Practical midwifery; handbook of treatment . Fig. 119.—Bozemans Double Current Intra-uterine Catheter. current intra-uterine catheter devised by Bozeman (Fig. 119),and improved by Kelley is widely used, but for puerperal casesit has few advantages over less complicated instruments; and itsdevice for insuring the prompt return of the injected fluid is lesssafe than that which is afforded by the patulous os characteristicof puerperal endometritis when held open by pressing the simple. Fis. 120.—Position of the Simple Tube in Intra-uterine Irrigation. catheter or intra-uterine tube against its an


Practical midwifery; handbook of treatment . Fig. 119.—Bozemans Double Current Intra-uterine Catheter. current intra-uterine catheter devised by Bozeman (Fig. 119),and improved by Kelley is widely used, but for puerperal casesit has few advantages over less complicated instruments; and itsdevice for insuring the prompt return of the injected fluid is lesssafe than that which is afforded by the patulous os characteristicof puerperal endometritis when held open by pressing the simple. Fis. 120.—Position of the Simple Tube in Intra-uterine Irrigation. catheter or intra-uterine tube against its anterior wall (Fig. 130).Intra-uterine tubes of glass possess the advantage of cheapness,and their transparency renders the detection of any uncleanlinessof their interior easy, but their rigidity renders them less conven-ient than those made of block tin, which can be bent to any curvethat suits the shape of the individual uterus. The material is,however, of less importance than that the tube should be en-tirely closed at the end, and provided with several lateral aper- 390 PRACTICAL MIDWIFERY. tures, which shoulil prefenibly be (UreLted biickward, in orderto promote the removal of the detritus from the uterine cavity. The tube may be attached to any form of syrinj^e, Ijut, if aDavidson or other bull) instrument is used, the basin which con-tains the solution should be held above the vulva, to minimizethe danger of the introduction of air, by the establishment of asiphon cu


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Keywords: ., bookcentury1800, bookdecade1890, booksubjectmidwifery, bookyear18