The practice of obstetrics, designed for the use of students and practitioners of medicine . Fig. 1079.—Bimanual Dilatation of the Partu-rient Os.—{From, a photograph taken at the Emer-gency Hospital.) MANUAL DILATATION OF THE CERVIX. 899 etc.,—a short, deep anesthesia accompanied by partial manual dilatation isoften followed by the happiest results. The temporary use of chloroform tothe obstetric degree, however, or perhaps, better still, the use of chloral, isusually sufficient in these cases. It is, moreover, useful in cases in which, owingto a faulty direction of the uterine axis or some s
The practice of obstetrics, designed for the use of students and practitioners of medicine . Fig. 1079.—Bimanual Dilatation of the Partu-rient Os.—{From, a photograph taken at the Emer-gency Hospital.) MANUAL DILATATION OF THE CERVIX. 899 etc.,—a short, deep anesthesia accompanied by partial manual dilatation isoften followed by the happiest results. The temporary use of chloroform tothe obstetric degree, however, or perhaps, better still, the use of chloral, isusually sufficient in these cases. It is, moreover, useful in cases in which, owingto a faulty direction of the uterine axis or some slight departure from the normalmechanism, cervical dilatation does not progress satisfactorily. In these casesa partial manual dilatation is often followed by a rapid and satisfactory com-pletion of labor. When used in this manner, manual dilatation is not to be. Fig. [oSo.—Bimanual Dilatation of the Parturient Cervix, Carried on after thbBringing down of One Leg by Braxton Hicks Method of Bipolar Version,for Placenta Pr^evia. regarded as an interference with, but rather as an assistance to, the naturalprocess of labor. Advantages.—The advantages of the bimanual method I believe to be thefollowing: (i) It is a closer imitation of the natural process of cervical dilata-tion than are any of the other methods which are available when immediatedelivery is necessary. The preliminary dilatation and partial softening ofthe cervix by the use of the cervical tampon or hydrostatic bag causes aneven closer approach to the natural process. (2) The membranes are pre-served throughout the operation or until a full dilatation is obtainable. (3)There is no interference with the original presentation and position. (4)The sense of touch of the operators fingers is unimpaired. (5) There is 900 OBSTETRIC SURGERY. no constriction of the operators hands. (6)can
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectobstetrics, bookyear1
