The Science And Art of Obstetrics
The Science And Art of Obstetrics
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As has been stated, the rule is that in the first stage of labor attempts to dilate the os uteri by the fingers should not be made ; so, too, they are usually not required in the second stage. But as it sometimes happens that in the former the force of the uterine contractions is in part lost in consequence of the os being directed too far posteriorly and to the side, and it may be then advantageous to hook the fingers into the os during the absence of a pain, and draw it toward the centre of t...he pelvic cavity, keeping it in this position during a contraction, so in the second stage the anterior margin of the os may be found closely applied to the foetal head, while the posterior has receded, hence liberation of the former is indicated. The part of the foetal head in front descends at each contraction, hooded by the anterior portion of the dilated cervix, and this portion thus compressed between the head of the foetus and the pelvic wall is liable to become swelled and oedematous. Therefore, by the advice of the most conservative obstetricians, this part may be pressed up, in the intervals of contrac- tions, by one or two fingers, and thus held during a uterine effort ; some- times the head immediately passes the obstruction, but in others it may be necessary once or oftener to repeat the proceeding.
What to read after The Science And Art of Obstetrics?
You can find similar books in the "Read Also" column, or choose other free books by Theophilus Parvin to read onlineMoreLess
To quickly assess the difficulty of the text, read a short excerpt:
As has been stated, the rule is that in the first stage of labor attempts to dilate the os uteri by the fingers should not be made ; so, too, they are usually not required in the second stage. But as it sometimes happens that in the former the force of the uterine contractions is in part lost in consequence of the os being directed too far posteriorly and to the side, and it may be then advantageous to hook the fingers into the os during the absence of a pain, and draw it toward the centre of t...he pelvic cavity, keeping it in this position during a contraction, so in the second stage the anterior margin of the os may be found closely applied to the foetal head, while the posterior has receded, hence liberation of the former is indicated. The part of the foetal head in front descends at each contraction, hooded by the anterior portion of the dilated cervix, and this portion thus compressed between the head of the foetus and the pelvic wall is liable to become swelled and oedematous. Therefore, by the advice of the most conservative obstetricians, this part may be pressed up, in the intervals of contrac- tions, by one or two fingers, and thus held during a uterine effort ; some- times the head immediately passes the obstruction, but in others it may be necessary once or oftener to repeat the proceeding.
What to read after The Science And Art of Obstetrics?
You can find similar books in the "Read Also" column, or choose other free books by Theophilus Parvin to read onlineMoreLess
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