Three hundred consultations in midwifery / by Robert Lee.

  • Robert Lee
Date:
1864
Catalogue details

Licence: Public Domain Mark

Credit: Three hundred consultations in midwifery / by Robert Lee. Source: Wellcome Collection.

    124/230 page 116
    ]16 CONSTTLTATIOlra IN MIDWIFERY. assistance. In tliis I was informed that I was wrong, and I did not see the patient again. The labour having continued five or six hours after, and there being no progress, delivery, I was informed, was accomplislied by craniotomy. Ha;morrhage followed, but I believe the patient recovered favorably. Case 189.—At 8 p.m., September, 1857,1 received the following letter:— Will you do me the favour to accompany the bearer to the above address, bringing with you the long forceps and instruments for opening the head ? I went immediately to the patient with the short forceps, the perforator, and the crotchet. I found two practitioners in attendance. The patient was twenty- eight years of age ; it was the first pregnancy, and it was the end of the ninth month. The bones of the legs were bent from rickets in early life. When, young, she was run over by a carriage, and it has been supposed that the pelvis was injured. Labour had commenced at 10 o'clock the night before, and for several days previously she had suffered from irregular pains. Mr. saw her early this morning—about 3 o'clock. He states that he found the os uteri very little dilated, and that the dilatation has been gradu- ally progressing, and now a bag of membrane is pro- truding. The 03 uteri I found fully dilated, the mem- branes'^protruding through the orifice. The head was felt through the membranes above the brim. I could, but with some diflaculty, reach the base of the sacrum with the point of the forefinger, and from this I in- ferred that the pelvis was only slightly distorted, and that if the head of the child was small it might pass through the brim and outlet without either the long or the shortforceps. I recommended delaying for a time, to see what nature could do, but entreated that the case might not be left too long to nature. Fourteen hours
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