Aids to obstetrics : double part / by Samuel Nall.

  • Nall, Samuel.
Date:
[1885?]
Catalogue details

Licence: Public Domain Mark

Credit: Aids to obstetrics : double part / by Samuel Nall. Source: Wellcome Collection.

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    be performed earlier than the seventh month, as there is little chance of a child born before that date surviving. The opera- tion may be indicated in the interest of the mother, or of the foetus, or of both. 1. It is Indicated for the sake of both Mother and Child in some cases of pelvic contraction and tumours when delivery at full term would be injurious.] 2. It is Indicated for the Child in cases where the child has died in previous pregnancies at some particular time from placental or other disease. If labour is induced a little before the time at which death has usually occurred, a living child may be obtained. It is not easy to decide when to bring on the labour, but careful auscultation of the foetal heart, the beat of which becomes tumultuous just before death, and other signs of commencing death (mentioned in a previous section) will guide us. 3. It is Indicated for the Mother, as a last resource, when all other means have failed and the mother’s life is endangered, in cases of excessive vomiting, chorea, convulsions, great dyspnoea from pressure of the uterus on the diaphragm. fitCc f/bj Methods of Inducing Labour : ^ 1. Rupture of the Membranes by means of a catheter or sound. This is a certain method, but it is apt to be slow, because the fluid dilating wedge formed by the bag of membranes is lost. As the foetus is exposed to the direct pressure of the uterus it is often still-born. The method is very useful in producing early abortion, but is not adapted for inducing premature labour unless combined with other methods. 2. Artificial Dilatation of the Cervix is slow in its effects, but combined with other methods it is very useful. Sea tangle tents are inserted into the cervix, and the dilatation is completed by Barnes’s caoutchouc bags. These bags are fiddle-shaped, and have on one side a small socket into which a catheter can be inserted ; by means of the catheter they are pushed up into the cervix, and when in situ they are distended by a syringe. 3. Vaginal Douches of Cold or Warm Water, if used three or four times daily, will bring on labour in about three days.