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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![the student should not attempt to deal with it him- self, hut obtain the assistance of a qualifie<l pra/di- tioner. The laceration of the fourchette nearly always haj)])ens in first labours and gives rise to no incon- venience. When the laceration extends through the recto- vaginal septum, the patient loses the power of retaining her faeces, wdiich are liable to come away at any rate involunarily. Her after-condition is consequently most deplorable. Most of the surgical operations for the cure of lacerated perinaeum consist in paring the edges of the wound, and bringing them together by sutures of various kinds. A full and complete account of these operations will be found in any w^ork on diseases of women. Thrombus of the Vulva—Symptoms. In cases of thrombus or sanguineous tumour of the vagina or vulva. As the head, during labour, presses down on the plexus of vessels around the vaginal orifice, some of these may give way and cause a large subcutaneous effusion of blood. The occur- rence of this accident is denoted by pain and tension in the part, and the sudden formation of a large tumour of a bluish colour, which is most frequently seated in one of the labia majora. It may become ajserious impediment to parturition, or may rupture](https://iiif.wellcomecollection.org/image/b28088712_0208.jp2/full/800%2C/0/default.jpg)
