Chapter 22

Abdomenof the fœtus, labour obstructed by depositions in the,284.Pendulous,308.Management of the,309.Abdominalmuscles, faulty action of the, obstructing labour,336.AbnormalParturition, divisions and species of,263. SeeDystocia.Abortion,141.Explanation of the term,141.Period at which it is most common,142.Causes of,142.Death of the embryo,142.External violence,143.Mental emotions,143.Irritable uterus,144.Symptoms of,144.Treatment of,146.Prophylactic,146.In the attack,149.After expulsion,155.Abscess, mammary,191.Treatment of,192.Absorptionof retained placenta,358.Adynamicpuerperal fever,450. SeePuerperal Fever.Mania,473. SeePuerperal Mania.After-pains,197.Causes of,197.Utility of,198.Age, rigidity of the passages from, obstructing labour,314.Influence of, on the contractile power of the uterus,327.AllantoidisLiquor, situation of the,54.Allantois, mode of its formation,70.Its existence in the human embryo,70.Functions of the,70.AmniiLiquor spurius, situation of the,54.Characters of the,55.Source of the,55.Use of the,55.Formation of the bag of the,162.Excessive quantity of,287.Amnion, description of the,54.Formation of the,69.Dropsy of the,287.Anatomyof utero-gestation,15.Of the pelvis,15.Of the sacrum,16.Of the coccyx,17.Of the ovaria,22.Of the Fallopian tubes,28.Of the uterus,30.Comparative, of the,34.Of the external organs of generation in the female,45.Anæmicpuerperal convulsions,387.Anchylosisof the fœtal joints, obstructing labour,284.Anteversionof the uterus,309.Apoplecticpuerperal convulsions,387.Areolaof the breasts,86.Arm, presentation of the,272. SeeLabour.With the head,273. SeePresentation.Arthriticinflammation supervening upon puerperal fever,456.Artificialpremature labour,250.Atonyof the uterus,324.Causes of,325.Debility,325.Derangement of the digestive organs,326.Mental affections,326.Age and temperament,327.Plethora,327.Rheumatism of the gravid uterus,328.Inflammation of the uterus,329.Treatment of,339.Auscultationin the diagnosis of pregnancy,89.Uterine souffle,90.Funic souffle,93.Mode of ascertaining twin pregnancy by means of,100.During the pains,159.Axesof the pelvis,21.Ballottement, method of performing,94.Bladder, distended or prolapsed, obstructing labour,322.Stone in the,323.BlastodermicMembrane,65. SeeEgg.Blood-vessels, uterine, enlargement of, during pregnancy,38.Their connexion with the placenta,57,58.Breasts, changes which they undergo during pregnancy,86.Abscess of the,191.Breech, presentation of the,210. SeeNates.Brimof the pelvis, situation of the,17.BronchialProcesses, description of the,71.CæsareanOperation,243-278.Indications for its performance,243.Different modes of performing it,246.History of the,248.Canalisvenosus, situation of the,78.Caputsuccedaneum, in what it consists,165.Carunculæmyrtiformes, how produced,46.Cerebraltumours in the fœtus, obstructing labour,283.Chest, morbid depositions in the fœtal, obstructing labour,284.Child, size of, at birth,281.Its influence on the duration of labour,282.Unnatural form of the,282. SeeFœtus.Chorion, description of the,52.Changes which it undergoes during pregnancy,53.Cicatricesin the vagina obstructing labour,315.Treatment of,316.Of the os uteri,311.Circulation, fœtal,77. SeeFœtus.Clitoris, anatomical description of the,46.Coccyx, anatomical description of the,17.Colic, occurring during pregnancy,104.Treatment of,104.Colostrum, nature and use of the,190.Conception, false,112. SeeMole.Constipationduring pregnancy,104.Treatment of,104.Contagiousnature of adynamic puerperal fever,458.Contractedvagina, obstructing labour,315.Contractilepower of the uterus, derangement of the,324.Causes of,325.Treatment of,329.Contraction, hour-glass, of the uterus,354. SeePlacenta, encysted.Convulsions, puerperal,376.Epileptic,377.Causes of,377.Symptoms of,377.Tetanic,381.Diagnosis of labour during,382.Prophylactic treatment of,383.Treatment during the attack of,383.Apopletic,387.Anæmic,387.Symptoms of,388.Treatment of,388.Hysterical,390.Symptoms of,390.CopulativeOrgans,22.Cord, umbilical description of the,63.Vessels of the,63.Length of the,63.Round the neck of the child,183.Ligature of the,184.Rupture of the,364.Prolapsus of the,368.Diagnosis of,368.Causes of,368.Treatment of,372.Reposition of the,373.Unusual shortness of the,288.Knots upon the,290.CorpusLuteum, nature of the,25.Appearance of, at different periods after conception,25.Cotyledonsof the placenta, situation of the,56.Cough, spasmodic, occuring during pregnancy,104.Treatment of,104.Cranium, presentation of the,200. SeePresentation.Crotchet, mode of its application,260.Deathof the fœtus, signs of the,107. SeeFœtus.Debility, insufficient uterine action from,325.Deciduamembrana, description of the,48.Its connexion with the uterus,49.With the ovum,50.With the placenta,51-55.With the Fallopian tubes,51.Vera,51.Reflexa,51.De Graaf, vesicles of,24.Deliriumoccurring during labour,167.Depositions, morbid, in the fœtal cavities, obstructing labour,284.Developmentof the ovum. SeeOvum.Diagnosisof pregnancy,80. SeePregnancy, signs of.Of twin Pregnancy,100.Diametersof the pelvis,19.Diarrhœaduring pregnancy,105.Treatment of,105.Dietduring labour,179.Lactation,195.Dilatationof