Most of the causes of uterine hemorrhage come under the subject of
obstetrics; others under menorrhagia and metrorrhagia. Such will be
found in obstetrical and gynecological works.
=Treatment.=—The patient should assume the dorsal position with the
buttocks raised. If any displacement of the uterus is present or if
there is any foreign material in the uterus, usually such should
be corrected or removed at once. Stimulation of the clitoris is a
most effectual means to control uterine hemorrhage; it contracts the
circular fibres of the uterus. Stimulation of the uterus directly
through the vagina, and over the abdomen, and stimulation of the upper
wall of the vagina, will aid in contracting the uterus. A quick,
unexpected pull of the hair on the mons veneris will have the effect of
closing the capillaries by shock to the nervous control (Dr. Still).
Before closing the os, however, it is well to know that there is no
irritating foreign material within the body of the uterus. Correction
of obstructions of the vasomotor nerves of the uterus through the
splanchnic and lumbar region is important. Compression of the abdominal
aorta, and vaginal injections of hot water may be of aid, as will
also a hot water bag at the lumbar region and ice water bag over
symphysis. In severe cases inversion of the body, if it can be done
with safety, may be performed. Packing the vagina is a method resorted
to occasionally in severe cases.