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109 Dimensions of vagina. Dr. Tyler Smith's paper noticed. Anterior
and posterior columns of the vagina.
110 In retroversion, the anterior columna becomes permanently contracted
or shortened. Utero-sacral ligaments.
111 Vaginitis contracts the tube. The womb-shape and size.
112 Fig. 37. Ovaries, womb, and vagina. Fig. 38. Womb opened.
113 Womb supported by its ligaments. Structure and powers of womb.
114 Fig. 39. Muscles of womb.
115
116
Non-co-ordinate action of the womb in labors.
Dilatation of the os. Number of the pains. Involution of the womb.
122 Purkinje's book. Figs. 41, 42, 43. The Germinal vesicle. Von Baer.
125 Prof. Coste.
126 T. Wharton Jones. Bischoff. Pouchet.
128 Fig. 44. Coste's ovarium.
129 Rudolph Wagner's account of the ovule, Fig. 45. Burdach on tubular
ovaries.
130 The corpus luteum, Fig. 46.
132 Literature of the corpus luteum. Author's view of the vitellary nature
of the corpus luteum.
142 Extract from Coste on vitellary nature of corpus luteum.
PART II.
THE PHYSIOLOGY OF REPRODUCTION.
CHAPTER VI.
MENSTRUATION.
146 Menstrual fluid is blood, not a secretion. Corpuscles or blood-disks
which are solids, cannot be secreted.
148 Analysis of menstrual fluid.
149 At what period of the menstruation the vesicle opens.
150 Fig. 47, the womb and ovaries in Menstruation.
151 Fecundation possible during more than eight days. Jewish observances.
152 Old doctrines of menstruation.
153 Menstruation is ovulation. Menses, as to pregnancy and suckling.
154
155
156
161
164
Pouchet's opinion as to the twelfth day.
When conception is possible.
Absence of womb cause of amenorrhoea, Cases.
CHAPTER VII.
AMENORRHOEA.
Influence of blood's crasis on menses.
Case showing that anæmia does not always prevent menstruation.
Power of chalybeates in amenorrhea.
166 Atresia causes amenorrhoea; also torpor of womb, and constitutional
disorders.
169 Author's views of the Hæmatosis. The Endangium, or blood-membrane.
171 The endangium makes the blood.
174 Therapeutics of amenorrhoea. Louise Bourgeois's treatment.
175 Quêvenne and Miquelard's iron. Debreiul's.
176 Diet in Amenorrhoea.
183 Records of Menstruations in a series.
184 Fecundation takes place in the oviduct.
185 Decidua. Fig. 48. Hunter's schematic figure of decidua.
186 Fig. 49. Velpeau's figure of a decidua.
187 Prof. Coste's Atlas. Fig. 50. Tubular-mucous-membrane of womb.
Coste quoted.
190 Fig. 51. Uterus of didelphis. Fig. 52. Ovary of didelphis.
191 Is a decidua possible in solidungula, pachydermata, and cetacea? Em-
bryogenic processes.
193 Cervix uteri contains the facultas retentrix: corpus and fundus contain
the facultas expultrix.
194 Double cervix and os of Delphinus. Evolution-process of womb.
196 Symptoms observed in early pregnancy. Falling of the womb. Nausea.
198 Quickening.
199 Form of the belly. Pouting navel.
200 Cramps. Costiveness. Alternate hardening and relaxation of uterus.
201 Cylindrical cervix becomes conoidal. Size of womb at term.
202 Placenta. Development of heart and vessels in embryo.
204
Hunter's opinion on Placenta. Velpeau. Seiler. Owen. Flourens.
206 Fig. 53. Schematic figure of conception. Fig. 54. Ovule affixed.
207 Weber's opinion of placental attachment.
208 Fig. 55. Uterine surface of placenta. Fig. 56. Foetal surface.
209 Instances in which the author has observed the nature of the placental
connection.
210 Valvular orifices of sinuses in womb-wall.
212 Blastoderm: development of vessels.
214 Allantois.
215 Umbilical vesicle in Figs. 57, 58, 59, 60.
216 Omphalo-mesenteric system. Fig. 61. Omphalo-mesenteric vessels
and cord.
217 Fig. 62. Umbilical cord, seat of exomphalos.
218 Foetal circulation.
222 Cause of death of embryo or fœtus.
223 Duplex children. Fig. 63. Dr. Pfeiffer's specimen. Rita-Christina.
224 Omphalodym in Author's collection. Dr. Rohrer's specimen, Fig. 64.
226 Rationale of duplex monsters. Figs. 65, 66. Schematic of blastoderm.
228 Duration of pregnancy. Renée d'Ingreville.
229 Tables of duration, from Rainard.
231
Asdrubali's case of protracted twin-pregnancy.
