The practice of obstetrics, designed for the use of students and practitioners of medicine . theindex-finger. It is then carried downward through the joint until the latter isfelt by the index-finger behind to give way. An assistant now presses a smallgauze compress against the incision beneath the clitoris. If possible, the child isthen delivered with the forceps. When pressure is made upon the pubic bones,the bladder must be held to one side. A small piece of gauze is next forced intothe wound while another strip is left in the cervix. The operator must refrainfrom immediate repair of the ce
The practice of obstetrics, designed for the use of students and practitioners of medicine . theindex-finger. It is then carried downward through the joint until the latter isfelt by the index-finger behind to give way. An assistant now presses a smallgauze compress against the incision beneath the clitoris. If possible, the child isthen delivered with the forceps. When pressure is made upon the pubic bones,the bladder must be held to one side. A small piece of gauze is next forced intothe wound while another strip is left in the cervix. The operator must refrainfrom immediate repair of the cervix or perineum if the latter is torn. A soft-rubber retention catheter is left in the bladder until the power of voluntary mic-turition returns. The vulva is dressed with gauze and the pelvis strapped withadhesive strips. All the gauze is removed in thirty-six hours and the vulva andvagina are irrigated twice daily, the vulva being carefully dressed betweentimes (Fig. 1136). *Ayers: The Pubic Symphysis in Parturition, Amer. Jour, of Obstetrics and Women and Children, July, Fig. 1136.—Mechanical Brace forHolding the Joint after Sym-physeotomy. 942 OBSTETRIC SURGERY. XIV. EMBRYOTOMY IN GENERAL. Much ambiguity has arisen from the defective terminology of the mutilatingoperations. There is not a word in general use to designate collectively all theseforms of intervention. Embryulcia, a word possessing this general significance,is used by a few only. Embryotomy, which literally means mutilation of anyportion of the fetus, does not, with most authors, include operations upon theskull, which are comprised indifferently under the terms craniotomy and perfora-tion. In this narrow sense embryotomy comprises the operations of decapita-tion, cleidotomy, eventration, amputation, etc. The absence of a general des-ignation to include all these operations has led to the omission by many writersof a general section upon embryotomy in the wider sense—its indications, fre-quen
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectobstetrics, bookyear1
