The Dublin Practice of Midwifery

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Longman, Rees, Orme, Brown, Green, and Longman, 1834 - Obstetrics - 244 pages
 

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Page 179 - ... gently and cautiously as follows: — The child, wrapped in flannel, is to be laid on its back upon a table placed near the fire. Its head is to be slightly extended, and the nostrils held between the fingers and thumb of one hand, whilst with the fingers of the other slight pressure is to be made upon the pit of the stomach, so as to prevent the air from passing into that organ. The lungs of the child are now to be filled with air, by the operator applying his own lips — with...
Page 91 - All the risks to the child, just mentioned, are increased the higher the head is in the pelvis, with the added danger resulting from the impossibility, with the ordinary forceps, of making traction in the direction of the axis of that part of the pelvis in which the head rests, and of being required to apply extra force, since much is lost by the necessary dragging of the head against the pubic arch instead of under it. The Tarnier forceps are far better suited to such cases, but they are more difficult...
Page 27 - Nagele respecting the mechanism of labour in head presentations. At page 27, he observes : " In describing the mechanism employed in head presentations, I have adopted the opinions of Professor Nagele, being convinced of their general correctness. The student, however, is not to be disappointed if he should find himself unable to diagnose the exact position of the head in every individual case. It is, in fact, often extremely difficult to do this ; and in attempting it, we are by no means warranted...
Page 51 - E 6 the complete dilatation of the os uteri, the rupture of the membranes, and the discharge of the waters...
Page 41 - The administration of justice between creditor and debtor, as now practised, is plain and familiar : where this innovation may lead us, it may be difficult to state ; but one thing is not to be disguised ; the creditor will be met with new difficulties and accumulated...
Page 179 - While doing this the head of the child is to be slightly drawn backwards ; its nostrils must be held between » the finger and thumb of one hand, and the fingers of the other should be placed upon the pit of the stomach, so as to prevent the air from passing into that organ. When the chest has been...
Page 33 - I mean the outermost layer of fibres which covers the upper segment of the gravid uterus. The fibres arise from the round ligaments: and, regularly diverging, spread over the fundus, until they unite and form the outermost stratum of the muscular substance of the uterus. The round ligaments of the womb have been considered as useful in directing the ascent of the uterus during gestation; so as to throw it before the floating viscera of the abdomen: but, in truth...
Page 161 - ... there who never learn it at all ! Symptoms and dissections can never do more than suggest probabilities about the nature of a disease and the effects of a remedy on it. A trial of the remedies themselves is the only conclusive proof. Sydenham was so aware of this, that he says, " Epidemic diseases may seem alike " to the unwary, because in some sort they do " agree to outward appearance...
Page 83 - ... Bell, one of the most distinguished anatomists of modern times, makes the following important observation, in the last edition of his " Anatomy of the Human Body." " I wish that my present subject permitted me also to state, what I have found on dissecting the parts after the use of the crochet^ ; and in particular where the forceps had been used, as I must presume, in a case improper for them. The injury which the seeming harmless instrument, the forceps, is capable of doing, might then be proved,...
Page 26 - ... extracting force applied, gently, firmly, and at intervals, not forgetting the natural turns, so as to bring the face into the hollow of the sacrum, if possible. 543. Difficulties. — " The difficulty of applying the forceps,

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