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abdomen advance applied becomes better blade bleeding blood body bones breech brim bring called cause cavity cervix child comes common compressed conjugate contracted pelvis contraction cord danger deformity delivered delivery depends described diameter difficult dilated direction disease easily effect extension face fingers flat pelvis force forceps forwards front give greater hæmorrhage half hand head Hence inches kind labour less lower measurement membranes method mode move natural normal obliquity obstruction occiput occur operation pains parietal pass patient pelvis perineum placenta position possible posterior practice prævia pregnancy presenting pressure produced promontory pull push rare result rotation round rupture sacrum sagittal suture separated shape shoulder Showing side soft spine stage stretch suture symphysis take place tear traction transverse treatment tumour turn usually uterine uterus vagina wall weak
Page ii - Another error is in the manner of the tradition and delivery of knowledge, which is for the most part magistral and peremptory, and not ingenuous and faithful ; in a sort as may be soonest believed, and not easiliest examined. It is true that in compendious treatises for practice that form is not to be disallowed.
Page 328 - ... the womb. The right way is to compress the uterus between one hand in the vagina and the other on the abdomen. In the left lateral position the left hand will naturally be used internally, the right outside. The internal hand may be laid flat (as suggested by Hamilton, of Falkirk*), the body of the uterus being opposed to the palm, the cervix lying between the parted fingers.
Page 61 - The body, in its doubled state, being too large to pass through the pelvis, and the uterus, pressing upon its inferior extremities which are the only parts capable of being moved, they are forced gradually lower, making room as they are pressed down for the reception of some other part into the cavity of the uterus which they have evacuated, until the body, turning as it were upon its own axis, the breech of the child is expelled, as in an original presentation of that part...
Page 63 - ... with the breech either in the hollow of the sacrum or at the brim of the pelvis, ready to descend into it, and, by a few further uterine efforts, the remainder of the trunk, with the lower extremities, is expelled.
Page i - Experience as a practitioner and teacher of midwifery, and as an examiner in that subject, has led me to think that a book was wanted which should give the reader more definite guidance in practice than he gets from some in other respects excellent text-books of the present day. The learner finds in them many different things that he may do; but he is not always clearly told which is the best.
Page 408 - I pass a piece of rubber drainage-tube (without any holes in it) as a loop over the fundus uteri, and bring it down so as to encircle the cervix, taking care that it does not include a loop of intestine. I then make a single hitch and draw it tight round the cervix, so as to completely stop the circulation.
Page 109 - ... before the head of the child has fully entered into the pelvis, or come into a situation to be expelled.
Page 270 - If there be no table at hand which will support the patient in this position, one ca^i be extemporised by putting on the bed a chair resting on its top rail and the front of its seat, and pinning a towel over its legs. The patient is then placed on the back of the chair, her knees being supported by the towel. This position gives a better view of the. parts concerned than can be got in any other way (Fig.
Page 62 - I believe that a child of the common size, living, or but lately dead, in such a state as to possess some degree of resilition, is the best calculated for expulsion in this manner.