A text-book of practical obstetrics, comprising pregnancy, labor, and the puerpal state, and obstetric surgery . Fig. 25.—Edebohls Speculum. A speculum is inserted into the vagina, and, the cervix havingbeen exposed, a tenaculum is inserted into the anterior cervicallip to steady the uterus. The steel dilator is passed into the cervix beyond the in-. Fig. 26.—Cervical Tenaculum. ternal os, and the canal is slowly stretched to the extent of aninch and a half to two inches. The cervical muscle is made toyield to the applied pressure; the aim is not to rupture thecervix. Owing to the hyperaemia a
A text-book of practical obstetrics, comprising pregnancy, labor, and the puerpal state, and obstetric surgery . Fig. 25.—Edebohls Speculum. A speculum is inserted into the vagina, and, the cervix havingbeen exposed, a tenaculum is inserted into the anterior cervicallip to steady the uterus. The steel dilator is passed into the cervix beyond the in-. Fig. 26.—Cervical Tenaculum. ternal os, and the canal is slowly stretched to the extent of aninch and a half to two inches. The cervical muscle is made toyield to the applied pressure; the aim is not to rupture thecervix. Owing to the hyperaemia and softening of the cervix, 44 OBSTETRIC SURGERY. which, as a rule, is present even in the early months of preg-nancy, dilatation to this extent will ordinarily be possible. Theinstruments are then to be removed, and the next step is theextraction of the ovum. The best of all instruments for the loosening of the ovum,the breaking- up of the foetus, and for the removal of the debrisis the aseptic finger. It is sentient, and therefore it is less likelyto do harm than any instrument. We are operating to protectthe interests of the woman, and, therefore, must take every pre-caution to see that these interests are not endangered. In theaverage case of abortion under the third month it is possible toempty the uterus by the finger alone, provided
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Keywords: ., bookcentury1800, bookdecade1890, bookpubli, booksubjectobstetrics
