The obstetrician's vademecum; or aphorisms on natural and difficult parturition; the application and use of instruments in preternatural labours; on labours complicated with hemorrhage, convulsions, etc / Considerably Augmented and arranged according to the present state of obstetricy, by Michael Ryan.
- Thomas Denman
- Date:
- 1836
Licence: Public Domain Mark
Credit: The obstetrician's vademecum; or aphorisms on natural and difficult parturition; the application and use of instruments in preternatural labours; on labours complicated with hemorrhage, convulsions, etc / Considerably Augmented and arranged according to the present state of obstetricy, by Michael Ryan. Source: Wellcome Collection.
219/292 page 201
![Labours per rectum.—Dupuytren and others have described the passage of a full grown infant through the rectum. In some cases the vagina opens into the rectum, either by a congenital or accidental aperture. Labours with asthma, hydro-thorax, ascites, ovarian, and other twmours in the abdomen.—In these cases delivery must sometimes be accom- plished in a sitting posture or on the knees. The respiration becomes so laborious and difficult that asphyxia may be suddenly produced. In such cases delivery ought to be induced as soon as possible by puncturing the membranes. When the liquor amnii is evacuated, the size of the ab- domen is very much diminished, and the respira- tion is greatly relieved. It is still more improved after the birth of the infant. When impeded, venesection is imperiously required. M. R.]](https://iiif.wellcomecollection.org/image/b3328653x_0219.jp2/full/800%2C/0/default.jpg)
