The Practice of obstetrics

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P. Blakiston's Son & Company, 1912 - 1062 páginas
 

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Página vii - When the first edition of this book appeared three years ago, the author stated in the preface that "the aim of the present Practice of Obstetrics is to present the subject of midwifery from a practical and clinical standpoint, so that it will best facilitate the requirements of the student of medicine and of the active obstetrician.
Página 444 - Most important of all in connection with prophylaxis during labor is rigid attention to asepsis and antisepsis. The importance of septic infection as a factor in the production of uterine and pelvic disease is too evident to need comment. One fact, however, we desire to emphasize, viz., that what is called antiseptic midwifery, while it has enormously decreased the mortality from puerperal infection, has by no means had a corresponding effect upon the morbidity. We are too prone to consider only...
Página 758 - ... them beneath the back of the infant, so that the extended thumbs may aid as far as possible in sustaining the vertex and inferior extremities. Then keeping the...
Página 14 - ... does not take place at all, or only very scantily; the uterine* system, as it were, anticipating the conception and preventing the failure which might result from a free discharge of blood.
Página 428 - If it be born alive it is sufficient, though it be not heard to cry, for peradventure it may be born dumb ;" he also describes " motion, stirring, and the like," as proofs of a child having been born alive.
Página 758 - ... to as many degrees above that line, thus facilitating the escape of air drawn into the lungs during the downward movement of the head and chest. These movements, performed in a regular and gentle manner, and repeated at proper intervals, seldom fail in the establishment of respiration when it is possible of accomplishment.
Página 443 - NEWS as to the time which should be allowed to elapse before the application of the forceps without reference to the individual case, is, of course, wrong. Many other circumstances must guide us here. But it is safe to say that when with good uterine contractions the head remains stationary, the danger of injury to the maternal soft parts becomes an important factor. A similar danger also arises from too prolonged efforts to retard the passage of the head through the vaginal outlet in order to prevent...
Página 760 - The last three fingers remain extended in contact with the back while each index-finger is inserted into an axilla, the thumbs lying upon and in front of the shoulders. When the child thus held is allowed to hang suspended, its entire weight rests upon the two fingers in the arm-pits. It is now swung forward and upward, the operator's hands going to the height of his own head ; the pelvic end of the child rises above its head and falls slowly toward the operator by its own weight, flexion occurring...
Página 853 - ... way from the posterior to the anterior commissure, when the parts are on the stretch. The length of the incision should be about one inch, and its depth one quarter of an inch.
Página 760 - If the heart action -becomes poor the child should be swung again. If prolonged swinging becomes necessary the root of the tongue should be compressed forward, in order to raise the epiglottis and permit the removal of secretions with the fingers. "In premature children the thoracic walls are often too soft to benefit by the compression of the fingers. In these cases insufflation of air should be practiced.

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