. A treatise on obstetrics for students and practitioners . Right shoulder engaging beneath pubes. (Faraboeuf and Varnier.) pulsive efforts usually cease after the birth of the child. There is aslight discharge of blood from the vagina, while the presence of theumbilical cord shows that the placenta is within the uterus. After a Fig. Aiding the delivery of the shoulders by raising the head. (Faraboeuf and Varnier.) variable time, which depends upon the patients degree of exhaustion,uterine contractions again occur. The patient contracts her abdominalmuscles strongly. The placenta becomes


. A treatise on obstetrics for students and practitioners . Right shoulder engaging beneath pubes. (Faraboeuf and Varnier.) pulsive efforts usually cease after the birth of the child. There is aslight discharge of blood from the vagina, while the presence of theumbilical cord shows that the placenta is within the uterus. After a Fig. Aiding the delivery of the shoulders by raising the head. (Faraboeuf and Varnier.) variable time, which depends upon the patients degree of exhaustion,uterine contractions again occur. The patient contracts her abdominalmuscles strongly. The placenta becomes separated from the wall of NORMAL LABOR AND LTS MANAGEMENT. 189 the uterus by uterine contraction and the formation of blood-clot be-tween the placenta and uterine wall. The placenta presents at thevulva by one edge, with its foetal surface anterior, and is expelledfolded together upon itself. The membranes form a cord behind theplacenta. Cases are sometimes observed in which it is necessary to exercisecaution in diagnosticating the existence of the third stage of labor. Incases of illegitimate pregnancy, where the patient conceals her condi-tion as long as possihle, the physician may be summoned after theremoval of the child, when the cord has been cut off or where a por-tion of the placenta has been removed. A twin-pregnancy may


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Keywords: ., bookcentury1800, bookdecade1890, booksubjectobstetrics, bookyear1