Obstetrics, the science and the art (Google eBook)

Charles Delucena Meigs

Henry C. Lea, 1867 - 730 pages

Contents

• Preliminary observations: 33
• PART I: 37
• Idea of pelvis 38 Etymology of pelvis: 38
• Fig 1 and Fig 2 The female pelvis illustration of Brim strait c: 40
• The superior strait with view Fig 4 and inferior strait Fig 5: 44
• Primordial pieces of embryonal sacrum Fig 7: 46
• Base apex wings: 47
• Naegeles oblique oval pelvis with Fig 10: 49
• Os coccygis Fig 11: 52
• Os innominatum Fig 12: 53
• Acetabulum Cardinal point Cavity or excavation Inclined plane of ischium: 55
• Fig 14 illustrates planes of pelvis Cams curve: 56
• Fig 15 Cams curve Dubois on axis: 57
• Mechanism of inclined planes Dr Tyler Smiths midplane: 58
• Fig 16 Fcetus in utero: 59
• PAOB: 60
• Duplications of peritoneum in pelvis: 67
• Fig 20 of a vertex presentation in 2d position How the head: 73
• Fourth position Fig 23: 79
• Measurements of foetal heads with results by author: 85
• Positions of various presentations: 91
• CHAPTER IV: 37
• THE EXTERNAL ORGANS PAGE 92 The pndenda 92 Account of the pubic symphysis The labia majora The perineum: 92
• Labial thrombus: 94
• Abscess of labium Duveraeys glands: 95
• Nymph: 96
• 9 Vestibule Cohesion of the labia: 97
• The fourchette: 98
• The hymen Imperforation: 99
• The clitoris: 102
• Kobelts Fig 34 of elitoris and pars intermedia: 103
• Kobelts Fig 35 of bulbs of the vestibule: 104
• Kobelts Fig 36 profile view of the bulbs and clitoris Case of wounded pars intermedia: 105
• Duveraeys glands and their diseases: 107
• The vagina: 109
• Columns of the vagina: 110
• State of the vagina in falling of the womb: 111
• Fig 37 The womb and vagina: 112
• Structure and powers of the womb: 114
• Fig 39 Muscles of the wombtheir condition in labors: 115
• The place of the womb as in the pelvis and diagnosis: 118
• CHAPTER V: 119
• Graafian vesicles: 120
• Fig 40 Ovulum humanum from Wagner: 121
• Germinal or Purkinjean vesicle and germinal spot: 122
• Regner de Graaf: 123
• Purkinje and his discoveries with Figs 41 42 and 43: 125
• Coste and T Wharton Jones: 127
• Rudolph Wagner and the macula germinativa: 128
• Fig 44 Prof Costes Figure of dissected ovary: 129
• Wagners human ovnle with zona pellucida: 130
• Corpus luteum with Fig 46: 133
• Authors paper in Philos Soc on corpus luteum 139 M Buschkes idea on acinus of stroma: 139
• Spontaneous extrusion of ovum from ovary Ovarian fecundation: 140
• Prof Coste extract from on corpus luteum: 142
• Is the menstrnal discharge a secretion: 148
• True menstruation is ovulation with or without its sanguineous symp: 154
• CHAPTER VII: 162
• Torpor of the womb as cause of emansio mensium A young girl: 168
• Medicines for amenorrhcea Tonics for amenorrhoea: 174
• PAGE: 36
• Louise Bourgeois her pastilles for cure of ameuorrhoea Yalets: 175
• Iron by hydrogen Blauds pills M Raciborski: 176
• Diet and medicines Exercise for amenorrhoeal women: 177
• CHAPTER VIII: 178
• Definition of pregnancy: 179
• Fecundation: 180
• Conception: 181
• Conception is the affixation of a germ: 182
• The Jews and their law of unclean 183 A table showing the dates of menstruations and conceptions: 183
• Ovarian pregnancy how it might happen: 184
• The decidua: 185
• Yelpeaus Figure 49 of a decidua: 186
• 18T Tubular glands Membranes of the interior of womb Costes Fig 50: 188
• Fig 51 Genital organs of the Opossum Bisected ovary of Opos sum Fig 52: 190
• In the solidungula and cetacea the entire chorion becomes placenta They can have no decidua therefore First forms of the embryo heart: 191
