Before expulsion of placenta—early expression.
Credé or manual removal—then secure contraction by massage.
Pituitrin, Ergot, or both.
After Third Stage.—
Restore an inverted uterus. Repair lacerations. See that cavity is clear and clean.
Massage, intrauterine hot water douche, hand in uterus and hand outside and rub, ergot.
Pituitrin hypodermically. Pack uterus with sterile gauze or weak iodoform gauze. Strict asepsis for all intrauterine maneuvers.
Treat anæmia with transfusion, elevation of foot of bed, coffee, external heat, hot rectal enemas, stimulation, bandaging of legs.
Strychnine sulphate, adrenalin, or camphorated oil may be required in usual dosage.
Hypodermoclysis. (See Minor Operations, p. [206].)