The practice of obstetrics, designed for the use of students and practitioners of medicine . , always be par-ticular in the choice of an instrument for making the incisions. XVII. DELIVERY OF THE PLACENTA AND MEMBRANES. I. Credfs Adethod. 2. Dublin Method, j. Digital Extraction. 4. Instrumental Extrac-tion. 5. Manual Extraction. 6. Digital Curettage. 7. Instrumental Curettage. I. Credes Method of Placental Expression.—According to Credos originalaccount of his method,* the simplest and most natural method of artificiallyremoving the placenta consists in inciting and invigorating the sluggish a
The practice of obstetrics, designed for the use of students and practitioners of medicine . , always be par-ticular in the choice of an instrument for making the incisions. XVII. DELIVERY OF THE PLACENTA AND MEMBRANES. I. Credfs Adethod. 2. Dublin Method, j. Digital Extraction. 4. Instrumental Extrac-tion. 5. Manual Extraction. 6. Digital Curettage. 7. Instrumental Curettage. I. Credes Method of Placental Expression.—According to Credos originalaccount of his method,* the simplest and most natural method of artificiallyremoving the placenta consists in inciting and invigorating the sluggish activityof uterine contraction. A single energetic contraction of the uterus brings theentire process to a rapid end. I have succeeded in innumerable cases, and with-out exception, in producing an artificial and powerful contraction of the uterus ?Klinische Vortrage uber Geburtshulfe, 1853, p. 1026 OBSTETRIC SURGERY. in from fifteen to thirty minutes after the birth of the child, and when the uterineaction was ever so sluggish, by rubbing the fundus and corpus uteri through the. Fig. 1259.—Credes Method of Placental Expression.—{The upper figure is from aphotograph taken at the Emergency Hospital.) abdominal wall—gently at first but gradually with the expenditure of more soon as the contraction has reached its maximum, I grasp the uterus entire in DELIVERY OF THE PLACENTA AND MEMBRANES. 1027 such a way that the fundus lies in my palm while the fingers and thumb makegentle pressure upon the body of the organ. I invariably feel the placenta slippingfrom beneath my fingers, as a rule with such violence that it appears at the ex-ternal genitals, or at least reaches the lowest part of the vagina. The patientexperiences no discomfort from this manipulation beyond an increased sensationof pain during the uterine contractions, and it becomes unnecessary to introducethe hand into the birth canal, which has already become extremely sensitive as a
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectobstetrics, bookyear1
