Obstetrics : the science and the art . e the nurses and bystanders to desist from exhort-ing the patient to bear down in the early stages of labor; an exhorta-tion which they very kindly, but very untimely, never fail to voluntary efforts cannot be beneficial in their influence on thelabor, and may even become pernicious, in certain circumstances, wherethey not only tend to disorder the sanguine circulation, but very muchto exhaust the strength. I have placed here a cut, Fig. 76, which shows the state to whichthe cervix uteri must come before the fullefficacy of the true expulsive, o
Obstetrics : the science and the art . e the nurses and bystanders to desist from exhort-ing the patient to bear down in the early stages of labor; an exhorta-tion which they very kindly, but very untimely, never fail to voluntary efforts cannot be beneficial in their influence on thelabor, and may even become pernicious, in certain circumstances, wherethey not only tend to disorder the sanguine circulation, but very muchto exhaust the strength. I have placed here a cut, Fig. 76, which shows the state to whichthe cervix uteri must come before the fullefficacy of the true expulsive, or bearing-down pains can become manifest. This is across section of the pelvis, with the womband a part of the already dilated vagina. Itseems that the cervix uteri has become almostcylindrical, from being a cone, as it was beforelabor began. The bag of waters is seenbulging out from the fully dilated waters are nearly ready to give way—and, in fact, there are many labors in which,as soon as the crevasse in the membranes. 298 LABOR. takes place, the childs head rushes rapidly through the orifice, anddescends to the very bottom of the excavation, or is even expelled bythe same single pain. Constitutional Effects of the Pains.—Even leaving out of thequestion the exciting effects of the pangs and agonies of travail, weshould naturally expect that the muscular exertions of the parturientsubject would, as in any violent exercise, greatly accelerate the circula-tion of the blood, and augment its momentum; and we accordinglyfind the pulse to become more and more elevated as the efforts proveto be greater and greater. The heart beats with increased violence,and the pulsations amount to one hundred and upwards in the minute;even one hundred and twenty beats are not uncommon. The respira-tion becomes hurried in proportion, and of course the heat of the bodytends to be developed pari 2wssu with the augmentation of the circula-tion and respiration; so that fever would soon
Size: 1367px × 1828px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., boo, bookcentury1800, booksubjectmidwifery, booksubjectobstetrics
