Selected obstetrical and gynecological works / or Sir James Simpson ; containing the substance of his lectures on midwifery ; edited by J. Watt Black.

  • James Young Simpson
Date:
1871
Catalogue details

Licence: Public Domain Mark

Credit: Selected obstetrical and gynecological works / or Sir James Simpson ; containing the substance of his lectures on midwifery ; edited by J. Watt Black. Source: Wellcome Collection.

Provider: This material has been provided by the Harvey Cushing/John Hay Whitney Medical Library at Yale University, through the Medical Heritage Library. The original may be consulted at the Harvey Cushing/John Hay Whitney Medical Library at Yale University.

    26/884 page 6
    Advantages gained by the practice— (1.) It gives relief to the patient. (2.) It promotes the mechanism of parturition. (3.) It prevents laceration from too rapid distension. Let the head pass towards the termination of the last expulsive pain. Prevent the rapidity of the dilatation from being greater than the degree of dilatability will admit of. 6. Direct the head and body out in the axis of the outlet. 7. Make the head pass in a form presenting the smallest diameter of its ovoid cone at the outlet. 8. Leave the expulsion of the body chiefly to uterine action. 9. Guard and support the perineum during the passage of the shoulders and body. Duties of the Medical Attendant immediately after the Child is Born. 1. Draw the child from beneath the bedclothes, and imme- diately arrange the latter, so as to prevent the access of cold air. 2. Pass your hand over the abdomen of the mother to feel if— (1.) There is a second child. (2.) The uterus is contracted. 3. Place two ligatures upon the cord, and divide it between them, taking care— (1.) Not to place the first ligature too near the child's umbilicus lest it constrict an umbilical hernia. (2.) That the ligature is sufficient when the cord is thick. (3.) To divide the cord always upon the palm of your hand. 4. See if your patient requires a stimulant, and if there is any tendency to rigors. (There is no necessity for stimulants in common cases, unless the patient is much exhausted.)
    digitised image 1
    digitised image 2
    digitised image 3