Obstetrics, the science and the art

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Henry C. Lea, 1867 - 730 pagina's
 

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Inhoudsopgave

Cramps daring labor remarkable cases
49
Os coccygis Fig 11
52
Os innominatum Fig 12
53
Fig 14 illustrates planes of pelvis Carus curve
56
Fig 15 Carus curve Dubois on axis
57
Mechanism of inclined planes Dr Tyler Smiths midplane
58
Duplications of peritoneum in pelvis
67
Fig 20 of a vertex presentation in 2d position How the head
73
Fourth position Fig 23
79
Measurements of fætal heads with results by author
85
Positions of various presentations
91
CHAPTER IV
92
Labial thrombus
94
Abscess of labium Duverneys glands
95
Nymphæ
96
Vestibale Cohesion of the labia
97
The fourchette
98
The hymen Imperforation
99
Which hand Fig 100 Foot prolapsed Fig
101
The clitoris
102
Kobelts Fig 34 of clitoris and pars intermedia
103
Kobelts Fig 35 of bulbs of the vestibule
104
Kobelts Fig 36 profile view of the bulbs and clitoris Case of wounded pars intermedia
105
Daverneys glands and their diseases
107
The vagina
109
Columns of the vagina
110
State of the vagina in falling of the womb
111
Fig 37 The womb and vagina
112
Structure and powers of the womb
114
Fig 39 Muscles of the wombtheir condition in labors
115
The place of the womb as in the pelvis and diagnosis
118
CHAPTER V
119
Graafian vesicles
120
Fig 40 Ovulum bumanum from Wagner
121
Germinal or Purkinjean vesicle and germinal spot
122
Regner de Graaf
123
Purkinje and his discoveries with Figs 41 42 and 43
125
Coste and T Wharton Jones
127
Rudolph Wagner and the macula germinativa
128
Fig 44 Prof Costes Figare of dissected ovary
129
Wagners human ovule with zona pellucida
130
Corpus luteum with Fig 46
133
Authors paper in Philos Soc on corpus luteum 139 M Huschkes idea on acinus of stroma
139
Spontaneous extrusion of ovom from ovary Ovarian fecundation
140
Prof Coste extract from on corpus luteum
142
Is the menstrual discharge a secretion
148
School girls how affected as to the catamenia Pregnant and suck
155
CHAPTER VII
162
Torpor of the womb as cause of emansio mensium A young girl
168
Fig 16 Fætus in utero
172
Medicives for amenorrbæa Tonics for amenorrhea
174
Louise Bourgeois her pastilles for cure of amenorrhæa
175
Iron by hydrogen Blauds pills M Raciborski
176
Diet and medicines Exercise for amenorrhæal women
177
CHAPTER VIII
178
Definition of pregnancy
179
Fecundation
180
Conception
181
Conception is the affixation of a germ
182
The Jews and their law of unclean 183 A table showing the dates of menstruations and conceptions
183
Ovarian pregnancy how it might happen
184
The decidua
185
Velpeaus Figure 49 of a decidua
186
Tubular glands Membranes of the interior of womb Costes Fig 50
187
Coste extract from on tubular glands of womb
188
Fig 51 Genital organs of the Opossum Bisected ovary of Opos Fig 52
190
In the solidungula and cetacea the entire chorion becomes placenta They can have no decidua therefore First forms of the embryo beart
191
The only part of the child that really touches the mother is the blood of the child 193 Cervix uteri as guardian of the pregnancy Double cervix of the ...
193
Development processes or evolution of gravid womb
194
Size and weight of gravid womb Womb sinks downwards soon after
195
commencement of gestation 197 Nausea of pregnant women with cases 199 Quickening is the first perceived movement of the embryo Form of the ...
