A manual of practical obstetrics . e and vigor and yet fail to move, even during thephysicians examination. Contractile muscular motions in the abdominal, uterine, orintestinal walls; the movement of gas in the intestinal canal;and the pulsations of aneurisms and large arteries, may, it isjust possible, be mistaken for foetal movements by the inex-perienced. \ 7*- Ballottement—Passive Locomotion of the Fcetus—is a sudden locomotion of the child in the uterine cavity, pro-duced and felt by the physician. XL Method of Examination.—The woman is placed in aposition which will make the child settle
A manual of practical obstetrics . e and vigor and yet fail to move, even during thephysicians examination. Contractile muscular motions in the abdominal, uterine, orintestinal walls; the movement of gas in the intestinal canal;and the pulsations of aneurisms and large arteries, may, it isjust possible, be mistaken for foetal movements by the inex-perienced. \ 7*- Ballottement—Passive Locomotion of the Fcetus—is a sudden locomotion of the child in the uterine cavity, pro-duced and felt by the physician. XL Method of Examination.—The woman is placed in aposition which will make the child settle, by gravitation,toward that part of the uterus where the examining finger isto be applied per vaginam. The best plan is to let her sit onthe edge of a low bed and then lean back against pillows, soas to be midway between sitting and lying. The finger isnow introduced and placed in front of the cervix close to itsjunction with the body of the womb. (See Fig. 37.) Fig. 37. Examination by baUottemen! : -1 and ovum. I). Bladder. •:i:;i 13. Itectum. C. UterusE. Examining finger. The other hand steadies the fundus uteri. A sudden up-ward, jerking, but not violent, motion, is now executed bythe examining finger, which will cause the foetus to boundslowly upward to the fundus, and as it comes back again the 96 THE SIGNS OF PREGNANCY. finger will feel it knock against the neck (so to speak) of theuterine bottle in which it floats. The manipulation may berepeated several times to insure certainty. The position maybe changed to a lying or standing one, and the finger putbehind tne cervix uteri, if the first examination is not satis-factory. If the abdominal walls are thin, external ballottement maybe performed. The woman lies on her side, the abdomenslightly over the edge of the bed, and with a hand on eachside of the womb the operator endeavors to move the foetusup and down for the purpose already indicated. Ballottement may be recognized earlier than any other ofthe positive si
Size: 1625px × 1537px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1890, bookpublisherphila, bookyear1895
