On 'supporting the perinaeum' : practical considerations respecting the causes and prevention of laceration of the perinaeum during labour / by Graily Hewitt.

  • Hewitt, Graily, 1828-1893
Date:
1861
Catalogue details

Licence: Public Domain Mark

Credit: On 'supporting the perinaeum' : practical considerations respecting the causes and prevention of laceration of the perinaeum during labour / by Graily Hewitt. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    the causes of laceration of the perinieum ?—it appears evident that laceration of the perinseum is not constantly produced by the occurrence of the same circumstances. In one case, one combination of cir- cumstances produces it; in another case, the same combination being present, no laceration occurs. Un- questionably, the causes of laceration are many and various ; and this is one of those cases, not so uncom- mon as is usually supposed, in which it is not in the nature of things that simplicity” should be attainable, however much it may be desired. In such a complex process as is involved in the expansion and dilatation of the perinseum, not one, but every element in the case must be duly weighed and allowed for, in ar- riving at any conclusion as to the cause of the lace- ration. The Treatment of the Perinaum in Labour,— With a view of arriving at some definite conclusions as to the proper treatment of the perinaeum during labour, I have now carefully examined two questions. ]. The effects actually produced by the operation supporting the perinaeumand 2. The causes of laceration of the perinaeum. The result obtained by examination of the first of these questions was this: that the only effect which could be said to be produced by supporting the pe- rinaeum” was, retardation of the advance of the head ;