232 Case of protracted gestation at Pennsylvania Hospital.
234 Lamotte and Merriman on gestation at varying terms.
235 Method of computing term.
236 Changes that take place in gravid womb. Fig. 67. Gravid uterus.
238 Muscular apparatus of womb. Fig. 68.
240 Obliquity. Pressure of womb on the vessels produces œdema.
243 Hydatids.
245 Moles.
246 Physometra. Hydrometra. Abortion.
248 Conception does not necessarily arrest ovulation.
250 Figs. 69, 70, and 71, illustrate the changes of uterus in abortions.
251 Fig. 72. Dewees's placenta hook. Fig. 73. Bond's placenta forceps.
253 Fig. 74. Braun's colpeurynter.
254 Colpeurynter as a tampon. The tampon.
256 Cautions as to tamponade in advanced pregnancy and in labors.
257 Prolapsus uteri from too soon sitting up. Retroversion, with case.
260 Cases of retroversion.
265 Case of retroversion with adherence of fundus, and a tubular pregnancy.
272 Fig. 75. Retroverted adherent uterus, with tubular pregnancy.
273 Case of retroverted gravid womb cured by colpeurysis.
275 Cases of fatal tubular-pregnancy.
277 Signs of pregnancy. Case of twin pregnancy in which tapping was
proposed.
280 Touching and auscultation to diagnosticate pregnancy. Depaul's
views.
283 Cautions to student as to the sign quickening.
PART III.
THE THERAPEUTICS AND SURGERY OF MIDWIFERY.
CHAPTER IX.
LABOR.
287 Duties of the accoucheur. Al Mamun and John. Extract from
Wigand.
289 Definition of labor. "Labor is the process by which the contents of
the gravid womb are expelled." Onset of labor at term.
292
Cause of labor, with Baudelocque's theory of it.
Subsidence of the womb before labor.
293 Discharges from the genitalia. Labor pains; their number, duration,
and the average time consumed in labor.
294
Saccombe's relation of a labor case.
296 Women cannot bear down in the beginning of labors.
297 Fig. 76. The womb dilated and become cylindric.
298 Constitutional effects of the pains. Signs of labor.
300 Touching or examination.
302 False pains.
303 Wigand's description of labor-pain.
307 In a labor pain the whole womb contracts.
309 The child during the labor. Outward thrust of the spinal arch which
causes increased flexion of the head.
311 Positions are relations of a cardinal point of the presenting part, to a
cardinal point on the pelvis. They are numerical, as 1st, 2d, 3d,
4th, 5th, 6th. Fig. 77. The vertex in 1st position.
313 Nægéle's opinion as to 1st and 4th positions.
314 Mechanism of the head and pelvis. Sketch of a labor.
318 The lochia.
CHAPTER X.
CONDUCT OF A LABOR.
320 Midwifery is the conduct of labor.
321 Importance of diagnosis. Raynalde's advice.
323 The pulse in labors. Cases. Uses of venesection.
324 The bowels to be attended to: purgative doses.
326 Decubitus of patient. Case.
327 To assist the flexion and rotation.
329 Vaginal vesicocele. Case.
331 Management of cervix and os.
A case.
336 The shoulders, how managed. How to treat the child. Cutting the
cord.
337 Management of the placenta.
340 Adherent placenta, or hour-glass contraction.
342
Womb after delivery. After-pains with cases illustrative.
347 Sitting up too soon.
348 The heart-clot. Dr. Sims's letter to Dr. Clarke,
356 Heart-clot. Dr. Yardley's case.
359 Tampon never.
p. 351.
360 Turn out the clot. The binder. Dr. White's (of Manchester) opinion
on binder, and Dr. A. F. Hohl's.
362 Diet of lying-in woman. Suckling.
363 Medicines for lying-in woman.
364 Lochia. Etherization in midwifery practice.
368 Letter on anesthesia in midwifery, from Prof. Simpson.
370 Formula of Duncan and Flockhart, of Edinburgh, for chloroform
371 Author's reply to Prof. Simpson.
CHAPTER XI.
FACE PRESENTATIONS.
377 Fig. 78. Presentation of face. 1st position.
379 Fig. 79. Departure of chin in a cephalic, with foot presentation.
Fig. 80. Chin rotated to pubis, in a face presentation.
380 Fig. 81. Chin slides down behind pubis to emerge. Fig. 82. Chin
born, and returning to breast from which it had departed.
381 Fig. 83. Face labor with forehead to pubis.
382 Causes of face presentations.
384
Viardel s case of Madame Nissole. Chin restored.
Case.
387 Fig. 84. Chin to sacrum in face-labor. Extract from Dr. Dewees.
Cases.
392 Mesdames Lachapelle and Boivin's experience in face-cases.
CHAPTER XII.
PRESENTATIONS OF PELVIC EXTREMITY OF FETUS.
395 Causes of pelvic presentation. Rainalde's method.
398
Fatalities in breech-cases.
399 Diagnosis.
400 Not to bring the feet down.
Rules of conduct for such a labor.
402 Positions of the breech. Fig. 85. Flexion of the trunk in descending.