layer of the deeidua, so that the ineuibranes are ventolin inhaler no prescription asda less likely to be torn and portions of them left be- hind. Expression should not he per- formed until a considerable part of the placenta protrudes througli the os uteri, lie alludes to bad I'esults attributahle to hasty expression, and intimates that they happen only in the practice of those Avho adhere to Crede's original method. = Crede defends the prac- tice of immediate expression of the pla- centa (as originally puhlished by him- self in the " Monatsschr. f. Geburtsk.," xvii, 4, 1861) against Dohrn's criticisms. In his long experience, he has never known of such results as are alluded to by do i need a prescription for a ventolin inhaler Dohrn ; and, while he admits that the cheap ventolin online process described by Schultze some- times occurs, he denies that it is the physiological metliod. The accumula- tion of blood behind the placenta should be prevented to the utmost, and there is no better means of so doing than im- mediate expression. His method, he justly says, can not fairly be charged with bad results, unless the manipula- tion is strictly in accordance with his own directions, of which he will ap- prove of no variation. 24. To arrest post-jxtrtum Jimnor- rhage^ Baelz proposes, as ventolin inhaler no prescription uk at least of temporary do you need a prescription for ventolin in australia efficiency and applicable in the absence of the means required in other methods, to tampon the vagina with one fist, clasping the labia around the wrist with the other hand, so that no blood can do you need prescription ventolin uk escape. At the same time an assistant makes pressure upon the uterus. He gives a case in which he resorted to this device with success, but, inasmuch as in this instance the nurse rubbed and kneaded the uterus, it is not easy to say which of the two manipulations actually order ventolin online uk stopped the bleeding. 29. Under the name of erythema uterinum Kidd describes a cutaneous manifestation that he thinks has oc- curred in at least three per cent, of his midwifery cases, and that he has also seen after trivial operations upon the non-gravid uterus. In a typical case, the nurse may call attention to an erup- tion like that of scarlet fever, and it will be found in broad ])atches over buy cheap ventolin online the abdomen, which it covers in the course of a few hours. Its appearance can not be distinguished from that of a mild scarlatina. The next day the axilla) will show a like eruption, but perhajis paler. This will extend downward over the chest to the buy ventolin inhaler online no prescription abdomen, and up- ward over tiie neck, but will not affect the face beyond deepening its natural color. It will creep down the arms, and do need prescription ventolin inhaler in many cases affect the hands, on the backs of which it will have a duskier shade than elsewhere. At the same time it extends down the thighs and legs, and covers the do you need a prescription for a ventolin inhaler back, do need prescription ventolin uk always advancing in broad patches. There are no other symptoms. The eruption he- gins to disai)pear about the end of the second or can you buy ventolin over the counter in france the beginning of the tliird day. The parts last affected begin to grow pale, and it soon disappears en- tirely, except from the abdomen, where it will remain in patches, it may be, for five or six days. There is no desqua- mation, renal affection, or oedema, nor is convalescence in any way retarded. Variations occur in the distribution of the rash, and sometimes there are mi- nute vesicles rather sparsely scattered over the reddened surface. The erup- tion is of interest clinically from its re- semblance to those of scarlet fever and the erythematous stage of snjall-pox, but the diagnosis is easy from the en- tire absence of fever. 32, 33. Dr. can you buy ventolin inhalers over counter Segur's paper on the pre- vention of puerperal convuhions seems to have been specially designed to set be- fore the Medical Society of the County of Kings a statement of the leading points upon which opinions differ, so arranged as ventolin salbutamol inhaler no prescription to facilitate a satisfactory debate. Not only was it very success- ful from that point do need prescription buy ventolin australia of view, but in itself it is a valuable contribution, not so much to our positive knowledge of the sub- ject as to the methods that should be followed in its study. The author thinks that in almost all cases puerperal con- vulsions are a symptom of insufficient action of the kidneys, whether from acute Bright's disease or from mere functional disturbance — that the con-

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