Practical midwifery; handbook of treatment . ss extent, it is so difficult to distinguish severe from slight tearsduring the relaxation of the cervix and lower segment which isusual after delivery, that conservatism seems the better policy. Lacerations op the Perin^eum. Perineal lacerations are usually divided in accordance with,their extent into three classes: lacerations ofthe first degree, or nicks, in which the four-chette alone is torn, without involvement ofthe muscles which unite in the perineal bodyand form the so-called pelvic diaphragm; lacer-ations of the second degree, or uncomplic
Practical midwifery; handbook of treatment . ss extent, it is so difficult to distinguish severe from slight tearsduring the relaxation of the cervix and lower segment which isusual after delivery, that conservatism seems the better policy. Lacerations op the Perin^eum. Perineal lacerations are usually divided in accordance with,their extent into three classes: lacerations ofthe first degree, or nicks, in which the four-chette alone is torn, without involvement ofthe muscles which unite in the perineal bodyand form the so-called pelvic diaphragm; lacer-ations of the second degree, or uncomplicatedruptures of the perineeum, including all tearswhich involve the fibres of the pelvic dia-phragm but do not destroy the recto-vaginalseptum; and lacerations of the third degree,those which invade the integrity of the sphinc-ter ani, and divide the recto-vaginal septumto a greater or less extent. Diagnosis.—Classification and Anat-omy.^—At the conclusion of labor, the fingershould ahvays be passed into the rectum and made to evert the. Fig.
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectmidwifery, bookyear18
