A textbook of obstetrics . Fig. 4°5-—One Leg has been drawn down, so that the OS is tamponed and theplacenta directly compressed by the hips of the child ^Miiller). 532 77//-; PATHOLOGY OF LABOR. woman may bleed to death at any time before medical aid canreach her. The induction of labor and its conduct should be asfollows : Send for an assistant to administer an anesthetic ;place the woman in the lithotomy position, with her knees sup-ported by nurses or attendants ; cleanse both hands and arms asfor a surgical operation ; wash out the vagina with tincture ofgreen soap and hot water by means
A textbook of obstetrics . Fig. 4°5-—One Leg has been drawn down, so that the OS is tamponed and theplacenta directly compressed by the hips of the child ^Miiller). 532 77//-; PATHOLOGY OF LABOR. woman may bleed to death at any time before medical aid canreach her. The induction of labor and its conduct should be asfollows : Send for an assistant to administer an anesthetic ;place the woman in the lithotomy position, with her knees sup-ported by nurses or attendants ; cleanse both hands and arms asfor a surgical operation ; wash out the vagina with tincture ofgreen soap and hot water by means of pledgets of cotton ; givea vagina] douche of bichlorid of mercury I : 4000 ; dilate thecervix by inserting first one finger, then a second, and next the. Fig. 406.—Placenta prsevia: vagina tamponed with gauze (Dickinson) thumb of the right hand ; search on the womans left side for theedge- of the placenta ; pass two fingers beyond it ; perform bipolarversion, assisted by the left hand externally ; rupture the mem-branes ; seize a foot and extract it until the knee appeals at thevulva ; then withdraw the anesthetic. If the bleeding has beenalarming up to this time, it will cease as soon as the childsbreech is impacted in the pelvic canal. From time to time theprotruding leg may be gently pulled upon to hasten the dilata-tion of the cervical canal, but plenty ol time must be allowed for it; LABOR COMPLICATED BY ACCIDENTS AND DISEASES. 533 otherwise the head is caught by the circular fibers of thecervix and the child is asphyxiated by the pressure upon thecord. At the expiration of an hour or more the child maybe safely extracted. If the operator finds a rigid cervix and experiences great difficulty in its manual dilatation, he mayemplo
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Keywords: ., bookcentury1800, bookdecade1890, bookidtex, booksubjectobstetrics