• The only part of the child that really touches the mother is the blood of the child 193 Cervix uteri as guardian of the pregnancy Double cervix of the ...: 193
• Development processes or evolution of gravid womb: 194
• Size and weight of gravid womb Womb sinks downwards soon after: 195
• commencement of gestation 197 Nausea of pregnant women with cases 199 Quickening is the first perceived movement of the embryo Form of the ...: 199
• Pointing of the navel Cramps Costiveness in pregnancy: 200
• Alternate hardening and softening of the womb How the cylindrical neck becomes conical: 201
• Size of womb at term: 202
• Placenta: 203
• Hunter Sciler Yelpeau Owen Flonrens on placenta: 205
• Costes preparations of gravid wombs Figs 53 54 of affixation: 207
• Webers views of placenta: 209
• Human placenta Figs 55 56: 445
• PAGE: 36
• Endanginm its condition in womb and in placenta: 211
• Changes in constituent elements of uterus in gestation: 212
• The blastoderm: 213
• Processes of conception or affixation and development of the chorion and the decidua reflexa or capsule of the ovulum: 214
• Development of embryo its omphalomesenteric system and allantois: 215
• The umbilical vesicle with Figs 57 58 59 60: 217
• Fig 62 A case of embryonal exomphalos: 218
• Circulation of foetus: 219
• Stillborn causes: 221
• Duration of pregnancy Case of Madame Ingreville: 229
• Rainards tables of gestation in animals: 231
• Gestation of Elephant: 232
• Asdrubali and Signora X: 234
• Method to compute termtime: 236
• Changes of the wombs shape and size Fig 67: 238
• Uterine muscles: 239
• Obliquity of womb: 241
• Pressure of womb on the vessels and its consequent: 242
• Tendency to eclampsia from pressure Puzoss views: 243
• Hydatids Are they entozoa ? Edwards Pouchet: 245
• Moles Phyaometra: 247
• Hydromctra Abortion: 248
• Pregnancy does not suspend the ovulations relation of this fact to menstruation in pregnancy and to abortions: 250
• Figs 69 70 Aborting womb: 252
• Conducting a case of abortion 253 Fig 73 Deweess placenta hook: 253
• Bonds forceps for placenta Fig 74: 255
• Brauns colpeuryntcr Fig 75 Tampon: 256
• Prolapsus from abortions: 259
• Retroversion: 260
• Case of retroversion: 264
• Dr Yardleys case of retroversion adherent fundus Fig 76: 275
• Extrauterine pregnancy with cases: 277
• Signs of pregnancy A case with dropsy of the ovum: 279
• PAGE: 36
• Touching as a means of diagnosis in questionable gestation Auscul tation Bruit dc souffle 283 Ausculted sounds of fretal heart M Depaul: 283
• Obstructions Case of denied pregnancy: 284
• Quickening as a sign of pregnancy: 285
• Tympanitis Case of Mad T by Depaul: 286
• PART III: 288
• Caliph AlMamun and his physician: 290
• Fournier and tost seurement et sans doleur: 291
• Definition of labor: 292
• Cause of labor: 293
• Baudelocques opinion on cause of labor: 294
• Subsidence of womb at approach of labor: 295
• their duration: 296
• Frequencynumber Saccorabes curious table of pains: 297
• Differences and effects of pains: 298
• Bearing down in labors: 299
• State of the cervix dilated Fig 11: 301
• Touching or examination: 302
• False pains: 305
• Wigands opinion concerning pains: 306
• Periodicity of pains: 308
• Effect of overfull womb on laborpains: 309
• State of womb in last moments of labors: 310
• Separation and discharge of placenta The child during a labor: 312
• Outward thrust of the spinal arch of the child increases the flexion and dip of the head Flexion: 313
• Positions Fig 78 illustrates first position of the vertex: 314
• Table of positions Mde Boivin Aide Lachapelle Xaegele 316 Prof Xregele at Heidelberg his views on fourth position: 316
• Mechanism of a labor 320 Lochia: 320
• The newlyborn child: 368
• CHAPTER X: 323
• Case of remarkably slow pulse during labor: 326
• Prof Deweeshis use of venesection in labors: 327
• State of the bowels to be regarded a Case: 328
• Decubitus during parturition Cases illustrative: 329
• To assist the flexion and rotation: 331
• Failure of rotation Vaginal vesicocele a Case: 332
• Management of the cervix and os in a labor: 334
• Effects of badlyformed sacrum: 335
• Influence of badlyshaped pubis a Case The perineum a Case: 336
• The conditions of the perineum it compels extension of the head: 338
• Cord around the neck: 339
• The shoulders in a labor How to treat the child just born: 340
• Cutting the cord Placenta to manage its delivery: 341
• Hourglass contraction and adherent placenta: 344
• Weight and size of a placenta Retention of it Delivery of: 345
• Womb after delivery to avoid inversion: 346
• Afterpains Cases in illustration: 347
• Case of hemorrhage for want of afterpains: 348
• The posture of the woman after delivery its influence on flooding 350 Danger of rising up soon after delivery a Case: 350
• Case to show the usefulness of ergot iu procuring afterpains Sitting up too soon Hearne and the Indian mother: 351
• The heartclot Coagulability of blood augmented by hemorrhage: 352
• Fainting after delivery Processes of it and dangers Authors first publication concerning heartclot in Med Examiner 1849: 353
• the capillaries: 358
• Dr John Sims letter describing the case of the Princess 359 Cases of heartclot: 359
• Case of heartclot: 361
• Remarks on the process and result of heartclot Emboli how pro duced and effects of them: 362
• Tampon never True doctrine of conduct of floodings: 364
• Turn out the clot: 365
• The binder: 366
• Diet for lyingin woman Suckling: 367
• Medicine: 368
• 3fi9 Lochia Etherization 373 Professor Simpsons letter to author on anaesthesia in midwifery: 373
• PAGE: 36
• Authors letter in reply to Prof Simpson: 376
• Present views of author on anaesthesia: 381
• CHAPTER XI: 382
• Figs 80 81 illustrating face cases: 384
• Figs 82 83 of face presentations: 385
• Fig 84 a face presentation chin to sacrnm: 386
• Causes of face presentations 387 Only two positions of face presentations: 387
• Case of face labor: 390
• Chin to sacrum Fig 85: 393
• Madame Boivin on face labors CHAPTER XII: 397
• PELVIC PRESENTATIONS 399 Causes of pelvic presentations Prof Dubois views: 399
• Pelvic labors not preternatural Plinys remarks and Raynalds: 400
• Danger to the child: 401
• Fatalities in breech labors M Cazeauxs opinion on fatalities by pelvic presentations: 403
• Diagnosis of these presentations: 404
• Not to bring down the feeta good rule: 405
• The breech to descend without help: 406
• First position illustrated by Fig 88: 410
• Cases: 411
• Fourth breech position: 412
• Foot and knee: 415
• CHAPTER XIII: 416
• Shoulder presentations 419 Two shoulder presentations two positions for each shoulder: 419
• Diagnosis of shoulder cases Turning Rules for turning: 420
• PAGE: 36
• Which foot: 424
• Undilated os venesection for: 426
• Warm bath The arm not to be amputated Cosgreave: 427
• Spontaneous evolution: 428
• Doubleheaded foetus Fig 90 born only by Evolution Dr Pfeiffer Dr Ilohrers ease of tumor on fcetal head Fig 91: 429
• Case of forced evolution in shoulder presentation: 430
• Hemorrhagic labors Hemorrhage before delivery: 431
• Postpartum hemorrhage Placenta pravia: 433
• In placenta pnevia the doctrine is to turn and deliver by the feet: 435
• Case of placenta pravia Dr Eberle: 437
• Tampon to be avoided in the cases: 438
• Treatment when danger is great and pressing: 440
• When to turn and deliver Dilatability not dilatation Colpeurynter 445 Of turning in placenta pravia Deciding on the action Brauns colpeurynter its ad...: 445
• Concealed hemorrhage Case: 446
• Hemorrhage following the birth of child Clot the cause of: 448
• Hourglass contraction of the womb invariably attended with adhe sion of the placenta The rule to deliver by the hand: 450
• Hemorrhage following delivery of the placenta The rule turn: 452
• the clot 455 Mauriceaus sister to show that to let the womb contract is the rule: 455
• Convulsions: 460
• Dr Blackall first to propose albuminuria in dropsy The toxic power of nrromic blood: 462
• Brights cases Dr Gourbeyre and Dr Lever: 465
• Case of convulsions with albuminuria: 467
• Albuminuria remarks on with Fig 92 of Bowmans capsules and tubuli: 468
• Dilatation of osIs it a cause of eclampsia: 471
• Convulsions most frequent in primipara women: 472
• Dr Churchills table of convulsion cases Mad Boivin and La Cha pelle Braun Author: 473
• Table of convulsion cases by Author: 474
• Description of a paroxysm of convulsions Moment to be chosen: 475
• Cases: 479
• Conduct of labor in hydrffimical women: 487
• Exhaustion in labors: 489
• Cramps in labors Prolapse of the cord: 493
• Fainting in labors Hernia and laceration in labors: 495
• Engagement of a loop of the intestine in frout of the womb with a case: 496
• Carcinoma uteri iu labors Cases: 497
• PAGE: 36
• 5ol Smallpox in pregnancy Never to vaccinate a pregnant woman 503 Scarlatina Twins and triplet labors 605 Fig 9T Twins in utero Diagnosis 508 B...: 99
• Which hand Fig 100 Foot prolapsed Fig: 101
• Delivery of breech Fig 102 Bring down the cord Fig: 103
• To get the shoulder down Fig 104 To deliver the head Fig: 105
• Cases of turning: 240
• The right hand in second positions: 514
• Turning in shoulder cases Right hand prolapsed first position Fig 106: 516
• Right hand prolapsed second position Fig 107: 517
• Fig 109 Which hand?: 518
• CHAPTER XIV: 519
• Rickets and mollities Xsegeles pelvis: 520
• Fig 110 Nsegeles oblique oval pelvis: 521
• Shall turning be used in deformed pelvis ? 525 Reduction of planes of the head like wiredrawing: 525
• Mensuration of pelvis or diagnosis of deformity: 526
• Pelvimeter calliper: 527
• Badlyformed arch of pubis or misformed sacrum Case: 528
• Prolapse of the bladder with a Fig 118: 530
• Laceration of the womb and vagina measures to be taken: 531
• CHAPTER XV: 533
• The instruments of the ancients Tertullian quotation from: 534
• Paul Hugh and Peter Chamberlen Their invention of the forceps the cochlea junctura and manubrium or clamps joint and handles The forceps an ins...: 535
• Hugh Chamberlens interview with Mauriceau at Paris Aug 12 1670: 540
• Fig 119 Chamberlens vectis 541 Figs 120 121 Specimens of Chamberlens forceps from the country seat Woodham Mortimor Hall: 541
• PAGE: 36
• Figs 122 123 Other drawings of the Chamberlen forceps presented by Mr Causardine to Royal College of Surgeons 543 Samuel Chapman A D 1733 ...: 543
• Smcllie and Levrets forceps: 544
• Pean Baudelocque Observations on the meaning and uses of the forceps: 545
• Daviss forceps described: 547
• Hustons modification of Siebolds Fig 124: 549
