Practical midwifery; handbook of treatment . Fig. 88 88.—a. Laceration op the First Degree ; b, Diagramatic Antero-posterior Median Section of the Same. posterior vaginal wall through the vulvar outlet, in order to insurethe detection of any laceration which may have taken examination is rendered necessary by the fact that a large 300 PRACTICAL MIDWIFERY. imiuber of the most important tears are entirely intra-vaginal,and are not likely to be recojjfnized by simple inspection of theexternal i)arts. The bruised and conjj:ested appearance of the tis-sues innnediately after labo
Practical midwifery; handbook of treatment . Fig. 88 88.—a. Laceration op the First Degree ; b, Diagramatic Antero-posterior Median Section of the Same. posterior vaginal wall through the vulvar outlet, in order to insurethe detection of any laceration which may have taken examination is rendered necessary by the fact that a large 300 PRACTICAL MIDWIFERY. imiuber of the most important tears are entirely intra-vaginal,and are not likely to be recojjfnized by simple inspection of theexternal i)arts. The bruised and conjj:ested appearance of the tis-sues innnediately after labor occasionally makes it diflRcult todecide upon the existence or non-existence of a laceration, butthe presence of a tear should usually be recognized by a carefulsearch in a good light. If doubt be felt, the suspected surface. Fir. 89.—Diagrammatic Antero-Posterior Median Section Through a Lacera-tion OP THE Second Degree. should be lightly dried with a pledget of cotton, when if a tearbe present it will be recognized by its rough, irregular surface. Lacerations of the first degree usually take the form of longi-tudinal divisions of the fourchette in the antero-posterior medianplane of the body (Fig. 88). The more usual forms of laceration of the second degree are: atranverse tear immediately within the orifice of the vagina proper;
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectmidwifery, bookyear18
