Volume 1

A system of obstetric medicine and surgery : theoretical and clinical for the student and practitioner / by Robert Barnes and Fancourt Barnes.

Date:
1884-1885
Catalogue details

Licence: Public Domain Mark

Credit: A system of obstetric medicine and surgery : theoretical and clinical for the student and practitioner / by Robert Barnes and Fancourt Barnes. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    PAGE Objective signs of the second trimestrium .... 279 The uterine souffle . . .279 The placental theory . . .279 The iliac theory . . . .279 The uterine theory . . . 280 The epigastric theory . . . 280 The uterine or utero-placental sound 281 Sounds produced by the active movements of the foetus . . 282 The foetal shock . . . .282 The foetal heart-sounds . . 283 When is the sound first heard ? . 283 Slowing of the foetal heart-beats. 284 Is the rate of heart-beat different in the two sexes ? . . . 284 Can the positions of the foetus be diagnosed by auscultation ? . 285 The foetal souffle . . .286 The umbilical souffle . . .286 How to observe the foetal heart- sounds 286 Palpation 287 Information obtainable by ab- dominal palpation . . . 288 How to practise abdominal pal- pation 289 The conduct of the examiner . 289 How to determine the size of the uterus 289 Braxton Hicks's test . . . 290 How to practise ballottement . 291 The objective signs of the third trimestrium . . . . 292 Changes in the skin of the ab- domen 292 Pigment 292 Change in the musculo-aponeu- rotic layer of^ie abdomen . 294 PAGE The scars, striae, or cracks on the skin 294 Medico-legal value of striae on the abdomen 290 Diagnosis of the stage of gesta- tion 297 Pathological states which simu- late gestation .... 298 Pseudocyesis ... . 299 Fibroid or other enlargement of the uterus .... 300 Eemanent enlargement . .301 Functional modifications of the uterus ..... 301 Menorrhagia .... 301 Extra-uterine tumours . . 301 Small ovarian tumours . . 302 Hepatic cysts .... 302 Renal cysts 302 Ascites 302 Complication of uterine gestation with uterine fibroids . . 303 Uterine gestation complicated with ovarian tumour . . 303 Encysted peritoneal dropsy . . 304 Gestation is sometimes compli- cated with ascites . . . 304 The duration of gestation . . 30(5 Is there a-special individual ges- tation period ? . . . 309 Latitancy, or the lying in wait of the ovum and spermatozoa for each other .... 310 The prediction of the day of labour 315 The limits of the capacity for re- production in woman . . 31(> The latest age of gestation. .317 The care and hygiene of the gravida 318 CHAPTER IX. ABNORMAL GESTATION. Ectopic or cxtra-utenno gesta- tions 320 Tubal gestation . . . .322 The infiuence of extra-uterine gestation upon the uterus . 323 The course of tubal gesta- tion 323 Treatment 324 Tubo-ovarian gestation . . 327 Abdominal gestation . . . 327