199
Pointing of the navel Cramps Costiveness in pregnancy
200
Alternate hardening and softening of the womb How the cylindrical neck becomes conical
201
Size of womb at term
202
Placenta
203
Hanter Seiler Velpeau Owen Flourens on placenta Costes preparations of gravid wombs Figs 53 54 of affixation
205
Webers views of placenta 209 Human placenta Figs 55 56
208
Gravid wombs examined by Author
210
Endangium its condition in womb and in placenta
211
Changes in constituent elements of uterus in gestation
212
The blastoderm
213
Processes of conception or affixation and development of the chorion and the decidua reflexa or capsule of the ovulum
214
Development of embryo its omphalomesenteric system and allantois
215
The umbilical vesicle with Figs 57 58 59 60
217
Fig 62 A case of embryonal exomphalos
218
Circulation of fætus
219
Stillborn causes
221
Daration of pregnancy Case of Madame Ingreville
229
Rainards tables of gestation in animals
231
Gestation of Elephant 232 Asdrubali and Signora
232
Anne Gideon
234
Method to compute termtime
236
Changes of the wombs shape and size Fig 67
238
Uterine muscles
239
Cases of turning
240
Obliquity of womb
241
Pressure of womb on the vessels and its consequent
242
Tendency to eclampsia from pressure Puzoss views
243
Hydatids Are they entozoa ? Edwards Pouchet
245
Moles Physometra
247
Hydrometra Abortion
248
Pregnancy does not suspend the ovulations relation of this fact to menstruation in pregnancy and to abortions
250
Figs 69 70 Aborting womb
252
Conducting a case of abortion 253 Fig 73 Deweess placenta hook
253
Bonds forceps for placenta Fig 74
255
Prolapsus from abortions
259
Retroversion
260
Case of retroversion Dr Yardleys case of retroversion adherent fundus Fig 76
264
Extrauterine pregnancy with cases
277
Signs of pregnancy A case with dropsy of the ovum
279
Touching as a means of diagnosis in questionable gestation Auscul tation Bruit de souffle 283 Ausculted sounds of fætal heart M Depaul
283
Obstructions Case of denied pregnancy
284
Quickening as a sign of pregnancy
285
Tympanitis Case of Mad T by Depaul
286
PART III
288
Caliph AlMamun and his physician
290
Fournier and tost seurement et sans doleur
291
Definition of labor
292
Cause of labor
293
Baudelocques opinion on cause of labor
294
Sabsidence of womb at approach of labor
295
their duration
296
Frequencynumber Saccombes curious table of pains
297
Differences and effects of pains
298
Bearing down in labors
299
State of the cervix dilated Fig 77
301
Touching or examination
302
False pains
305
Wigands opinion concerning pains
306
Periodicity of pains Effect of overfull womb on laborpains
308
State of womb in last moments of labors
310
Separation and discharge of placenta The child during a labor
312
Outward thrust of the spinal arch of the child increases the flexion and dip of the head Flexion
313
Table of positions Mde Boivin Mde Lachapelle Nægèle Prof Nægèle at Heidelberg his views on fourth position
316
Mechanism of a labor 320 Lochia
320
CHAPTER X
323
Case of remarkably slow pulse during labor
326
Prof Deweeshis use of venesection in labors
327
State of the bowels to be regarded a Case
328
Decubitus during parturition Cases illustrative
329
To assist the flexion and rotation
331
Failure of rotation Vaginal vesicocele a Case
332
Management of the cervix and os in a labor
334
Effects of badlyformed sacrum
335
Influence of badlyshaped pubis a Case The perineum a Case
336
The conditions of the perineum it compels extension of the head
338
Cord around the neck
339
The shoulders in a labor How to treat the child just born
340
Cutting the cord Placenta to manage its delivery
341
Hourglass contraction and adherent placenta
344
Weight and size of a placenta Retention of it Delivery of
345
Womb after delivery to avoid inversion
346
Afterpains Cases in illustration
347
Case of hemorrhage for want of afterpains
348
The posture of the woman after delivery its influence on flooding 350 Danger of rising up soon after delivery a Case
350
Case to show the usefulness of ergot in procuring afterpains Sitting up too soon Hearne and the Indian mother
351
The heartclot Coagulability of blood augmented by hemorrhage
352
