The Philadelphia Practice of Midwifery

Cover The Philadelphia Practice of Midwifery
The Philadelphia Practice of Midwifery
Charles Delucena Meigs
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In the contraction of the muscles of locomotion or relation, we find that the greatest power of the organ is excited at a point mid-way between elon- gation and the greatest condensation. Thus the biceps acts with greatest force when the arm is bent to a right angle, and not when it has drawn the hand up to touch the clavicle, or when the arm is fully extended ; but in the case of the uterine fibres, if we adopt the common theories, we must admit that the nearer the extremes of the muscular fib...res are brought to each other, the stronger do they act. In the case of the uterine fibres, what- ever be the cause of the first contractions, or whatever be that of the periodical return of them, both the causes seem to acquire strength by exertion. The weakest pains are those which are met with in women who have the womb enormously distended with water, or with twins ; the uterus in such cases seeming to be distended beyond the just limit, and to lose thereby, its tonic or con- tractile force, a case similar to that which is observed in an over distended bladder, which, as is well known, re- fuses to act upon its contents, so that, even with the catheter introduced, it is sometimes necessary for the physician to aid the bladder by pressing his hand strong- ly upon the hypogastrium.

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