Difficult Labour: A Guide to Its Management for Students and Practitioners

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William Wood, 1909 - 452 pages

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Page x - 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. But in the true handling of knowledge, men ought not to fall either on the one side into the vein...
Page 172 - Sims recommends, place the patient (fully etherized), as for lithotomy, on the back ; pass the index and middle fingers of the left hand into the vagina, separate them laterally, so as to dilate the vagina as widely as possible, putting the fourchette on the stretch ; then with a common scalpel make a deep cut through the vaginal tissue on one side of the mesial line, bringing it from above downwards, and terminating at the raphe of the perinseum.
Page 65 - The body, in its doubl'ed 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...
Page 425 - If you have not hit the middle line, and the point of the knife impinges on bone, the difference of resistance will inform you of the fact. If so, shift the point a little to the right or left, and it will come upon the symphysis. When the knife has penetrated the symphysis, cut downwards until you have reached and divided the ligamentum arcuatum. Then turn the blade so that the cutting edge is upwards, and divide the rest of the symphysis. There may be a little difficulty in dividing the last ligamentous...
Page ix - 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 420 - 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 330 - ... been used in the management of the case. Undue haste in delivery in the absence of pain, for instance in cases of instrumental delivery, or undue tractraction in cases of breech presentations without waiting for regular labor pains, will often be found to be the cause of a post-partum hemorrhage. " The principle not to deliver in the absence of uterine contraction is the first point in the prevention of post-partum hemorrhage.
Page 113 - ... before the head of the child has fully entered into the pelvis, or come into a situation to be expelled.
Page 331 - ... whether the placenta is pushed out of the vagina by pressure from above or pulled out by the cord. These two points : care not to extract child or placenta when the uterus is not contracting, and close supervision of the third stage of labor, are the chief precautions for the prevention of hemorrhage. The modes of stopping postpartum hemorrhage due to uterine atony may be divided into three groups: (1) To make the uterus contract; (2) to compress the bleeding veins; (3) to clot the blood. In...
Page 317 - ... lower segment of the uterus is compressed between the plug and the presenting part of the child ; (3) the pressure of the plug stimulates the uterus to contract.

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