Obstetric aphorisms : for the use of students commencing midwifery practice / by Joseph Griffiths Swayne.
- Swayne, Joseph Griffiths, 1819-1903.
- Date:
- 1913
Licence: In copyright
Credit: Obstetric aphorisms : for the use of students commencing midwifery practice / by Joseph Griffiths Swayne. Source: Wellcome Collection.
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![soap aiul water, rinsed clean with boiled water, well swabbed with an antiseptic solution, and tlie sides of the laceration drawn apart until its upper end can be seen. The shin and mucous mem- brane of the vagina after having been swabbed dry and then swabbed with spirit may be ])ainted with tincture of iodine with great advantage. The curved needle threaded with silkworm gut should then be introduced about a quarter of an inch outside the edge of the skin, made to traverse the deeper tissues with a bold sweep, and to penetrate the vaginal mucous membrane, just outside the laceration, on the side on which it was introduced, carried across the laceration on its vaginal aspect, made to pene- trate the mucous membrane on the opposite side, and emerge through the skin opposite the point of introduction. The most posterior stitch shoidd include the upper limit of the tear. The remaining stitches should be introduced in the same way until the fourchette is reached, the ends of each stitch being grasped with a pair of artery forceps until all have been inserted. (One pair of artery forceps can be made to grasp the ends of all the sutures.) AVhen all are introduced, they should be tied in succession, beginning with the most posterior, sufficiently tightly to bring the raw surfaces of the laceration into apposition with- out strangulating the included portions. The stitches may be removed on the eighth day. If the laceration extends through the sphincter.](https://iiif.wellcomecollection.org/image/b28088712_0207.jp2/full/800%2C/0/default.jpg)
