The Dublin practice of midwifery / By Henry Maunsell.

  • Henry Maunsell
Date:
1834
Catalogue details

Licence: Public Domain Mark

Credit: The Dublin practice of midwifery / By Henry Maunsell. Source: Wellcome Collection.

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    of the bed. The left forefinger of the oper- ator is then to be introduced to a short distance (about the length of the first joint) into the vagina, and carried forward to the symphysis pubis. By this measure the urethra will be easily discovered lying between the finger and the pubis. It resembles in feel the corpus spon- giosum of the male urethra, but is usually rather thicker. The finger is then to be drawn lightly forward along the urethra, until its tip sinks into the pit marking the orifice, in contact with which it is to be held. The catheter, held loosely between the right thumb and forefinger, is next to be passed along the front of the left forefinger, in a direction somewhat backwards, when it at once slips into the orifice of the urethra. The handle should then be sligl^tly depressed, and the instrument passed on into the bladder; during its introduction the point may catch in some of the mucous lacume, upon which it should of course be withdrawn a little, and passed forward with a slight variation of its direction. The urethra is from an inch to two inches long, so that in an ordinary case, where there is no disease, we should expect the urine to flow when the catheter has passed in to the distance of two inches. If it should be necessary, the operation may be performed while the patient sits upon the edge of a chair, the operator kneeling before her, and pass- ing his hand between her thighs. In either case,
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