Obstetrics

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Blanchard and Lea, 1856 - 725 pages
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Contents

Fig 14 Planes of pelvis Fig 15 Caruss curve
55
Relation of axis and diameters to clinical practice Inclinations
56
the planes 57 Dr Tyler Smiths remarks on the planes
57
Planes of pelvis innumerable Fig 16 Oliveshape figure of fœtusin utero Caruss arc the best idea of the axis of pelvis
58
Double plane of outlet Ligaments of pelvis Subpubic ligaments
59
Sacroiliac and sacrosciatic ligaments Fig 17 Ligaments Open ing of joints in labor considered
60
Instances of relaxed pubic symphysis
61
Diameters of pelvis
62
Measure of superior strait
63
Dimensions of pelvis Dr Kolrauschs Physiology of the Pelvic Or gans notice
64
Fig 18 Copy from Kolrauschs figure of recent pelvis
65
Peritoneal duplicatures in pelvis Douglass culdesac
66
Muscles within pelvis Fig 19 Relative situation of pelvic contents
67
All the pelvic viscera are within none rise above the pelvis
68
CHAPTER II
69
A vertex presentation defined
70
Child enters pelvis diagonally Fig 20 Vertex presenting in 1st position
71
Inclined planes of ischia cause rotation Mechanism of rotation and flexion Resistance of perineum causes Extension of head
72
Fig 21 Evolution of head by Extension Restitution Delivery of shoulders
73
Flexion Rotation Extension Restitution 2d Position its me chanism Fig 22 Vertex in 2d position
74
3d and 4th Positions
75
Fig 23 4th Position Fig 24 6th Position Mechanism of delivery in 6th position Vertex first born
76
Fig 25 Vertex in 5th Position 6th Position A case of labor in 6th position
77
Face presentations 79 Fig 26 Face presentation 1st position Fig 27 Face presents rotation being completed Chin must be born first Bring chin to pubis
79
Chin to sacrum requires embryulcia
80
CHAPTER III
81
Measurements of cranium by author
83
Dimensions of head Fontanels
84
Presentations
85
Fig 31 Presentation of vertexthe child wholly in flexion
86
Average size and weight of fœtus Ratio of cephalic to pelvic pre sentations 88 Two presentations only in midwiferycephalic and pelvic Fig 32
87
Fig 33 Shows pelvic presentation that might become footling Posi tion of a presentation Position defined
89
Table of all Presentations and Positions
90
CHAPTER IV
91
Labia pudendorum Edema labii
92
treatment of thrombus
93
Labial abscess
94
Nymphæ
95
The vestibulum catheterism cohesion of labia
96
Fourchette Hymen Atresia
97
The Clitoris
100
The Bulbs of the vestibule and the Pars intermedia Kobelts figures
101
Fig 34 Kobelts magnified view of clitoris
102
Fig 35 Front view of the bulbs Fig 36 Side view of bulbs
103
Case to show that wounds of pars intermedia are dangerous
104
Duverneys glands Huguier quoted
105
The vagina
107
Structure and form of vagina
108
Dimensions of vagina Dr Tyler Smiths paper noticed Anterior and posterior columns of the vagina
109
In retroversion the anterior columna becomes permanently contracted or shortened Uterosacral ligaments
110
Vaginitis contracts the tube The wombshape and size
111
Fig 37 Ovaries womb and vagina Fig 38 Womb opened
112
Womb supported by its ligaments Structure and powers of womb
113
Fig 39 Muscles of womb
114
Noncoordinate action of the womb in labors
115
Dilatation of the os Number of the pains Involution of the womb
116
CHAPTER V
118
Graafian vesicles
119
The ovum 121 De Graaf Yelk Granular membrane Purkinjean vesicle
121
Purkinjes book Figs 41 42 43 The Germinal vesicle Von Baer
122
Prof Coste
125
T Wharton Jones Bischoff Pouchet
126
Fig 44 Costes ovarium
128
Rudolph Wagners account of the ovule Fig 45 Burdach on tubular ovaries
129
The corpus luteum Fig 46
130
Literature of the corpus luteum Authors view of the vitellary nature of the corpus luteum
132
Extract from Coste on vitellary nature of corpus luteum
142
PART II
144
Menstrual fluid is blood not a secretion Corpuscles or blooddisks which are solids cannot be secreted
146
Analysis of menstrual fluid
148
