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 . n \ ? • i j> tion, complicated by a falling of the cord. I the membranes during a pain, for the gush ot j liquid, which then escxpes with considerable force, nearly always carries along aloop of the cord, which thus precedes the presenting part. (Martin, of Lyons,Comptes Rendus, page 13.) To these causes, let us further add the descent ofa hand or a foot, which seems to act as a guide, as it were, for the cord,
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 . n \ ? • i j> tion, complicated by a falling of the cord. I the membranes during a pain, for the gush ot j liquid, which then escxpes with considerable force, nearly always carries along aloop of the cord, which thus precedes the presenting part. (Martin, of Lyons,Comptes Rendus, page 13.) To these causes, let us further add the descent ofa hand or a foot, which seems to act as a guide, as it were, for the cord, and toopen the way for it. B. The signs whereby this accident can be recognized, vary according towhether the membranes are ruptured or are still intact. In the latter case, thediagnosis is quite difficult; nevertheless, we can often detect something like asoft, small cord, through the portion of the membranes covering the os uteri, andslipping away before the least pressure, but the true nature of which can only bedetermined by the rapid pulsations in it. The rapidity of these, which MadameLachapelle aptly compares to the ticking of a watch, can alone enable us to dis-. 652 DYSTOCIA. tinguish them from some other pulsations produced by certain arteries that occa-sionally ramify in the substance of the neck, and which are synchronous with themothers pulse. This error would be more difficult to avoid, should the finger,when applied on the membranes, encounter one of the arterial ramifications ofthe cord, which, as in the cases described by Benckiser (see Umbilical Cord),may spread out on the membranes before entering into the proper tissue of theplacenta. The size and the mobility of the prolapsed cord would also aid inmaking out the diagnosis. On the other hand, the thickness and the spongycondition of the membranes, the inequalities they occasionally present, and thefolds of the childs scalp, might perhaps lead us to suspect a falling of the cord,if the clearly ascertained
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Keywords: ., boo, bookcentury1800, booksubjectmidwifery, booksubjectobstetrics