the perineum during labour,166.Distendedbladder, obstructing labour,322.Dropsyof the amnion,287.Ductusarteriosus, situation of the,78.Durationof pregnancy,136.Causes which determine the,139.Of labour, prognosis as to,178.Wigand’s views,178.Dystocia,263.Divisions and species of,263.Malposition,264.Faulty form and size of the child,281.Faulty condition of the parts which belong to the child,282.Abnormal state of the pelvis,292.Faulty condition of the soft passages,308.Faulty condition of the expelling powers,324.Inversion of the uterus,345.Encysted placenta,354.Precipitate labour,361.Prolapsus of the umbilical cord,368.Puerperal convulsions,376.Placenta prævia,393.Puerperal fevers,415.Phlegmatia dolens,463.Puerperal mania,473.Dystociaepileptica,381. SeeConvulsions, puerperal.Eclampsiaparturientia,376. SeeConvulsions, puerperal.Egg, bird’s, its analogy with the human ovum,64.Blastodermic membrane,65.Vitelline membrane,65.Yelk bag,65.Germinal vesicle,65.Embryo, development of the,64.Embryulcia,261. SeePerforation.EncystedPlacenta,354. SeePlacenta.EpilepticConvulsions, puerperal,376. SeePuerperal Convulsions.Eutocia,156. SeeLabour, natural.Evolution, spontaneous, of the fœtus,270.Examinationduring labour, mode of its performance,174.Exostosisof the pelvis,300.Prognosis in,305.Expellingpowers, faulty state of the, after the birth of the child,337.Expulsion, spontaneous,270.Of the child,166.Delirium accompanying the,167.Of the placenta,167.Externalorgans of generation in the female described,45.Extirpationof the uterus,332. SeeInversion.Extraction, method of performing, after turning the child,239.After perforation,259.Extra-uterinepregnancy,117.Varieties of,117.Tubarian,118.Ovarian,118.Ventral,119.In the substance of the uterus,117.Symptoms of,118.Causes of,119.Treatment of,120.Case of,120.Eye, rheumatic inflammation of the, after puerperal fever,456.FacePresentation,206. SeePresentation.FallopianTubes, description of the,28.Their agency in impregnation,29.Changes which they undergo during pregnancy,29.Pregnancy of the,117.Febrislactea,191. SeeMilk Fever.Feet, rules for finding the, in the operation of turning,237.Presentation of the,273. SeePresentation.FemalePelvis, distinction between it and the male,17.Organs of generation described,22.Fever, milk,192. SeeMilk Fever.Puerperal,415. SeePuerperal Fever.Fibrousstructure of the uterus described,32.Flatulenceduring pregnancy,104.Treatment of,104.Flooding,338. SeeHæmorrhage.Fœtus, characters of a full-grown,75.Nutrition of the,75.Circulation in the,77.Changes which it undergoes at the moment of birth,78.Signs of the death of the,107.Premature expulsion of the,141. SeeAbortion.Size and form of the, at birth,281.Morbid depositions in the cavities of the,284.Anchylosis of the joints of the,284.Spontaneous evolution of the,270.Foramenovale, situation of the,77.Forceps, description of the,216.Varieties of the,217.General indications for their use,221.Mode of applying the,222.History of the,227.FormativeOrgans,22.Fractureof the parietal bone of the fœtus from pelvic deformity,302.FunicSouffle,93. SeeAuscultation.Funis,63. SeeCord, umbilical.Funnel-shapedPelvis,298.Gastro-biliouspuerperal fever,444. SeePuerperal Fever.Gastrotomy,243. SeeCæsarian Operation.Generation, internal organs of, described,22.External organs of,45.GerminalVesicle,65. SeeEgg.GraafianVesicles, description of the,25.Hæmorrhage, uterine, after the birth of the child,338.Treatment of,339.In placental presentation,399.Treatment of,406.Handand feet, presentation of the,274. SeePresentation.Headachduring pregnancy, treatment of,104.Heartburnduring pregnancy,103.Treatment of,103.Hour-glassContraction,354. SeePlacenta, encysted.Hydrocephalus, obstructing labour,282.Hymen, description of the,45.Unruptured, impeding labour,316.Hystericalpuerperal convulsions,390. SeeConvulsions.Hysterotomy,243. SeeCæsarian Operation.Inclinationof the pelvis,21.Indusium,23. SeeOvaria.Inflammationof the uterus, affecting its contraction,329.Inversionof the uterus,345.Causes of,345.Diagnosis of,346.Symptoms of,346.Treatment of,347.Chronic,351.Joints, anchylosis of the fœtal, obstructing labour,284.Kiesteine,96.Labia, anatomical description of the,47.Varicose and œdematous swellings of the,317.Labour, premature. SeePremature Expulsion of the Fœtus.Natural,156.Preparatory stage of,157.First contractions,157.Action of the pains,158.Auscultation during the pains,159.Effects of the pains on the pulse,160.Symptoms during and between the pains,160.Characters of a true pain,161.Formation of the bag of liquor amnii,162.Rigour at the end of the first stage,162.Show,163.Duration of the first stage,163.Second stage of,164.Straining pains,165.Dilatation of the perineum,166.Expulsion of the child,166.Third stage of,167.Expulsion of the placenta,167.Twins,168.Treatment of,169.State of the bowels,170.Management of the first stage,174.Examination of the patient,174.Position of the patient,176.Diet during labour,179.Supporting the perineum,179.Perineal laceration,181,182.Cord round the child’s neck,183.Ligature of the cord,184.Passage of the shoulders,184.


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