The practice of obstetrics, designed for the use of students and practitioners of medicine . ease, unless there is some positiveindication to the contrary. Immediate ligation deprives the fetus of aboutthree ounces of ligation it is agood plan to grasp thecord with the thumb andfirst finger of one handclose to the navel, carebeing taken not to maketraction, and with thefingers of the free handto strip away the gelatinof Wharton from thefetus for a distance oftwo or three inches (). This gives a thinstump for subsequentseparation. The cord isnow ligated with sterilebobbin or
The practice of obstetrics, designed for the use of students and practitioners of medicine . ease, unless there is some positiveindication to the contrary. Immediate ligation deprives the fetus of aboutthree ounces of ligation it is agood plan to grasp thecord with the thumb andfirst finger of one handclose to the navel, carebeing taken not to maketraction, and with thefingers of the free handto strip away the gelatinof Wharton from thefetus for a distance oftwo or three inches (). This gives a thinstump for subsequentseparation. The cord isnow ligated with sterilebobbin or floss silk,about li inches from theumbilicus, it being firstdetermined that no les-ion of the cord exists. Asecond ligature is thenplaced about two inchesfrom the first in order toprevent hemorrhage incase of twins, but chiefly to retain blood in the placenta that the uterus may more readily expel itDivision of the cord with scissors is now performed close to the first ligature, ^ W Fig. 631.—Method of Inspecting the Lower Vagina andPerineum for Lacerations at the Completion of Fig. 632.—Testing the Amount of Injury to the Perineum. This is best done in the hollow of the hand, the scissors being passed betweenthe second and third fingers to avoid injury to the actively moving extremities andunnecessary spurting of blood (Fig. 626). Some amputate the cord close to the 490 PHYSIOLOGICAL LABOR. umbilicus and bring the edges together with fine sutures (Dickinson). I havebeen unable to determine that this procedure possesses any advantages over theordinary method. The stump of the cord is now touched with sublimate solu-tion (I : 2000) and a dry occlusion dressing of absorbent cotton or gauze is ap-plied (Fig. 627). Care of Child.—The child, wrapped in some warm material, is placed upon itsright side with its head lower than its body in some safe spot where it will not beliable to fall to the floor or be sat upon. In lifting a naked, slippery child fromthe bed to wrap
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectobstetrics, bookyear1
