. An American text-book of obstetrics. For practitioners and students. Fig. 450.—Intra-uterine nozzle, being almost straight and barely entering the cervix, is unable to flush out the uterine cavity. water into a sufficiently large receptacle below. A vaginal douche during laboror the puerperium should be given in large quantity, the object being to conveya volume of water with but little force, cleansing the parts by the amount offluid rather than by the force with which it is introduced. Nozzles are madeof glass, of metal, or of vulcanite; they are straight or curved, with openings atthe poi
. An American text-book of obstetrics. For practitioners and students. Fig. 450.—Intra-uterine nozzle, being almost straight and barely entering the cervix, is unable to flush out the uterine cavity. water into a sufficiently large receptacle below. A vaginal douche during laboror the puerperium should be given in large quantity, the object being to conveya volume of water with but little force, cleansing the parts by the amount offluid rather than by the force with which it is introduced. Nozzles are madeof glass, of metal, or of vulcanite; they are straight or curved, with openings atthe point or at the sides in the form of pinholes or of longitudinal eyes or nozzles are good, but they are fragile and must be handled with care; OBSTETRIC SURGERY. 871 metal is such a good conductor of heat that a very hot douche through a metalnozzle can hardly be borne; vulcanite is the best, but it is apt to lose its shapewhen boiled. The openings should be in the form of slits rather than pinholes,. Fig. 451.—Intra-uterine nozzle passed into lower uterine segment, the uterine cavity not being satisfac-torily flushed out; the perineal body is strongly depressed to elevate the tip of the tube. and on the sides of the nozzle, never on the point. In giving a vaginal douchethe practical point is to make sure of a sufficient outflow. The fluid shouldflow out as rapidly as it flows in, otherwise there will be ballooning and dis- tention of the vaginal canal. Two fingers should be introduced into the
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectobstetrics, bookyear1
