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Image from web page 773 of “The science and art of midwifery” (1897)
Title: The science and art of midwifery
Year: 1897 (1890s)
Authors: Lusk, William Thompson, 1838-1897
Subjects: Obstetrics Females Pathology
Publisher: New York, D. Appleton
Contributing Library: Yale University, Cushing/Whitney Healthcare Library
Digitizing Sponsor: Open Information Commons and Yale University, Cushing/Whitney Medical Library
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Text Appearing Before Image:
52 — Extension of the opening madeby the scalpel by mea sofscisaore reached. The grooved gnard must then be withdrawn, and, with itsdirection reversed, ought to be passed beneath the arch behind the pubisfrom below upward, nevertheless beneath the direction of the finger. When thenpper border of the ritibis is reached the lingers should be withdrawnand the guard ought to be held in close speak to with the posterior ridge.If the head of the child interferes with the foregoing manoeuvre, itshould be held above the pelvic brim by the hands of an assistant. 740 APPENDIX. For the section of the symphysis Farabouif counsels a thin, short,narrow blade. IKadvises that a deep incision from above downwardbe 1st made by means of the outer fibrous covering, and then with theknife held vertically, with the cutting surface to the front and with
Text Appearing Soon after Image:
Pio. 258.—Introduction of the finder and of the groovedguard by the suprapubic route. Fio. 864.—Knife of Faraboeuf. the point upon and behind the symphysis, to divide the periosteum,the fibro-cartilage, and the pubic arch. Only the extremity of theblade ought to be employed. Care should be taken to adhere to the sameroute from starting to finish, and, as the periosteum is approached, thepubis must be separated to a slight extent by a moderate abductionof the knees. When the section is completed the abduction of the knees by as-sistants is followed by a moderate degree of divulsion at the sacro-iliacarticulation. If bleeding final results, it ought to be checked by a tampon ofsterilized gauze. If the symptoms are not urgent and the pains areadequate,Morisani and his pupils in Italy and Zweifel of Leipsic preferLeaving the expulsion f the child t the natural forces. As a tempo-rary assistance throughout the continuance of labor Caruso advises a bandage of bichloride gauze (1 : four,000) ar
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By World wide web Archive Book Photos on 1897-01-01 00:00:00