A System of midwifery : including the diseases of pregnancy and the puerperal state . ng theescape of the liquor amnii. The Operation.—The measures to be taken before commencing theoperation should be those which the most experienced of our ovarioto-mists have found, of late years, to be conducive to success. Thepatient should be placed upon a high bed or table, in a good light,with her shoulders a little elevated. The temperature of the roomshould, if necessary, be artificially raised. There should be at handan abundant supply of hot and cold water, and a weak solution ofcarbolic acid, with a
A System of midwifery : including the diseases of pregnancy and the puerperal state . ng theescape of the liquor amnii. The Operation.—The measures to be taken before commencing theoperation should be those which the most experienced of our ovarioto-mists have found, of late years, to be conducive to success. Thepatient should be placed upon a high bed or table, in a good light,with her shoulders a little elevated. The temperature of the roomshould, if necessary, be artificially raised. There should be at handan abundant supply of hot and cold water, and a weak solution ofcarbolic acid, with a sufficiency of towels and sponges. Several bis-touries, with sharp and blunt points, artery forceps, ligatures of variouskinds (including antiseptic catgut), bandages, carbolized dressings, anda long probang, will, with the usual minor instruments of an ordinarypocket-case, be all that is necessary. The propriety of giving chloro-form in this operation has been called in question, chiefly on accountof the disastrous effect which an attack of retchinir miirht have at a Fig. Hysterotomy, critical moment of the procedure; bur, if the stomach ia empty beforethi- agenl is administered, the rials is not likely to be great. Theoperator, standing in front <»f the patient, and having ascertained thatthe bladder is empty, must first examine the abdominal walls, In orderto ascertain, with precision, tin- position of the uterus with referenceto them. A final examination, / - r vaginam, Bhould also be ma le, assome cases of osteomalacia bave been recorded in which the bono of 550 HYSTEROTOMY. [CHAP. an extremely distorted pelvis have yielded so much as to admit of thepassage of the band. The primary incision is to be made in the middleline, and should extend from a little below the umbilicus to about twoand a half inches above the pubic symphysis. Further than this itwould be imprudent to go in the latter direction, and, in the case ofextreme deformity or unusual shortness of s
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Keywords: ., bookcentury1800, bookdecade1870, booksubjectobstetrics, bookyear1
