Three hundred consultations in midwifery (Google eBook)

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Churchill, 1864 - Obstetrics - 217 pages
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Page 27 - At seven pm, the right hand was hanging out of the external parts, and the shoulders and thorax had sunk deeper into the pelvis. On a careful examination, it was found that the tuberosities of the ischia had been pressed considerably apart, the short diameter of the outlet being thus increased ; and there was little doubt but that the...
Page 26 - ... The great distortion of the pelvis (the tuberosities of the ischia were almost in contact, and the sacrum projected forward so as nearly to touch the front of the pelvis) presented unusual difficulties, seen in reaching the os uteri for the purpose of introducing the stiletted catheter to puncture the membranes. After a time, the fore and middle fingers of the left hand were passed into the vagina, and the anterior lip of the os uteri was touched with the tip of the forefinger ; the instrument...
Page 26 - Westminster, he saw Mrs. S , who had been in labour forty-eight hours, and whose pelvis was distorted in the highest degree from mollities ossium. After perforating the head, which had not entered the brim of the pelvis, and by tearing in pieces the bones with the crotchet, delivery was accomplished after two hours
Page 27 - At two pm the os uteri was so much dilated that the points of two fingers could be introduced, and the nature of the presentation ascertained. It was not the head, but whether shoulder or nates could not be determined. At seven...
Page 217 - CLINICAL MIDWIFERY; comprising the Histories of Five Hundred and Forty-five Cases of Difficult, Preternatural, and Complicated Labor, with Commentaries. From the second London edition. In one royal 12mo. volume, extra cloth, of 238 pages.
Page 146 - July, 1857, when severe pain was felt in the neck of the bladder and meatus urinarius, with incesant calls to micturition. After this, profuse discharge took place from the urethra, to the amount of four tumblers of pus daily. This gradually diminished to seventeen tumblers in the month of October ; eleven and a half in November ; six in December, 1857 ; and now in January, 1858, there is little more than one ounce daily. The discharge varies in...
Page 220 - LIBRARY 300 PASTEUR DRIVE PALO ALTO, CALIFORNIA 94304 Ignorance of Library's rules does not exempt violators from penalties. 300 PASTEUR DRIVE PALO ALTO.
Page 148 - ... that there is a considerable opening, into which a bougie has been passed, between the cyst and the urinary bladder. The right ovarium displaced contained the corpus luteum. None of the hairs in the cyst were coated with calcareous matter ; but all those found in the bladder, and all that had escaped through the urethra during life, were incrusted with ammoniaco-magnesian phosphates.
Page 26 - ... diagnostic symptoms of pregnancy being absent, any interference was postponed for another month. In January, 1853, the movements of the foetus could be distinctly felt, and the necessity for immediately attempting to induce premature labour was obvious and urgent. The great distortion of the pelvis (the tuberosities of the ischia were almost in contact, and the sacrum projected forward so as nearly to touch the front of the pelvis) presented unusual difficulties, seen in reaching the os uteri...
Page 157 - ... and tremulous. She had had only three slight pains, but had lost a large quantity of blood. I found the vagina filled with coagula ; the os uteri dilated to the size of a crown piece, and entirely blocked up by the placenta. On passing two fingers between the wall of the uterus and the p'acenta, I felt a cephalic presentation, the membranes being unruptured.

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