At what period of the menstruation the vesicle opens
149
Fig 47 the womb and ovaries in Menstruation
150
Fecundation possible during more than eight days Jewish observances
151
Old doctrines of menstruation
152
Menstruation is ovulation Menses as to pregnancy and suckling
153
Pouchets opinion as to the twelfth
154
When conception is possible
155
Absence of womb cause of amenorrhoea Cases
156
CHAPTER VII
161
Case showing that anæmia does not always prevent menstruation Power of chalybeates in amenorrhoea
164
Atresia causes amenorrhea also torpor of womb and constitutional
166
disorders
168
Authors views of the Hæmatosis The Endangium or bloodmembrane
169
The endangium makes the blood
171
Therapeutics of amenorrhoea Louise Bourgeoiss treatment
174
Quêvenne and Miquelards iron Debreiuls
175
Diet in Amenorrhoea
176
Definition
179
Fecundation CHAPTER VIII
180
Conception
181
Records of Menstruations in a series
183
Fecundation takes place in the oviduct Decidua Fig 48 Hunters schematic figure of decidua
184
Fig 49 Velpeaus figure of a decidua
186
Prof Costes Atlas Fig 50 Tubularmucousmembrane of womb Coste quoted
187
Fig 51 Uterus of didelphis Fig 52 Ovary of didelphis
190
Is a decidua possible in solidungula pachydermata and cetacea? Em bryogenic processes
191
corpus and fundus contain the facultas expultrix
193
Double cervix and os of Delphinus Evolutionprocess of womb
194
Symptoms observed in early pregnancy Falling of the womb Nausea
196
Quickening
198
Form of the belly Pouting navel
199
Cramps Costiveness Alternate hardening and relaxation of uterus
200
Cylindrical cervix becomes conoidal Size of womb at term
201
Placenta Development of heart and vessels in embryo
202
Hunters opinion on Placenta Velpeau Seiler Owen Flourens
204
Fig 53 Schematic figure of conception Fig 54 Ovule affixed
206
Webers opinion of placental attachment
207
Fig 55 Uterine surface of placenta Fig 56 Fœtal surface
208
Instances in which the author has observed the nature of the placental connection
209
Valvular orifices of sinuses in wombwall
210
development of vessels
212
Allantois
214
Umbilical vesicle in Figs 57 58 59 60
216
Fig 62 Umbilical cord seat of exomphalos
217
Foetal circulation
218
Cause of death of embryo or fœtus
222
Duplex children Fig 63 Dr Pfeiffers specimen RitaChristina
223
Omphalodym in Authors collection Dr Rohrers specimen Fig 64
226
Duration of pregnancy Renée dIngreville
228
Tables of duration from Rainard
229
Asdrubalis case of protracted twinpregnancy
231
Case of protracted gestation at Pennsylvania Hospital
232
Lamotte and Merriman on gestation at varying terms
234
Method of computing term
235
Changes that take place in gravid womb Fig 67 Gravid uterus
236
Muscular apparatus of womb Fig 68
240
Hydatids
243
Moles
245
Physometra Hydrometra Abortion
246
Conception does not necessarily arrest ovulation
248
Figs 69 70 and 71 illustrate the changes of uterus in abortions
250
Fig 72 Deweess placenta hook Fig 73 Bonds placenta forceps
251
Fig 74 Brauns colpeurynter
253
Colpeurynter as a tampon The tampon
254
Cautions as to tamponade in advanced pregnancy and in labors
256
Prolapsus uteri from too soon sitting up Retroversion with case
257
Cases of retroversion
261
Case of retroversion with adherence of fundus and a tubular pregnancy
265
Fig 75 Retroverted adherent uterus with tubular pregnancy
272
Case of retroverted gravid womb cured by colpeurysis
273
Cases of fatal tubularpregnancy
275
Signs of pregnancy Case of twin pregnancy in which tapping was proposed
277
Touching and auscultation to diagnosticate pregnancy Depauls views
280
Cautions to student as to the sign quickening
283
PART III
285
Duties of the accoucheur Al Mamun and John Extract from
287
Wigand
288
Definition of labor Labor is the process by which the contents of the gravid womb are expelled Onset of labor at term
289
Cause of labor with Baudelocques theory of it Subsidence of the womb before labor 293 Discharges from the genitalia Labor pains their number dur...