Fainting after delivery Processes of it and dangers Authors first publication concerning heartclot in Med Examiner 1849
353
the capillaries
358
Dr Jobn Sims letter describing the case of the Princess 359 Cases of heartclot
359
Case of heartclot
361
Remarks on the process and result of heartclot Emboli how pro duced and effects of them
362
Tampon never True doctrine of conduct of floodings
364
Turn out the clot
365
Figs 80 81 illustrating face cases
384
Figs 82 83 of face presentations
385
Fig 84 a face presentation chin to sacrum
386
Causes of face presentations 387 Only two positions of face presentations
387
Case of face labor
390
Chin to sacrum Fig 85
393
Madame Boivin on face labors
397
CHAPTER XII
399
Pelvic labors not preternatural Plinys remarks and Raynalds
400
Danger to the child
401
Fatalities in breech labors M Cazeauxs opinion on fatalities by pelvic presentations
403
Diagnosis of these presentations
404
Not to bring down the feeta good rule
405
The breech to descend without help
406
First position illustrated by Fig 88
410
Cases
411
Fourth breech position
412
Foot and knee
415
CHAPTER XIII
416
Shoulder presentations 419 Two shoulder presentations two positions for each shoulder
419
Diagnosis of shoulder cases Turning Rules for turning
420
Which foot
424
Undilated os venesection for
426
Warm bath The arm not to be amputated Cosgreave
427
Spontaneous evolution
428
Doubleheaded fætus Fig 90 born only by Evolution Dr Pfeiffer Dr Robrers case of tumor on fætal head Fig 91
429
Hemorrhagic labors Hemorrhage before delivery
431
Postpartum hemorrhage Placenta prævia
433
In placenta prævia the doctrine is to turn and deliver by the feet
435
Case of placenta prævia Dr Eberle
437
Tampon to be avoided in the cases
438
Treatment when danger is great and pressing
440
When to turn and deliver Dilatability not dilatation Colpeurynter 445 of turning in placenta prævia Deciding on the action Brauns colpeurynter its ad...
445
Concealed hemorrhage Case
446
Hemorrhage following the birth of child Clot the cause of
448
Hourglass contraction of the womb invariably attended with adhe sion of the placenta The rule to deliver by the hand
450
Hemorrhage following delivery of the placenta The rule turn
452
the clot 455 Mauriceaus sister to show that to let the womb contract is the role
455
Convulsions
460
Dr Blackall first to propose albuminuria in dropsy The toxic power of græmic blood
462
Brights cases Dr Gourbeyre and Dr Lever
465
Case of convulsions with albuminuria
467
Albuminuria remarks on with Fig 92 of Bowmans capsules and tubuli
468
Dilatation of osIs it a cause of eclampsia
471
Convulsions most frequent in primipara women
472
Dr Churchills table of convulsion cases Mad Boivin and La Cha pelle Braun Author
473
Table of convulsion cases by Author
474
Description of a paroxysm of convulsions Moment to be chosen
475
Cases
479
Conduct of labor in hydræmical women
487
Exhaustion in labors
489
Cramps in labors Prolapse of the cord
493
Fainting in labors Hernia and laceration in labors
495
Engagement of a loop of the intestine in front of the womb with a case
496
Carcinoma uteri in labors Cases
497
The right hand in second positions
514
Turning in shoulder cases Right hand prolapsed first position Fig 106
516
Right hand prolapsed second position Fig 107
517
Fig 109 Which hand
518
CHAPTER XIV
519
Rickets and mollities Nægèles pelvis
520
Fig 110
521
Shall turning be used in deformed pelvis? 525 Reduction of planes of the head like wiredrawing
525
Mensuration of pelvis or diagnosis of deformity
526
Pelvimeter calliper
527
Badlyformed arch of pubis or misformed sacram Case
528
Prolapse of the bladder with a Fig 118
530
Laceration of the womb and vagina measures to be taken
531
CHAPTER XV
533
The instruments of the ancients Tertullian quotation from
534
Paul Hugh and Peter Chamberlen Their invention of the forceps the cochlea junctura and manubrium or clamps joint and handles The forceps an ins...
535
Paul Chamberlens sons 541 Fig 119 Chamberlens vectis Figs 120 121 Specimens of Chamberlens forceps from the country seat Woodham Mortimor...
540
Figs 122 123 Other drawings of the Chamberlen forceps presented by Mr Causardine to Royal College of Surgeons 543 Samuel Chapman A D 1733 ...