• Forceps for child Perforator for mother Csesarean section for the mother alone: 550
• Lever motion of forceps Not an instrument of compression: 552
• Baudelocques experiments with forceps as compressive: 553
• Forceps to be applied only to a head within the pelvis When forceps cannot be adjusted to head: 554
• Motives and manner of proceeding: 555
• Fig 126 Forceps refuse to be locked from obliquity of clamps: 558
• Explanation of the lever movements of forceps: 559
• To apply forceps before the rotation is completed: 562
• Forceps in occipitoposterior positions: 564
• Forceps in transverse positions: 565
• Forceps in face presentations Forceps in locked head: 567
• Impaction of the head: 568
• Forceps in pelvic presentations: 570
• Section of the pubis Sigault Baudelocque M Sue E Sherwood CHAPTER XVI: 572
• Motives Holmes perforator: 575
• Questions as to perforation or Csesarean section: 576
• The sharp crotchet or uncus: 578
• Case of embryulcia for deformed pelvis Mrs R by Dr: 580
• Embryotomy instruments of author with Figs 127 128 129: 592
• Dr Gibsons Csesarean operation for Mrs: 595
• CHAPTER XVII: 601
• Letter from the author to Dr E on a proposed induction of labor: 603
• Results of E s case: 608
• PAGE: 397
• Case of inversion 613 Case: 611
• Dr Hatchs letter describing case of spontaneous cure: 617
• CHAPTER XIX: 623
• To be cured if possible by resolution of an inflammation: 629
• Contagion assumed by some persons to be the cause: 638
• The state of the nervous mass in childbed fevers: 645
• The tympanitic state: 651
• PAGE: 36
• Alexander Gordon His epidemic at Aberdeen His discovery and his method by venesection: 656
• Gordon Hey Armstrong and Lees work republished by author: 658
• Gordon indicates twentyfour ounces at one venesection as the cure: 659
• Dr Collins of Dublin distrusts venesection in childbed fever His case 660 Letter from Dr Collins: 660
• Case of puerperal fever Leeching as a cure: 664
• Cupping Emetics Doulcets success: 665
• Cathartics Calomel: 667
• Cheussiers method Stupings for the abdomen Blisters: 668
• Oil of turpentine by Brenan Opium Mercury Antimonials: 669
• Enemata 670 Tympanites and angulated colon: 670
• Oatmeal gruel and diet Not a fever but inflammation: 672
• Metrophlebitis: 673
• Pyaemia Intoxication Hysteroid symptoms: 674
• CHAPTER XX: 676
• ERGOT: 680
• Ergotism Nature of laborpains: 681
• Michels book on ergot: 683
• Ergot in cases prone to floodings: 684
• Ergot to procure abortion: 685
• Dr R Lees case of large doses of ergot: 686
• CHAPTER XXII: 687
• Structure of the breast: 688
• Case of inflamed breast: 690
• Sore nipple: 692
• Ointment of deers suet for sore nipples: 694
• Dr Physicks method for sore nipples 695 Inflamed mamma: 695
• Fasciola andstrophium 697 Milk abscess: 697
• Case of gathered breast: 699
• Countersunk nipple: 702
• THE HISTORY AND DISEASES OF THE YOUNG CHILD CHAPTER XXIII: 703
• Tying the cord Dressing the child: 707
• Dress suitable for child: 709
• Food: 711
• Weaning: 715
• The navel: 717
• The meconium Purging or diarrhoea: 718
• Costiveness: 720
• The: 722
• Sore mouth or aphthae: 723
• Icterus or jaundice Corjza: 725
• CHAPTER XXIV: 730
• Condition of the lungs in a foetus and in a neonatus: 736
• Morbus coeruleus: 739
• Asphyxia: 740
• Rokitansky on cyanosis: 748
• CHAPTER XXV: 751

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Bibliographic information

• Title: Obstetrics, the science and the art
• Author: Charles Delucena Meigs
• Publisher: Henry C. Lea, 1867
• Length: 730 pages