. St. Louis courier of medicine . uch parts of the body as he or she has to treat. Such is the regulation : in Tokio its provisions may beinsisted upon—in other parts of the empire I have doubtsabout its enforcement. The Japanese women are healthy, well formed, and welldeveloped, as they have not been injured by the fashionable-torture apparatuses in use in Europe and America. Hence,in the majority of the cases, the samba-san has only to re-ceive the child and to remove the placenta. The Japanesefemales all have roomy pelves, and naturally they do notlook forward with dread to their confinemen


. St. Louis courier of medicine . uch parts of the body as he or she has to treat. Such is the regulation : in Tokio its provisions may beinsisted upon—in other parts of the empire I have doubtsabout its enforcement. The Japanese women are healthy, well formed, and welldeveloped, as they have not been injured by the fashionable-torture apparatuses in use in Europe and America. Hence,in the majority of the cases, the samba-san has only to re-ceive the child and to remove the placenta. The Japanesefemales all have roomy pelves, and naturally they do notlook forward with dread to their confinement, having,moreover, implicit confidence in the powers of nature to doall that will be required in their case. 218 Original Articles. | March, 1882. When the time of confinement approaches, a thick,padded f uton (i. e., a thin, cotton-filled mattress) is placedon the tatame or straw matting. At one end a number offuton are rolled up and used as cushions, against which theparturient reclines, occupying the usual Japanese posture,. i. e., as in the illustration. The knees are bent, the legsunder the thighs, and to the outside, the toes outwards ; theknees are separated during the delivery of the child. Beforethe patient are often placed a pile of futon or a chair orpeculiar stool, against which she leans ; in other cases afemale friend takes the usual posture in front of her, andanother behind her to support the weary body, to hold herhead, and even to exert a hugging pressure about the abdo-men. The samba-san rubs the abdomen, lightly percussesit, and even exerts pressure. Later she receives the childas it presents and holds it up while being expelled. Theuterus is not followed down by abdominal pressure. The placenta is obtained in the same posture; inalmost all cases the samba-smi puts two loops on the cord,severs it and waits for the placenta to appear. Occasion-ally she uses traction and abdominal pressure. After thisa thick sash, or obe, is wound several times about the bo


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Keywords: ., bookcentury1800, bookdecade1880, booksubjectmedicine, bookyear188