A textbook of obstetrics . th thecomplete expulsion of the child. As labor is not complete untilthe whole ovum is expelled, there is a third stage of labor, thatperiod of time from the extrusion of the fetus until the pla-centa and membranes are expelled. To return, however, to the clinical phenomena of labor. Thewoman has passed from the first to tin- second stage. Asthe latter progresses the pain becomes more frequent and violent,the womans suffering is increased, and her complaints grow •94 LABOR AND THE PUERPERIUM. louder. Finally she declares, perhaps, that she must rise toevacuate her re
A textbook of obstetrics . th thecomplete expulsion of the child. As labor is not complete untilthe whole ovum is expelled, there is a third stage of labor, thatperiod of time from the extrusion of the fetus until the pla-centa and membranes are expelled. To return, however, to the clinical phenomena of labor. Thewoman has passed from the first to tin- second stage. Asthe latter progresses the pain becomes more frequent and violent,the womans suffering is increased, and her complaints grow •94 LABOR AND THE PUERPERIUM. louder. Finally she declares, perhaps, that she must rise toevacuate her rectum and bladder, and the reason for this feel-ing is clear when one sees the perineum bulging tar outward, theanus widely dilating, the rectum becoming slightly exerted, andthe presenting part, the head, filling up the whole lower part ofthe pelvis and pressing as firmly on the bladder in front as itdoes on the rectum behind. And now, with his eye upon thevulva,—lor this part of the labor, in the best interests of the. Kig. 182.—The escape of the head and the resumpti<(external restitution). lique position patient, ought always actually to be observed, both in a scientificstudy of the process and in its management,—the physician seesthe labia separate during a pain and the childs scalp come intoview, but, with the subsidence of the pain, disappear. With thenext uterine contraction a little more of the head appears, again,however, to disappear as the pain passes off, and so on withevery pain lor perhaps twenty minutes or an hour, althoughevery time, as more and more of the head appears, it looks tothe inexperienced observer as if that pain must be the last, until LABOR 295 finally the vulva is stretched to its utmost limit and the Laidiameters of the head are engaged, when, with a sudden shriekof pain from the woman, the childs head is horn. There comesthen a pause in the uterine action ; the head may protrude fromthe vagina tor a minute or much longer, while the wom
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Keywords: ., bookcentury1800, bookdecade1890, bookidtex, booksubjectobstetrics
