The Science and Art of Obstetrics

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Gross & Delbridge, 1882 - Homeopathic obstetrics - 659 pages

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Page 154 - Take that day nine months forward as 275, unless February is included, in which <ase it is taken as 273 days. To this add three days in the former case, or five if February is in the count, to make up the 278. This 278th day should then be fixed on as the middle of the week, or, to make the prediction...
Page 513 - Introduce the left hand into the vagina, as in podalic version, place the right hand on the outside of the abdomen, in order to make out the position of the foetus, and the direction of the head and feet. Should the shoulder, for instance, present, then push it with one or two fingers on the top, in the direction of the feet.
Page 155 - Ready Reckoner ' consists of two columns, one of calendar, the other of lunar months, and may be read as follows : — A patient has ceased to menstruate on July 1 : her confinement may be expected at soonest about March 31 (the end of nine calendar months); or at latest on April 6 (the end of ten lunar months).
Page 460 - ... 3. When the hand has even penetrated the cavity of the uterus, the hole which is made by it is no greater than itself, and, consequently, much too small for the foetus to pass through without a forced enlargement ; and this must be done by the child during its passage. " 4. As the hole made by the body of the child is not sufficiently large for the arms and head to pass through at the same time, they will consequently be arrested ; and if force be applied to overcome this resistance, it will...
Page 407 - ... ruptures. There is no doubt in my mind that, in certain cases, there is what may be called rottenness of tissue, which destroys the power of the tissues to resist laceration or bursting. In some women, and occasionally at least very markedly in the syphilitic, this condition is very easily demonstrated. It is a condition also of many inflamed tissues, and this is exemplified in the perineum.
Page 134 - ... singing in the ears, and shortness of breath. With these ideas of pathology, the treatment applied was logical, resort being had to active anti-phlogistic medication, low diet and, frequently, to venesections. We are told that it was not uncommon for women to be bled six or eight times during the later months of gestation, and we have the record of cases wherein such depletion was practiced as a matter of routine, every two weeks, and sometimes much oftener. Modern research appears to have conclusively...
Page 513 - the left hand into the vagina, as in podalic version ; place the right hand on the outside of the abdomen, in order to make out the position of the foetus and the direction of its head and feet.
Page 156 - In the fifth month, the fundus of the uterus rises to a point midway between the symphysis and the navel. By the sixth month, it reaches the level of the navel. In the seventh month, it should be the breadth of two or three fingers above the navel. In the eighth month, it rises half-way between the navel and the epigastrium. In the ninth month, it reaches the epigastrium. In the tenth month, two to three weeks before confinement, the uterus sinks downward and somewhat forward, so that its upper level...
Page 460 - ... 8. That it is sometimes impossible to penetrate the placenta, especially when its centre answers to the centre of the os uteri ; in this instance much time is lost that may be very important to the woman.

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