A theoretical and practical treatise on midwifery : including the diseases of pregnancy and parturition and the attentions required by the child from birth to the period of weaning . e childs birth, for the sole purpose of facilitating the detachment of theafter-birth. The easy separation when this has been done, says M. Stoltz, iscaused by the weight and turgescence of this organ, which, when expelled, isfound to be engorged with blood; this practice is attended with no inconveni-ence, and is at least beneficial by preventing the patients bed from being soiledwith the blood that ordinarily es
A theoretical and practical treatise on midwifery : including the diseases of pregnancy and parturition and the attentions required by the child from birth to the period of weaning . e childs birth, for the sole purpose of facilitating the detachment of theafter-birth. The easy separation when this has been done, says M. Stoltz, iscaused by the weight and turgescence of this organ, which, when expelled, isfound to be engorged with blood; this practice is attended with no inconveni-ence, and is at least beneficial by preventing the patients bed from being soiledwith the blood that ordinarily escapes from the cord. After its entire separation, the after-birth constitutes a foreign body in theuterine cavity, which the organ endeavors to dislodge by contracting. Thesecontractions, which are recognizable by the hardness of the uterine globe, andwhich are usually perceptible to the patient, indicate the time for operating; theaccoucheur then takes hold of the umbilical cord, after having enveloped it witha cloth so as to prevent it from slipping, and winds its end around one or twofingers; he next makes a moderate traction with a view of extracting it, but, as Fig. The mode of extracting the placenta. soon as any resistance is felt, he ought to slip up two or even three fingers of theother hand along the upper surface of the cord as far as the os uteri; the pointsof these fingers, which are intended to press the cord backwards, are broughttogether so as to receive the latter in the entering angle thereby formed, aroundwhich it plays like a pulley. To understand the advantage of this manoeuvre,it is only necessary to bear in mind that the tractions made by one hand alonewould correspond to the axis of the vagina, which forms an angle with that ofthe uterus; whence it happens that the placenta, instead of being drawn to-wards the centre of the orifice it has to traverse, would abut against its anteriorborder, and the corresponding parts of the cervix, upon which all t
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Keywords: ., boo, bookcentury1800, booksubjectmidwifery, booksubjectobstetrics
