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

  • Simpson, James Young, 1811-1870.
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.

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    there is no fear of pressure, and the patient is not able to bear venesection. Eulcsfor its Exhibition. 1. Use it only nnder the conviction that the pains are pro- portionally more hurtful to the powers of the mother, than useful in the expulsion of the child. 2. Never suspend by it the uterine contractions when they are regular. 3. Also, never when the head is so placed as to cause in- jurious pressure. 4. Never administer it when there is general vascular excite- ment. 5. Always have the bowels previously opened. 6. Whatever preparation of the drug is used, and whether it be administered by the mouth, by the rectum, or hypodermi- cally, let the dose be large. II. ElGIDITY OF A BAND OF CIRCULAR FIBRES OF THE CERVIX. Diagnosis. During a pain, the edges of the os uteri swell, but do not become tense; and the head or the membranes are not in contact with the edges of the os. During the interval the stricture can be felt, one inch or one and a half inches up the cervical canal, usually at the os internum. Treatment. The same as for general rigidity. Press with the fingers during a pain, and stretch the band. III. Wedging in of a fold of the Cervix between the Head and the Pelvis. (Almost always in front.) Treatment Support and dilate the lip of the os uteri during a pain. When the os is dilated, push up the segment above the head.