The practice of obstetrics, designed for the use of students and practitioners of medicine . actions or pains, which at first are not very annoying,occur about every half hour, and are accompanied generally by pressure sen-sations. At first the pain is apt to be felt in the region of the sacrum, whichis the common location for pain originating from any cervical trouble, andit may radiate to the lower abdomen or down the legs. Generally the firstpains come on in the early part of the night, and in character thev closelv re-28 434 PHYSIOLOGICAL LABOR. semble the false pains which are often felt
The practice of obstetrics, designed for the use of students and practitioners of medicine . actions or pains, which at first are not very annoying,occur about every half hour, and are accompanied generally by pressure sen-sations. At first the pain is apt to be felt in the region of the sacrum, whichis the common location for pain originating from any cervical trouble, andit may radiate to the lower abdomen or down the legs. Generally the firstpains come on in the early part of the night, and in character thev closelv re-28 434 PHYSIOLOGICAL LABOR. semble the false pains which are often felt in the last weeks of pregnancy. Thewoman is frequently more impatient of the pains of dilatation than she is of thelater ones, because she fails to see that any progress is being made, althoughthe passage of the head over the exquisitely sensitive perineum causes themost excruciating agony experienced during all the course of labor. Thepatient often vomits or shivers at this stage; there is an abundant secretionof urine; the cervix grows gradually more patulous till its edges become con-. FiG. 555.—Frozen Section after Sudden Death from Cerebral Abscess, duringTHE First Stage of Labor. Age of patient thirty-seven years; 7-para; fundusuteri 3 inches above the umbihcus; internal os dilated to admit two fingers. Thesection is a vertical mesial one with the frozen fetal parts of the opposite side placedin exact superposition. Note the posture of the fetus and moulding of the head,the latter being well above the pelvic floor; also the lower borders of the peritoneumanteriorly and posteriorly; the beginning formation of the bag of waters, the contraction ring; and the distended rectum.—{William C. Lusks case.) and tinuous with the walls of the vagina. When the diameter of the openmg reachesabout three inches, the descending bag of waters ruptures, allowing a littleof the liquid to escape, while the remainder is kept back by the ball valve-Hkeaction of the head. The temperature ri
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectobstetrics, bookyear1
