A system of midwifery . atient should be placed in a half-sitting posture with the knees drawn up, so as to relax the abdominalparietes as much as possible: she must then breathe slowly and deeply;and if the hand be suddenly pressed against the abdomen a little abovethe symphysis pubis, at the moment of her making a full expiration, weshall in all probability feel the hard globe of the uterus. In the fifth month, the fundus will be felt half way, or a little more,between the symphysis pubis and umbilicus. The increased size of the which we examined with Mr. Ingleby of Birmingham, and where we
A system of midwifery . atient should be placed in a half-sitting posture with the knees drawn up, so as to relax the abdominalparietes as much as possible: she must then breathe slowly and deeply;and if the hand be suddenly pressed against the abdomen a little abovethe symphysis pubis, at the moment of her making a full expiration, weshall in all probability feel the hard globe of the uterus. In the fifth month, the fundus will be felt half way, or a little more,between the symphysis pubis and umbilicus. The increased size of the which we examined with Mr. Ingleby of Birmingham, and where we gave a wrong dia-gnosis, not considering the patient to be pregnant. If we had placed as much confidencein this symptom as we are now inclined to do, we should probably ^lave formed a morecorrect view of the case. Since this we have, on several occasions, found that attendingto this circumstance has considerably assisted us in determining cases of doubtful preg-«»ncy at an early period. 40 FEMALE ORGANS OF abdomen cannot be concealed by the dress; the portio vaginalis has becomedistinctly shorter, and the os uteri is situated higher in the pelvis and more posteriorly. ,. , In the sixth month, the fundus has risen as high as the umbihcus, theirreffular folds of the skin which form the fovia umbilici or navel depres-sion begin to disappear; the first perceptible movements of the child mayoccasionally be felt; the portio vaginalis has lost half its length, beingscarcely half an inch in the seventh month,the fundus rises an inch or so above the umbilicus,the folds of which have nearly disappeared. Insome cases it begins to protrude, forming a spe-cies of umbilical hernia; this varies a good dealin different individuals, being more marked inprimipares; whereas in women whose abdomenhas been distended in previous pregnancies, littleor no convexity of the navel is produced untila later period, and not always even then, theumbilical depression being merely dimi
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Keywords: ., bookcentury1800, booksubjectmidwifery, booksubjectpregnancycompl
