The practice of obstetrics, designed for the use of students and practitioners of medicine . edge such a procedure has ended in completerupture of the uterus followed by a prolapse of the maternal intestines betweenthe operators fingers in more than one instance. 902 OBSTETRIC SURGERY. IV. INSTRUMENTAL DILATATION OF THE CERVIX. Indications.—Dilatation of the os is a part of the induction of abortionand premature labor (see page 888). As a general rule, it may be said thatthe physician should be slow to resort to manual or instrumental dilatationsimply for tedious labor, especially with unruptu
The practice of obstetrics, designed for the use of students and practitioners of medicine . edge such a procedure has ended in completerupture of the uterus followed by a prolapse of the maternal intestines betweenthe operators fingers in more than one instance. 902 OBSTETRIC SURGERY. IV. INSTRUMENTAL DILATATION OF THE CERVIX. Indications.—Dilatation of the os is a part of the induction of abortionand premature labor (see page 888). As a general rule, it may be said thatthe physician should be slow to resort to manual or instrumental dilatationsimply for tedious labor, especially with unruptured membranes. Having satis-fied himself that the delay is not due to malposition or malpresentation, andthe condition of mother and child does not require immediate interference,better results will usually be obtained by the use of chloral or a light temporaryanesthesia, and by an effort to discover and remove the cause of the delay(see Anesthesia, page 865, and Delayed Labor, page 568), and thus the motherwill be saved the dangers of shock and sepsis which to a greater or less extent. Fig. 1086.—Instrumental Dilatation of the Parturient Os Preparatory to FurtherManual Dilatation, Gauze Packing, the Introduction of Bougies for the Induc-tion OF Labor, or Cervical Dilators.—(From a photograph of the authors model.) attend even a carefully conducted operation. The instruments ordinarily usedfor producing dilatation of the cervix are gauze or metal or vulcanite dilators,bags of rubber or silk dilated with water, and the hand. Uterine and Cervical Tampon.—A valuable method, although a slow one, ofsecuring cervical dilatation at any time in pregnancy is to pack the loweruterine segment and cervical canal with iodoform or sterile gauze until moderatepressure is attained. The packing cannula (Fig. 1069) is most convenient for thisoperation. The vagina is subsequently packed and a T-bandage applied and thegauze left in for from six to twelve hours. This method I find invaluabl
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectobstetrics, bookyear1
