Parturition and its difficulties : with clinical illustrations and statistics of 13,783 deliveries / by John Hall Davis.

  • Davis, John Hall.
Date:
1865
Catalogue details

Licence: Public Domain Mark

Credit: Parturition and its difficulties : with clinical illustrations and statistics of 13,783 deliveries / by John Hall Davis. Source: Wellcome Collection.

Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.

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    labour. It is readily recognized by vaginal ex- amination. The remedy is a warm soap-and-water enema, and if the collection is in hardened masses, so as not to be thus dislodged, we must scoop it out in the best way we can. The poor are very apt to enter upon labour with the lower bowel fully charged with scybalas, which should be prevented by suitable aperients be- forehand. 46. Ovarian tumours sometimes encroach upon the pelvic space, and obstruct labour. When not fixed by adhesions in the recto-vaginal pouch, it has been possible, as in a case reported by Dr. Merriman, and in one recorded by Mr. Park, Med. Chirurg. Trans- act., vols, ii., x., to push the tumour above the brim before the entry of the head, and so the birth has followed easily. If not reducible, we must act as the case dictates, delivering by the forceps or by cranio- tomy. Sometimes the tumour has admitted of com- pression by the foetal head. In some cases, ovariotomy, by giving the patient a chance of recovery, and en- abling us to save the child, would be the preferable proceeding; but wherever the tumour obviously con- tains fluid, this may, as has frequently been done, be removed by a trocar and canula through the vagina ; or through the rectum, if more prominent, by that outlet. 47. Abscesses in the vagina, from previous pelvic cellulitis, are sometimes obstacles in labour. These must also be discharged.
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