The practice of obstetrics, designed for the use of students and practitioners of medicine . aphotograph taken at the Emergency Hospital.) Care and Posture of the Child in Bed.—If the child cries vigorously, measuresfor establishing respiration are unnecessary, and all rough handling should beavoided. It should be wrapped in a warm blanket previously prepared andallowed to rest between the mothers thighs until after ligation of the cord (). It should be placed upon the right side, since this posture tends to aid thephysiological changes in the fetal circulation, and with head low to pre
The practice of obstetrics, designed for the use of students and practitioners of medicine . aphotograph taken at the Emergency Hospital.) Care and Posture of the Child in Bed.—If the child cries vigorously, measuresfor establishing respiration are unnecessary, and all rough handling should beavoided. It should be wrapped in a warm blanket previously prepared andallowed to rest between the mothers thighs until after ligation of the cord (). It should be placed upon the right side, since this posture tends to aid thephysiological changes in the fetal circulation, and with head low to prevent cere-bral anemia. Establishment of Respiration.—Should the child cry out feebly, or should therebe any delay in the establishment of respiration, it should be smartly slapped uponthe buttocks or a few drops of cold water should be dashed upon the face andchest. In feeble or premature children, however, all rough handling should beavoided. (See Asphyxia Neonatorum, Part IX.) Ligation of the Cord.—Respiration being fully established, the ligation of THE MANAGEMENT OF LABOR. 489. the cord should be delayed until pulsations cease, unless there is some positiveindication to the contrary. Immediate ligation deprives the fetus of aboutthree ounces of ligation it is agood plan to grasp thecord with the thumb andfirst finger of one handclose to the navel, carebeing taken not to maketraction, and with thefingers of the free handto strip away the gelatinof Wharton from thefetus for a distance oftwo or three inches (). This gives a thinstump for subsequentseparation. The cord isnow ligated with sterilebobbin or floss silk,about li inches from theumbilicus, it being firstdetermined that no les-ion of the cord exists. Asecond ligature is thenplaced about two inchesfrom the first in order toprevent hemorrhage incase of twins, but chiefly to retain blood in the placenta that the uterus may more readily expel itDivision of the cord with scissors is now performed c
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectobstetrics, bookyear1
