Dr. Conquest's outlines of midwifery : intended as a text-book for students, and a book of reference for junior practitioners.

  • Conquest, Dr.
Date:
1854
Catalogue details

Licence: Public Domain Mark

Credit: Dr. Conquest's outlines of midwifery : intended as a text-book for students, and a book of reference for junior practitioners. Source: Wellcome Collection.

    37/370 (page 23)
    ration, and consequently comprises parts covered by- cuticle as well as by mucous membrane.—J. M. TV.] DIEECTIONS POE INTEODUCING THE CATHETEE. This operation, simple as it may appear, is one which is too frequently very awkwardly performed. This is in some degree attributable to the existing circumstances which demand the use of this instru- ment. From the connection of the bladder and uterus, the former inevitably rises with the latter during the progress of utero-gestation, and often be- comes thrown considerably forward; and the same thing occurs in women having distorted pelves, or pendulous bellies, independent of pregnancy; so that the urethra becomes elongated and preternaturally curved. It is also very much thrown out of its natural course in procidentia and in inversio uteri. That position is best, both for the patient and medical man, which combines delicacy with conve- nience; and consequently, without any exposure of her person, the woman may lie on her back, with her knees elevated and separated. The operator, stand- ing on her right side, with the catheter previously oiled in his right hand, is to carry his left hand over the right thigh, and with the index finger to separate the labia and nymphae, and to discover the clitoris. The catheter, having a stop-cock at its end, and held in the right hand of the practitioner, is now to be carried under the patient's thigh to the orificium urethras, which may generally be easily found by c 4