A Treatise On the Theory And Practice of Obstetrics

Cover A Treatise On the Theory And Practice of Obstetrics
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We should, therefore, often examine the state of the bladder, by placing our hand over the hypogastric region, and if it become dis- tended, and the patient cannot voluntarily discharge it, the cathe- ter should be resorted to. The pressure on the urethra makes it sometimes very difficult to introduce this instrument ; but the flexi- ble will generally pass in the absence of pain ; and if the urethra is pressed together too much for this, the head may be lifted up, in the absence of uterine con...traction, while the catheter is passed.
The student should bear in mind that during labor the urethra is directed upward, and in all its course is immediately behind the symphysis pubis, and that the meatus urinarius, instead of being THEORY AND PEACTICE OF OBSTETRICS. 369 prominent and easily discovered, as it is in the ordinary condition of the parts, is sometimes drawn up within tlie pelvis, so that it cannot be seen without carefully separating the parts and searching behind the arch of the symphysis.


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