The Science and Art of Obstetrics

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Gross & Delbridge, 1892 - Homeopathic obstetrics - 769 pages
 

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Page 289 - A blank, my lord. She never told her love, But let concealment, like a worm i' the bud, Feed on her damask cheek : she pined in thought, And with a green and yellow melancholy She sat like patience on a monument, Smiling at grief.
Page 155 - ... when it is quite certain, from the thinness of the structures separating the presenting part from the vaginal canal, that the placenta is not implanted on this part of the sac, and it is not certain that the placenta is not implanted on the anterior abdominal wall.
Page 593 - The operator stands between the thighs of the patient, whose knees should be properly supported, and employing a syringe with a long nozzle, which is carried up as far into the cervical canal as it will go, he keeps a steady stream directly against the membranes. In the course of ten minutes the os will be the size of a silver half dollar, and when dilatation to this extent has been accomplished, he is to insert a gum catheter between the membranes and the uterine walls. The patient is then put in...
Page 357 - The best way of doing this is as follows : With the patient lying, of course, on her left side, the attendant places the thumb of his right hand, guarded by a napkin soaked in hot sublimate, in front of the anus, and presses it gently there. The pressure is not in the direction of a line joining his thumb and the pubic arch, but nearly in that of the axis of the pelvic outlet. By this, descent of the sinciput is hindered, and that of the occiput favored. When the latter is beginning to pass under...
Page 132 - 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 597 - 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 645 - The piece of india-rubber drainage tube about eighteen inches or two feet long is now held as a loop between the fore and middle finger of the left hand, and is by that means slipped up over the uterus and pulled down over the cervix, passing the fingers behind the cervix to see that coils of intestine are not included in it. One hitch is then made on the tubing when it has been got as far down as possible, and it is pulled as tight as is consistent with safety. The second hitch may be made in it,...
Page 727 - Immersion of the hands in a solution of permanganate of potash, made by adding an excess of the salt to boiling distilled water, until every part of the hands and lower forearms is stained a deep mahogany red or almost black color. They are then transferred at once to a saturated solution of oxalic acid until completely decolorized and of a healthy pink color. This...
Page 598 - ... the tips of the inside fingers. The head will play like a ball between the two hands ; it will be under their command, and can be placed in almost any part at will. Let the head then be placed over the os, taking care to rectify any tendency to face presentation. It is as well, if the breech will not rise to the fundus readily, after the head is fairly in the os, to withdraw the hand from the vagina, and with it press up the breech from the exterior.
Page 357 - ... thus grasped in the hand, the thumb lying over the sagittal suture. This gives one complete command over the head which is now engaging in the diameters between the nape of the neck and forehead and face, and allows the whole passage with as little tear as possible.

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