This fever, sometimes called "Child-Bed Fever," is the dread of mothers, and is often attended with serious danger. A physician should be consulted without delay, for if allowed to go on, it may gain a fearful ascendency.
The attack may commence even before delivery, though these cases are rare, but they generally are developed in from twenty-four hours to three days after. The attack generally comes on with rigors or shivering, followed by thirst, quickened pulse, and flushed face. The pulse during the disease is rapid, small and wiry, varying from 110 to 140 in a minute. To these symptoms succeed, pain in the head, coining on gradually; nausea, vomiting, and increased sensibility about the uterus. Pain in the abdomen soon attracts notice, generally commencing in the lower part, on either side, and radiating over the abdomen. The pain at first is. attended with considerable tenderness of a portion of the abdomen, which becomes very great as the inflammation extends, until at length the patient may not be able to bear the slightest pressure.
There is generally a suppression of the lochia, and the urine is usually diminished in quantity, turbid or high-colored. During the disease, there may be present at times, great excitement of the nervous system, attended with spasms. This fever frequently prevails as an epidemic.
It will be impossible, and in fact it would be unnecessary, to go into the details of treatment here, as the watchful care of the physician will be required to arrest its progress.
Aconite should commence the treatment, in alternation with Bryonia or Belladonna. The specific indication 16* for Aconite are, fever with dry burning heat, thirst for cold drinks, redness of the face, short and oppressed breathing; tenderness of the abdomen to the touch, and scanty, bloody, and fetid lochia.
Distention or excessive tenderness of the abdomen, sometimes with shooting and digging pains; spasmodic colic; painful pressure on the genital organs; shivering in some part with heat in others, or burning heat with redness of face; pressive headache; great sleeplessness with agitation, or constant inclination to sleep, or delirium and other cerebral symptoms; scanty lochia, or profuse discharge of coagulated and fetid blood.
Sensitiveness of the abdomen to the touch on the slightest movement; constipation, with shooting pain in the abdomen; high fever with great thirst for cold drinks, and burning heat over the body.
Particularly where the fever is brought on by a fit of passion, or a chill, and where the lochia is profuse, abdomen sensitive to the touch, colic-like labor-pains, great agitation and nervous excitability.
v. - Sudden disappearance of lochia, with heaviness and burning in the genital organs; or profuse discharge with severe pain in the small of the back, and difficulty in urinating. Constipation; nausea; pain in the thighs and legs with numbness; confusion of the head, or pressive headache with vertigo.
One drop, or six globules, in a tumbler half full of water, a tablespoonful at a dose or a powder, or three globules on the tongue. Give once in one, two, or three hours.
The patient should be kept as quiet as possible, and everything which might produce excitement, be strictly prohibited. The diet should be similar to other varieties of fever