. A new manual of surgery, civil and military. n obtain reasonablecare during the pregnancy, and during and after confinement, the wound SURGERY OF THE FEMALE PELVIS 645 usually heals so perfectly that it requires no further attention, but unfor-tunately there is a large class, comprising the most valuable women in thecountry, in which conditions are such that ideal care during pregnancy andduring the after-confinement, is not possible. This class comprises the wivesof the mechanics, artisans, farmers and laborers. Customary history. The patient usually gives a history of having been inexcelle
. A new manual of surgery, civil and military. n obtain reasonablecare during the pregnancy, and during and after confinement, the wound SURGERY OF THE FEMALE PELVIS 645 usually heals so perfectly that it requires no further attention, but unfor-tunately there is a large class, comprising the most valuable women in thecountry, in which conditions are such that ideal care during pregnancy andduring the after-confinement, is not possible. This class comprises the wivesof the mechanics, artisans, farmers and laborers. Customary history. The patient usually gives a history of having been inexcellent health at the time of her marriage, of having undergone a variablenumber of normal pregnancies and usually a certain number of abortions • theconfinement has generally been conducted by a midwife; the patient hasfeltthe necessity of caring for her entire household during her pregnancy; shehas had but a slight amount of care during and after confinement; she has notenjoyed the benefits of a trained nurse at such time; she began to perform. Amputation of Lacerated Cervix Uteri. The uterus is drawn down with volsellum forceps (b). An ellij^tical incision is madearound the cervix. The anterior portion (e) is dissected down to the cervical canal. Thensutures (c) and (d) are inserted, uniting the vaginal with the cervical mucous are left untied until the lateral sutures have been applied. Then the removal of thecervix is completed. her regular labors within a short period after confinement; and had the careof her infant and all of her family within a short time thereafter. Usuallythe first confinements made no marked impression, but later on the patientapparently began to grow old rapidly; to suffer from the sensation of weightin the pelvis, and from pain low down in the back; and she usually complainsof feeling tired most of the time. Constipation and lack of strength in secur-ing evacuation of the bowels are usually complained of. Notwithstandingthis, the patien
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Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery
