Tri-State medical journal and practitioner . eir folded position on the breast, and as soon as possiblethe cord was loosened on the neck—the semi-rotation of the body as itpassed downward assisted in lessening the tension on the cord. In deliv-ering the head, gentle traction was made, the chin being assisted over theperineum, which was guarded by the hand—the labor efforts at this timewere not undesirably forcible, but slow and steady, with quite long intermis-sions of time between them; abdominal pressure just above the pubis by myassistant helped materially in releasing the head. The short p
Tri-State medical journal and practitioner . eir folded position on the breast, and as soon as possiblethe cord was loosened on the neck—the semi-rotation of the body as itpassed downward assisted in lessening the tension on the cord. In deliv-ering the head, gentle traction was made, the chin being assisted over theperineum, which was guarded by the hand—the labor efforts at this timewere not undesirably forcible, but slow and steady, with quite long intermis-sions of time between them; abdominal pressure just above the pubis by myassistant helped materially in releasing the head. The short period oftime elapsing just before the head was born caused the child to becomecyanosed—indeed, it was not born with a cry immediately upon its arrival—in fact, the pulsations in the cord at this time were very weak; the childwas completely cyanosed, relaxed and without breath. A very quick ex-amination was made, there being no time to loose; it was turned on itsface and percussed with the hand on the back, cool water being sprinkled. Stricture of the Urethra—Sutter. 423 upon the body and the extremities wrapped in warm cloths to stimulatereaction. Sylvesters method of resuscitation was then used: raising andlowering the arms to inflate the lungs, also blowing air into the openmouth without contact or any tube. After these manipulations for aperiod of about fifteen or twenty minutes the child began to revive andbegan breathing and crying. Its color began to return and the pulsationsin the cord, which up to this time had been very weak, grew stronger andlasted the usual length of time, after which the cord was tied and severed. When the child was first delivered, I directed my assistant to give theusual one drachm dose of ergot. Uterine action being somewhat feeble,digital manipulation with slight traction on the cord removed the placentaintact. The following medicine for after-pains being used, the case made aspeedy recovery with no disagreeable complications of any ki
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