The matron's manual of midwifery, and the diseases of women during pregnancy and in childbed .. . Plate XXII. This represents the position of Twins, as most usually ob- served, one havnig a head presentation, and the other a breech. 13 SIGNS OF PREGNANCY. 135 At this period the signs previously observed be-come more distinct, but there are few new external lips sometimes swell, and the breathingbecomes more difficult, owing to pressure on the dia-phragm. The trouble with the urine is also apt toincrease, and little mucus tubercles, like pimples,occasionally form around the Os Tincae,


The matron's manual of midwifery, and the diseases of women during pregnancy and in childbed .. . Plate XXII. This represents the position of Twins, as most usually ob- served, one havnig a head presentation, and the other a breech. 13 SIGNS OF PREGNANCY. 135 At this period the signs previously observed be-come more distinct, but there are few new external lips sometimes swell, and the breathingbecomes more difficult, owing to pressure on the dia-phragm. The trouble with the urine is also apt toincrease, and little mucus tubercles, like pimples,occasionally form around the Os Tincae, and on theupper part of the Vagina. End of the ninth month.—There is but little differ-ence between this and the previous period. Themouth of the Uterus is more open, and, in those whohave had children, the finger will pass directly intothe Womb, and feel the child, but in primipara thereis still a small portion of the neck left. PLATE XXIII. Fiff. The neck of the Womb, at near the end of nine montlis in a primipara. The neck of the Womb, atnear the end of nine months,in a woman who has pre-viously borne children. 136 SIGNS OF PREGNANCY. Ballotment is now more obscure than before, asthe Foetus is very heavy, and quite low down, andpretty firmly fixed. Auscultation is distinct enough,but not more so than at the previous period. Theswelling of the lips, and of the veins of the legs, mayincrease, and so may the difficulty with the urine ;but the breathing generally becomes easier, owingto the Womb having descended a little, and so press-ing the diaphragm less. These comprise all the signs and indications ofpregnancy that possess any real value. Some ofthem, at certain times, and under particular circum-stances, may be called j^ositive ; such as those dis-covered by Ballotment and Auscultation, and also thepresence of Kyestein in the urine. Most of theothers merely make it j9ro5a5Ze that pregnancy exists,or warrant us in presuming a


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Keywords: ., bookcentury1800, bookdecade1840, bookidmat, booksubjectobstetrics