293
Saccombes relation of a labor case
294
Women cannot bear down in the beginning of labors
296
Fig 76 The womb dilated and become cylindric
297
Constitutional effects of the pains Signs of labor
298
Touching or examination
300
CHAPTER X
320
Importance of diagnosis Raynaldes advice
321
The pulse in labors Cases Uses of venesection
323
purgative doses A case
324
Decubitus of patient Case
326
To assist the flexion and rotation
327
Vaginal vesicocele Case
329
Management of cervix and
331
Bad sacrum Badly formed pubis
332
The perineum Rules to manage
333
Cord round the neck
335
The shoulders how managed How to treat the child Cutting the cord 337 Management of the placenta
336
Adherent placenta or hourglass contraction
340
Womb after delivery Afterpains with cases illustrative
342
Sitting up too soon
347
The heartclot
348
Dr Simss letter to Dr Clarke p
351
Heartclot Dr Yardleys case
356
Tampon never
359
Turn out the clot The binder Dr Whites of Manchester opinion
360
on binder and Dr A F Hohls
362
Medicines for lyingin woman
363
Lochia Etherization in midwifery practice
364
Letter on anæsthesia in midwifery from Prof Simpson
368
Formula of Duncan and Flockhart of Edinburgh for chloroform
370
Authors reply to Prof Simpson
371
CHAPTER XI
377
Fig 79 Departure of chin in a cephalic with foot presentation Fig 80 Chin rotated to pubis in a face presentation
379
Fig 81 Chin slides down behind pubis to emerge Fig 82 Chin born and returning to breast from which it had departed
380
Fig 83 Face labor with forehead to pubis
381
Causes of face presentations
381
Viardel s case of Madame Nissole Chin restored Case
384
Fig 84 Chin to sacrum in facelabor Extract from Dr Dewees Cases
387
Mesdames Lachapelle and Boivins experience in facecases
392
CHAPTER XII
394
Causes of pelvic presentation Rainaldes method
395
Fatalities in breechcases
398
Diagnosis
399
Not to bring the feet down Rules of conduct for such a labor
400
Positions of the breech Fig 85 Flexion of the trunk in descending
402
Fig 86 shows the manoeuvre as to the cord First position of a pelvic presentation Rules of conduct Take care of the head
403
Second position Third position Cases to show that a forceps should always be at hand in the cases
405
best posture for delivery Method of delivering the head in this case Cases in illustration
407
CHAPTER XIII
412
Two shoulder presentations for each shoulder Fig 88 Right shoul der with prolapsed
415
Diagnosis of shoulder cases Turning with rules of conduct
416
Spontaneous evolution in shouldercases
424
also Fig 90 Rohrers caseimpossible but with evolution Case of forced evolution
427
Hemorrhagic labor
429
Louise Bourgeois method of breaking the ovum Extract from Louise Rule is to let the womb contract which cannot be done until the ovum bursts
430
Placenta prævia
432
Simpson Radfords method in placenta prævia not to be adopted
438
Barnes and Murphey a discussion on placenta prævia
439
Brauns colpeurynter Recommended in the cases
441
Concealed hemorrhage Case
442
Postpartum hemorrhage
443
Hourglass contraction
445
Flooding after delivery Napkins Dr Jamess rule
448
Always turn out the clot Mauriceaus sister
450
Convulsions Convulsibilität of Wigand p
457
Blackall and Brights researches on albuminuria
458
Gourbeyres paper in Mem Imp Acad of Med of Paris shows that albuminuria is disalbumination of the blood
459
Dr Levers researches on Brights disease of pregnant women
460
Idea of uræmic intoxication now prevalent
461
Inquiry into the causes of albuminuria of pregnancy or uræmia of women with child Uræmic intoxication or eclampsia Casts of the tubuli uriniferi Te...
462
What is albuminuria? Frerichs opinion
463
Fig 91 from Eckers Icones Physiologica represents the tubuli urini feri Bowmans capsules and Malpighis corpuscles to illustrate hyperemia of kidney ...
