. The science and art of midwifery. Fig. 135.—Expression of the placenta. (Crede.) CONDUCT OF NORMAL LABOR. 225. Fig. 136.—Showing the effect ofpremature tractions upon the(Schultze.) cord. When systematically practiced, the bug-bear known as adherent placenta is the rarest of accidents. The practice is not difficult, and is devoid of danger. To be successful, however, expression should be practiced only during the acme of a con-traction, and the propulsive force should be directed from the fundus downward in the axis of the uterus. Spiegelberg * lays great stress on exercising compression of
. The science and art of midwifery. Fig. 135.—Expression of the placenta. (Crede.) CONDUCT OF NORMAL LABOR. 225. Fig. 136.—Showing the effect ofpremature tractions upon the(Schultze.) cord. When systematically practiced, the bug-bear known as adherent placenta is the rarest of accidents. The practice is not difficult, and is devoid of danger. To be successful, however, expression should be practiced only during the acme of a con-traction, and the propulsive force should be directed from the fundus downward in the axis of the uterus. Spiegelberg * lays great stress on exercising compression of the uterus from the moment the head emerges from the vulva, and not waiting until the delivery of the child is ended. By so doing, general contractions are maintained, and the detachment of the placenta promoted, f The evidence of the expulsion of the placenta is furnished to the operator by his feeling the anterior and posterior uterine walls in contact with one another. By then pressing the uterus downward in the axis of the brim, it is often possible to drive the placenta into thevagina and through the
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Keywords: ., bookcentury1800, bookdecade1890, bookidsci, booksubjectobstetrics
