A textbook of obstetrics . of their after births, many obstetri-cians of the last century declared that the delivery of thepiacenta should be left entirely to nature. The result was dis-astrous, as may be imagined. It is, therefore, a necessary part of the management of thethird stage of labor to secure the separation of the placenta bystimulating the uterus to contract and by aiding it to expel itscontents by exaggerating its expulsive power. These twoobjects are best obtained by what is known as Credes method,a method first proposed to the profession in a systematic manner. 188.—The expressi
A textbook of obstetrics . of their after births, many obstetri-cians of the last century declared that the delivery of thepiacenta should be left entirely to nature. The result was dis-astrous, as may be imagined. It is, therefore, a necessary part of the management of thethird stage of labor to secure the separation of the placenta bystimulating the uterus to contract and by aiding it to expel itscontents by exaggerating its expulsive power. These twoobjects are best obtained by what is known as Credes method,a method first proposed to the profession in a systematic manner. 188.—The expression of the placenta. by the late Professor Crede, of Leipsic,2 in 1861. A somewhatsimilar plan had been in use in Dublin for a long time before,and many primitive and savage people have employed, perhapsfor ages, methods based upon the same principle. In applying Credes method the uterus is seized in a graspillustrated in figure 259, is kneaded and rubbed until it con-tracts with vigor ; only then, and only in conjunction with theuterine contraction, should it be firmly pressed down in thedirection of the axis of the pelvic inlet, while it is compressedbetween the fingers and thumb with considerable force. Theplacenta is squeezed out as the stone is pressed out of a should be expressed fifteen Or twenty minutes after the childis born. As it slowly emereres from the vulva it should be 1 V. Campe ( Zeit. f. Geburtsh. u. Gyn., Bd. \. II. 2) in 120 observationsfound that in 24 instances the placenta had not been expelled in twelve hours. - Monats. f. Geburtskun
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Keywords: ., bookcentury1800, bookdecade1890, bookidtex, booksubjectobstetrics
