A textbook of obstetrics . u. Gyn., Bd. \. II. 2) in 120 observationsfound that in 24 instances the placenta had not been expelled in twelve hours. - Monats. f. Geburtskunde, xvii, p. 274. i6 LABOR AND THE PURR PERI CM. caught in the obstetricians hand, while a nurse holds a basinpressed close into the mothers lower buttock, to receive theblood that usually spurts out with the after-birth. The mem-branes trail after the placenta, running up into the vagina andthe uterine cavity. To extract them without tearing them, andthus leaving a portion behind, they should be seized between thewhole lengt
A textbook of obstetrics . u. Gyn., Bd. \. II. 2) in 120 observationsfound that in 24 instances the placenta had not been expelled in twelve hours. - Monats. f. Geburtskunde, xvii, p. 274. i6 LABOR AND THE PURR PERI CM. caught in the obstetricians hand, while a nurse holds a basinpressed close into the mothers lower buttock, to receive theblood that usually spurts out with the after-birth. The mem-branes trail after the placenta, running up into the vagina andthe uterine cavity. To extract them without tearing them, andthus leaving a portion behind, they should be seized between thewhole length of the thumb and forefinger and gently pulled, firstforward toward the symphysis, then backward toward the sacrum,the uterus meanwhile being allowed to relax. It is a mistake toturn the placenta over several times to make a rope of themembranes. To return, now, to the infant which has just been head and shoulders having escaped, the rest of the bodyslips out almost immediately, the childs arrival being announced. Fig. 189.—The reception of the placenta in a basin usually by a vigorous cry, a purely reflex action caused by thesudden shock which the new-born experiences on suddenlyemerging from an aquatic existence, in which its immediate sur-roundings have a temperature of about 990, into the atmosphereand a temperature not over 700. This violent shock producesnot only a spasmodic action of the diaphragm and the muscles ofrespiration, but also of the bladder, and of all of the muscles ofthe bod}-as well, so that often urine is voided directly after birth,and the arms and leg are moved about quite violently. Assoon as the child is born, it is well to sex- that its air-passages areclear and not clogged by mucus or blood that might have beeninspired during labor. This is done by crooking the littlefinger and introducing it back of the epiglottis; if, however, thechild at once emits a vigorous cry, it is proof enough that the LABOR. 317 respiratory tract is not obstruct
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