464
Fig 92 A Bowmans capsule with Malpighian body artery vein and urine tubule
465
State of brain during eclampsia Frequency
467
Table of cases
468
Table of authors cases
469
Case described
470
Treatment Deliver when?
471
Cases of eclampsia
474
Advice as to treatment of hydræmic pregnancy
482
Exhaustion
484
Cramp
487
Prolapsus of cord Authors method of repositing cord
488
Fainting Hernia Loop of bowel pinched by womb Case
490
Cancerous os uteri in a labor Case Figs 93 94 95
495
Scarlatina
497
Twins and triplets Fig 96 Twins in utero
498
Fig 97 Fillet to assist in breech case
503
Turning to deliverillustrated by Figs 98 and 99
505
Fig 101 shows manœuvre as to the hips of fœtus Fig 102 Care for the cord by drawing down a loop
506
Fig 103 To disengage the arm Fig 104 Disengagement of the chin Case
507
Turning in shoulderpresentation Fig 105 Arm prolapsed 1st position
511
Fig 106 Arm prolapsed 2d right shoulder position
512
Fig 107 Exploring for feet Fig 108 2d position of left shoulder left hand used feet found
513
CHAPTER XIV
515
Fig 109 Nægèles oblique ovate and Fig 110 authors oblique ovate pelvis
517
Fig 111 Pelvis figure8 shaped Fig 112 Egyptian girls pelvis
518
Malformation of sacrum pubes and ischia in Fig 113
521
Fig 115 Mensuration of a diameter Fig 116 Calliper of Baude locque
522
Fig 117 Bladder below the head arrests the progress of labor
525
Laceration of womb and vagina Vide supplement at end for Baynes
526
CHAPTER XV
529
Celsus Uncus
530
Desideratum of centuries supplied by Chamberlen in his Childs instrument
531
Hugh Chamberlen at Paris His preface to Mauriceau
533
Figs 118 119 120 121 122 represent different instruments formerly belonging to the Chamberlens and now in the Museum of Col lege of Surgeons ...
536
Fig 123 Professor Hustons Siebold forceps Fig 124 Daviss forceps applied Daviss forceps described and recommended
544
The perforator the crotchet and the Cæsarian section for the mother and the forceps for the child
546
Leverpower of the forceps
547
Baudelocques experiments on compressive action of forceps
549
A man shall hardly be justified who inserts his forceps within the os uteri He must wait until it has risen above the head and dis
550
To apply the forceps and deliver
551
Fig 125 To show why the handles will not lock
553
Demonstration of levermotion and power of the forceps
555
before rotation is completed
557
Forceps in occipitoposterior position
559
Forceps in transverse head
561
The forceps in face cases
562
Forceps in locked head
563
Forceps in pelvicpresentation
565
Section of the pubis Sigault
567
CHAPTER XVI
570
Signs of exhaustion To lessen the head
571
Head not to be delivered with pelvis 2 inches
572
Dangerous nature of crotchet
574
Deformed pelvis Mrs R s case
575
Figs 126 127 128 Authors embryotomy instruments
587
Deformed pelvis Cæsarean operation
590
CHAPTER XVII
597
Cases of embryotomy by Dr
598
Authors letter on induction to E Case
599
CHAPTER XVIII
606
Method of repositingMr Whites advice not to be followed Cases
609
Dr Hatchs case Inversion and spontaneous cure
618
CHAPTER XIX
620
Table of years and places of epidemic childbed fever
631
Etiology of childbed fever
632
Prodromes of an epidemic
634
Contagion
635
An attack described
640
Angulation of the gut from tympany
649
Diagnostication Gordon
651
Gordons method Hey Armstrong and
654
Legouais Baudelocque Dance Meissner Kiwisch and Collins Case from Collins 658 Dr Collinss letter
656
Metritis and phlebitis with pyæmic intoxication
669
CHAPTER XX
672
Uterus tapped by author for atresia
674
CHAPTER XXI
677
Case from Dr Lee Ergot given in vain
682
MILK FEVER
684
Adhesive fasciola of author
693
PART IV
700
Dress for the child
706
The navel
714
Sore mouth
720
CHAPTER XXIV
727
CHAPTER XXV
748
case of Gastrotomy page
750
Authors apology
3

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