The practice of obstetrics, designed for the use of students and practitioners of medicine . ! Fig. 614.—Vaginal Examinations during Labor. Position of the Patient andSeparation of the Vulva; Introduction of the Fingers with the ExternalGenitals Exposed to View. (Method recommended.) her in the dorsal posture, with thighs flexed, parallel with the edge of the bed(Fig. 914). The external genitals and vulval canal are again cleansed frombefore backward by the nurse with i : 2000 sublimate solution by means of 476 PHYSIOLOGICAL absorbent cotton. No unsterilized object, hand, instrument, d
The practice of obstetrics, designed for the use of students and practitioners of medicine . ! Fig. 614.—Vaginal Examinations during Labor. Position of the Patient andSeparation of the Vulva; Introduction of the Fingers with the ExternalGenitals Exposed to View. (Method recommended.) her in the dorsal posture, with thighs flexed, parallel with the edge of the bed(Fig. 914). The external genitals and vulval canal are again cleansed frombefore backward by the nurse with i : 2000 sublimate solution by means of 476 PHYSIOLOGICAL absorbent cotton. No unsterilized object, hand, instrument, dressing, or cloth-ing, should touch the genitals, which during the course of labor are coveredwith a sterile vulval pad. The physicianss hands and forearms are re-sterilized(see page 150) and the ostium vaginae is exposed by separating the labia withthe sterile thumb and finger of the left hand (Fig. 614). The sterile first andsecond fingers of the right hand are now passed directly into the vagina, having come in contact with nothing from^„ . the sublimate solution to the va- ginal entrance (Fig. 614). No towelor vaseline should be used, the ex-amination being made while thehand is still moist with the bichlo-ride solution. The First Vaginal Examina-tion.—It is desirable to make acareful vaginal examintion as earlyas possible in the first stage in orderto verify the information, as to thefetal position and presentation,which may have been obtained byexternal palpation, and to deter-mine the existence or nonexistenceof c
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectobstetrics, bookyear1