543
Smellie and Levrets forceps
544
Pean Baudelocque Observations on the meaning and uses of the forceps
545
Daviss forceps described
547
Hustons modification of Siebolds Fig 124
549
Forceps for child Perforator for mother Cæsarean section for the mother alone
550
Baudelocques experiments with forceps as compressive
553
Forceps to be applied only to a head within the pelvis When forceps cannot be adjusted to head
554
Motives and manner of proceeding
555
Fig 126 Forceps refuse to be locked from obliquity of clamps
558
Explanation of the lever movements of forceps
559
To apply forceps before the rotation is completed
562
Forceps in occipitoposterior positions
564
Forceps in transverse positions
565
Forceps in face presentations Forceps in locked head
567
Impaction of the head
568
Forceps in pelvic presentations
570
Section of the pabis Sigault Baudelocque M Sue E Sherwood
572
CHAPTER XVI
574
Motives Holmes perforator
575
Questions as to perforation or Cæsarean section
576
The sharp crotchet or uncus
578
Case of embryulcia for deformed pelvis Mrs R by Dr
580
Embryotomy instruments of author with Figs 127 128 129
583
Dr Gibsons Cæsarean operation for Mrs
595
CHAPTER XVII
601
Letter from the author to Dr E on a proposed induction of labor
603
Results of E s case
608
INVERSION OF THE WOMB
609
Case of in version 613 Case
611
Method of repositing inverted womb
613
A case of inversion with spontaneous cure
615
A like case
616
Dr Hatchs letter describing case of spontaneous cure
617
Dr Jno Greene Crosses essay on inversion and his criticisms
620
Crosse Daillez and Baudelocque
622
CHAPTER XIX
623
Diversity of the opinions of physicians as to the disease
624
Necessity for independent research and reasonings on it 625 Authors treatise on the nature signs and treatment of childbed fevers referred to The mil...
625
Misleading tendency of the words childbed fever which is not a fever but a pure phlegmasia 627 Affects among crowded hospitals and cities pregnan...
627
To be cured if possible by resolution of an inflammation 629 The expansion of the primary seats of inflammation transports the phlegmasia to distant...
629
Pathogenic processes Pyæmia 631 Pathogenic processes of childbed fevers
631
Epidemic What may be the epidemic cause
632
Epidemic at HôtelDieu at Paris at Dublin London c Table of epidemics from Ozanam from 1652 to 1845
634
Contagion assumed by some persons to be the canse
638
The Manchester Epidemic of Roberton examined
639
Quarantine for the physician
640
Curious sequence of cases in the practice of certain individuals An example of this sequence
641
Contagion continued
642
The state of the nervous mass in childbed fevers
645
Contagion
647
Mode of onset of the childbed fever and the symptoms detailed
649
The tympanitic state
651
Angulation of the gut frequently mortal
653
Differential diagnosis of milk fever
655
Alexander Gordon His epidemic at Aberdeen His discovery and his method by venesection
656
Gordon Hey Armstrong and Lees work republished by author
658
Gordon indicates twentyfour ounces at one venesection as the cure
659
Dr Collins of Dublin distrusts venesection in childbed fever His case 660 Letter from Dr Collins
660
Case of puerperal fever Leeching as a cure
664
Cupping Emetics Doulcets success
665
Cathartics Calomel
667
Chaussiers method Stupings for the abdomen Blisters
668
Oil of turpentine by Brenan Opium Mercury Antimonials
669
Enemata 670 Tympanites and angulated colon
670
Oatmeal gruel and diet Not a fever but inflammation
672
Metrophlebitis
673
Pyæmia Intoxication Hysteroid symptoms
674
CHAPTER XX
676
CHAPTER XXI
680
Ergotism Nature of laborpains
681
Michels book on ergot
683
Ergot in cases prone to floodings
684
Ergot to procure abortion
685
Dr R Lees case of large doses of ergot
686
CHAPTER XXII
687
Structure of the breast
688
Case of inflamed breast
690
Sore nipple
692
Ointment of deers suet for sore nipples
694
Dr Physicks method for sore nipples 695 Inflamed mamma
695
Fasciola and strophium 697 Milk abscess
697
Case of gathered breast
699
Countersunk nipple
702
Tying the cord Dressing the child
707
Food
711
The navel
717
Sore mouth or aphthæ
723
CHAPTER XXIV
730
Condition of the lungs in a fætus and in a neonatus
736
Asphyxia
740
Rokitansky on cyanosis
748

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