. An American text-book of obstetrics. For practitioners and students. ^ Fig. 461.—Hegars dilators. tors are much used (Fig. 461). They are made of vulcanite, of polishedsteel, or of aluminum, and graduated from No. 1 to Xo. 44 or upward(Fig. 462). The smaller sizes can be passed through the cervix as easilyas an ordinary uterine sound ; the larger produce sufficient dilatation topermit the application of forceps or the introduction of one of the largerrubber bags.* The patient is placed across the bed in the dorsal position,with limbs everted and feet supported on a couple of chairs. The vagi


. An American text-book of obstetrics. For practitioners and students. ^ Fig. 461.—Hegars dilators. tors are much used (Fig. 461). They are made of vulcanite, of polishedsteel, or of aluminum, and graduated from No. 1 to Xo. 44 or upward(Fig. 462). The smaller sizes can be passed through the cervix as easilyas an ordinary uterine sound ; the larger produce sufficient dilatation topermit the application of forceps or the introduction of one of the largerrubber bags.* The patient is placed across the bed in the dorsal position,with limbs everted and feet supported on a couple of chairs. The vaginais thoroughly douched out, the anterior and posterior lips of the cervix aresteadied with volsella, and the fundus is pressed well down and supportedby an assistant. The dilators, having been made aseptic and well oiled, arepassed in, one after another, beginning witli the smaller numbers. It is often* The circumference of No. 44 is 14 centimeters i about 5 J inches.). OBSTETRIC SURGERY. 883 possible to dilate the cervix sufficiently in half an hour or an hour,


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Keywords: ., bookcentury1800, bookdecade1890, booksubjectobstetrics, bookyear1