PAGE

403 Fig. 86, shows the manœuvre as to the cord.

First position of a

pelvic presentation. Rules of conduct. Take care of the head.

405 Second position. Third position. Cases to show that a forceps should

always be at hand in the cases.

407 Fourth position: best posture for delivery. Method of delivering

the head in this case. Cases in illustration.

412 Causes. Case.

CHAPTER XIII.

OF PRETERNATURAL LABORS.

415 Two shoulder presentations for each shoulder. Fig. 88. Right shoul-

der with prolapsed arm.

416 Diagnosis of shoulder cases. Turning; with rules of conduct.

424 Spontaneous evolution, in shoulder-cases.

427 Double-headed child to illustrate evolution: also, Fig. 90, Rohrer's

case-impossible but with evolution. Case of forced evolution.

429 Hemorrhagic labor.

430 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.

432 Placenta prævia.

438 Simpson, Radford's method in placenta prævia not to be adopted.

439 Barnes and Murphey; a discussion on placenta prævia.

Braun's colpeurynter. Recommended in the cases.

442 Concealed hemorrhage. Case.

443 Post-partum hemorrhage.

445 Hour-glass contraction.

448 Flooding after delivery. Napkins. Dr. James's rule.

450 Always turn out the clot. Mauriceau's sister.

455 Convulsions. Convulsibilität of Wigand, p. 457.

458 Blackall and Bright's researches on albuminuria.

459 Gourbeyre's paper in Mem. Imp. Acad. of Med. of Paris, shows that

albuminuria is disalbumination of the blood.

460 Dr. Lever's researches on Bright's disease of pregnant women.

461 Idea of uremic intoxication, now prevalent.

462 Inquiry into the causes of albuminuria of pregnancy or uræmia of

women with child. Uræmic intoxication or eclampsia. Casts

of the tubuli uriniferi. Tests of albumen.

463 What is albuminuria? Frerich's opinion.

464 Fig. 91, from Ecker's Icones Physiologica, represents the tubuli urini-

feri, Bowman's capsules and Malpighi's corpuscles; to illustrate

hyperæmia of kidney, or first stage of morbus Brightii.

PAGE

465 Fig. 92. A. Bowman's capsule with Malpighian body, artery, vein, and

488 Prolapsus of cord. Author's method of repositing cord.

490 Fainting. Hernia. Loop of bowel pinched by womb. Case.

492 Cancerous os uteri in a labor. Case, Figs. 93, 94, 95.

495 Smallpox. Vaccination and revaccination; protest against them.

497

Scarlatina.

498 Twins and triplets. Fig. 96. Twins in utero.

503 Fig. 97. Fillet to assist in breech case.

504 Turning, to deliver-illustrated by Figs. 98 and 99.

505 Fig. 100. Foot presenting with face.

506 Fig. 101 shows manœuvre as to the hips of foetus. Fig. 102. Care

for the cord by drawing down a loop.

507 Fig. 103. To disengage the arm. Fig. 104. Disengagement of the

chin. Case.

511 Turning in shoulder-presentation. Fig. 105. Arm prolapsed; 1st

position.

512 Fig. 106. Arm prolapsed; 2d right shoulder position.

513 Fig. 107. Exploring for feet. Fig. 108. 2d position of left shoulder;

left hand used; feet found.

CHAPTER XIV.

PRETERNATURAL LABOR FROM DEFORMED PELVIS.

517 Fig. 109. Nægèle's oblique ovate, and Fig. 110. author's oblique ovate

pelvis.

518 Fig. 111. Pelvis, figure-8 shaped. Fig. 112. Egyptian girl's pelvis.

Malformation of sacrum, pubes, and ischia in Fig. 113.

519

521 Fig. 114. Malformation of pubis, lessening antero-posterior diameter.

522 Fig. 115. Mensuration of a diameter. Fig. 116. Calliper of Baude-

locque.

525 Fig. 117. Bladder below the head arrests the progress of labor.

526 Laceration of womb and vagina. Vide supplement at end for Bayne's

case of Gastrotomy, page 750.

529 Rainalde's advice to "put in hookes and suche other instrumentes to

plucke it out withall."

530 Celsus' Uncus.

531

Desideratum of centuries, supplied by Chamberlen in his Child's-

instrument.

532 Hugh Chamberlen at Paris. His preface to Mauriceau, 533.

536 Figs. 118, 119, 120, 121, 122, represent different instruments formerly

belonging to the Chamberlens, and now in the Museum of Col-

lege of Surgeons, London.

544 Fig. 123. Professor Huston's Siebold forceps. Fig. 124. Davis's

forceps applied. Davis's forceps described and recommended.

546 The perforator, the crotchet, and the Cæsarian section for the mother;

and the forceps for the child.

547 Lever-power of the forceps.

549 Baudelocque's experiments on compressive action of forceps.

550 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-

appears.

551 To apply the forceps and deliver.

553 Fig. 125. To show why the handles will not lock.

555 Demonstration of lever-motion and power of the forceps.

571 Signs of exhaustion. To lessen the head.

572 Head not to be delivered with pelvis 24 inches.

574 Dangerous nature of crotchet.

575 Deformed pelvis. Mrs. R.'s case.

587 Figs. 126, 127, 128. Author's embryotomy instruments.

590 Deformed pelvis. Cæsarean operation.

609 Method of repositing-Mr. White's advice not to be followed. Cases.

614 Dr. Hatch's case.

Inversion and spontaneous cure.

CHAPTER XIX.

CHILDBED FEVER.

Table of years and places of epidemic childbed fever.

632 Etiology of childbed fever.

634 Prodromes of an epidemic.

635 Contagion.

646 An attack described.

649 Angulation of the gut from tympany.

651 Diagnostication. Gordon.

654 Gordon's method. Hey, Armstrong, and Lee.

656 Legouais, Baudelocque, Dance, Meissner, Kiwisch, and Collins. Case

from Collins.

CHAPTER XXII.

MILK FEVER.

PAGE

684 Case, 687.

689 Sore nipples. Cucumber ointment. Nitrate of silver. Ointment of

deer suet. Dr. Physick's adhesive strip, 691.

727 First case of cyanosis treated by author's method, Nov. 1832.

CHAPTER XXV.

SUPPLEMENTARY.

748 Dr. Bond's retroversion instrument.

750 Dr. Bayne's case of gastrotomy.

751 Author's apology.