. The principles and practice of obstetricy, as at present taught, by James Blundell ... To which are added, notes and illustrations. By Thomas Castle ... med between the decidua and the chorion, that is, the two outer linings,a considerable discharge being produced in this manner. When the erup-tion is not from the bag in which the child is contained, alarm may be occa-sioned, but this is groundless; nor do I know that the point is in any way ofmuch importance, though, to prepare your mind for the accident, I thoughtit proper to mention it. Let me add, that when there is a plurality of chil-d
. The principles and practice of obstetricy, as at present taught, by James Blundell ... To which are added, notes and illustrations. By Thomas Castle ... med between the decidua and the chorion, that is, the two outer linings,a considerable discharge being produced in this manner. When the erup-tion is not from the bag in which the child is contained, alarm may be occa-sioned, but this is groundless; nor do I know that the point is in any way ofmuch importance, though, to prepare your mind for the accident, I thoughtit proper to mention it. Let me add, that when there is a plurality of chil-dren, the number of gushes may correspond with the number of the foetuses. Position of the Childs Head. When the mouth of the uterus is fully expanded, and the bag as thoroughlylaid open, the head of child passes through the pelvis in the various ways Ishall presently largely demonstrate, and which, therefore, I shall here con-sider but very briefly. The vertex, as usual, presenting in the beginningof the labor, the face ordinarily lies towards the synchondrosis, the occiputtowards the acetabulum, and the chin upon the chest, while the labor closing. THE ART OF DELIVERY. 149 and the head emerging, the face lodges in the hollow of the sacrum, the occi-put under the arch, the sagittal suture on the peri-naeum, and the chin upon the chest still. In labors on the whole natural, however, whenthe vertex presents, the face may lie on the sym-physis pubis throughout the delivery, the chinbeing thrust forcibly down upon the chest, and thehead passing the pelvis with the shortest of thethree axes; that, I mean, stretching from the upperpart of the forehead, to the lower part of the occi-put, lying, throughout the labor, between the frontand back of the pelvis. In cases of this kind, for-midable difficulties may arise, and sometimes cran-iotomy becomes necessary, and much more rarelythe forceps, the head being sometimes expelled bythe natural efforts within the twenty-four hours,not withou
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Keywords: ., bookcentury1800, bookidprinciplespracti00, booksubjectobstetrics
