A textbook of obstetrics . - delivery, or, if the stomach will notretain it, the hypodermatic syringe should be used, for, the birth-canal having been dilated thoroughly, there is no obstacle to thebirth of the second infant in twin labors, and consequently noobjection to the employment of ergot, which not only hastens theconclusion of labor, but promotes subsequent contraction of themuch-distended uterus, and so prevents postpartum a further precaution against this accident which is always. Fig. 401. — Twins, head and breech (modified from Hunter). threatened in twin labors, the
A textbook of obstetrics . - delivery, or, if the stomach will notretain it, the hypodermatic syringe should be used, for, the birth-canal having been dilated thoroughly, there is no obstacle to thebirth of the second infant in twin labors, and consequently noobjection to the employment of ergot, which not only hastens theconclusion of labor, but promotes subsequent contraction of themuch-distended uterus, and so prevents postpartum a further precaution against this accident which is always. Fig. 401. — Twins, head and breech (modified from Hunter). threatened in twin labors, the fundus should be compressed foran hour or two after birth by the nurse. There may be difficulty in the delivery of the placentae in twinlabors. Commonly the children are born first and the placentaeafterward. Their bulk may make expression difficult, and it isoften necessary to make some traction upon the cords—first uponone and then upon the other—to determine which placenta will 5 2 2 THE PA THt)LOGY OF I. ABOR. come first and to assist in its expulsion. Occasionally one andrarely both placentae may be expelled after the birth of the firstchild. In a case of the writers the placenta of the first child,prolapsing in front of the second, necessitated a difficult forcepsoperation for the extraction of the second. On account of thefrequent and extensive anastomoses between the vessels of theplacental in unioval twins it is a necessary precaution to tie thecord of the first child with a double
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Keywords: ., bookcentury1800, bookdecade1890, bookidtex, booksubjectobstetrics
