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.

    72/72 page 70
    interpret their action in the particular class of cases now under consideration in a very different manner to that usually given. The perinseum must be con- sidered a passive agent in the matter. I believe that the remedies which are said to procure relaxation,” produce this apparent effect chiefly by rousing the uterus to greater activity; the rigidity disappearing because a greater force is brought to bear on the perinseal structures. In cases of the kind now under consideration, the attention of the practitioner will be most profitably employed in ascertaining why it is that the head of the child is not propelled downwards with greater rapidity on the perinseum. In many of these cases of so-called rigidity of the perinseum, a care- ful use of the forceps is the best, the proper remedy, the uterine contractions being deficient in power. The case which I have, in the course of the series of practical observations now brought to a conclusion argued, is the one of rational versus empirical treat- ment of the perinseuni during labour. I think there can be little doubt as to the nature of the decision, which will be formed by those who take the pains to consider the question attentively and dispas- sionately. THE END.
    digitised image 1
    digitised image 2
    digitised image 3