Chapter 23

Management of the placenta,186.After treatment,188.Lactation,189.Milk fever and abscess,191.Excoriated nipples,193.Diet during lactation,195.Management of the lochia,196.After-pains,197.Mechanism of,199. SeeParturition.Abnormal,263.Precipitate,361. SeePrecipitate Labour.Lacerationof the perineum,181,182.Of the uterus,274. SeeRupture.Lactation, management of,189.Diet during,195.Ligamentsof the uterus,31.Ligatureof the funis,184.Liquor Amnii.SeeAmnii Liquor.Lochia, management of the,196.Malacosteon.SeeMollities Ossium.Maleand female pelves, distinction between the,17.Malpositionof the child in utero,264.Rareness of its occurrence,265.Causes of the,266.Symptoms of,268.With deformed pelvis,272.With rigidity of the uterus,272. SeePresentation.Mamma.SeeBreasts.MammaryAbscess,191.Maniaconnected with precipitate labour,366.Puerperal. SeePuerperal Mania.Mechanismof parturition,199. SeeParturition.Membranadecidua,48. SeeDecidua Membrana.Membrane, blastodermic,65.Vitelline. SeeEgg.Membranes, formation of the,48.Premature rupture of the,287.Menses, cessation of the, in pregnancy,83.Mentalaffections, impairing uterine contraction,326.Midwifery, explanation of the term,13.Operations of,216.Forceps,216.Turning,230.Cæsarian operation,243.Artificial premature labour,250.Perforation,161.MilkFever,191.Treatment of,192.Miscarriage,141. SeeAbortion.Molepregnancy,112.Nature and origin of,112.Diagnostic symptoms of,114.Treatment of,116.MollitiesOssium,295.Causes of,296.Pelvic deformity from,296.Varieties of pelvic deformity from,296.Monsters, difficult labour in cases of,284.Movementsof the fœtus, value of, as a sign of pregnancy,88-94.Nates, presentation of the,210.Modifications of,210.Varieties of,210.Mechanism of labour in,211.Diagnosis of,213.Management of,213.Comparative frequency of,215.Navel-string.SeeCord, umbilical.Nutritionof the fœtus,75. SeeFœtus.Nymphæ, anatomical description of the,47.Varicose and œdematous swellings of the,317.Nipples, excoriated,193.Treatment of,194.Œdematousswellings of the labia and nymphæ,317.Operationsin midwifery. SeeMidwifery.Operation, Cæsarian. SeeCæsarian Operation.For Inducing premature labour,253.Organsof generation, internal, in the female,22.External,45.Ossainnominata, description of the,15.Ossium, Mollities,295. SeeMollities.Os Uteri, rigidity of the,310.Adhesion of the edges of the,311.Cicatrices of the,311.Agglutination of the,312.Ovaria, description of the,22.Situation of the,22.Arteries of the,23.Tunica albuginea of the,23.Graafian vesicle,24.Appearance of the, during childhood,28.Diseases to which they are liable,28.OvarianPregnancy,118. SeeExtra-uterine Pregnancy.Ovaries.SeeOvaria.Ovum, development of the,48.Membrana decidua,48.Chorion,52.Amnion,54.Liquor Amnii,55.Placenta,55.Umbilical cord,63.Analogy between the human, and the bird’s egg,64.Order of development,66.Pains, labour, action of,158.Auscultation during,159.Effects of, on the pulse,160.Symptoms to be observed during and between,160.Characters of true,161.Straining,165.Spurious,172.Causes of,172.Diagnosis of,172.Treatment of,173.Palpitationduring pregnancy,104.Treatment of,104.ParietalBone, fracture of the fœtal, from pelvic deformity,302.Parturition, mechanism of,199.Cranial presentations,200.Face,206.Nates,210. SeePresentation;Labour.Pelvis, anatomy of the,15.Brim of the,17.Distinction between the male and female,17.Diameters of the,19.Before puberty,20.Axes of the,21.Inclination of the,21.Malposition of the child with deformed,272.Abnormal state of the,292.Equally contracted,292.Unequally contracted,293.Causes of,293.Symptoms of,298.Funnel shaped,298.Obliquely distorted,299.Exostosis of the,300.Diagnosis of contracted,300.Treatment of,303.Prognosis of,304.PendulousAbdomen, obstructing labour,308.Management of,308.Perforation,256.History of,256.Instruments employed in the operation of,256.Indications for its performance,257.Extraction after,259.Embryulcia,261.Perforators, different kinds of,250.Perineum, obstructing labour,317.Dilatation of the,166.Mode of supporting the, in labour,179.Laceration of the, treatment of,181.Peritonitis, puerperal,420.Symptoms of,420.Anatomical characters of,430.Treatment of,431.False,441.Symptoms of,441.Treatment of,443.Phlebitis, uterine,436.Symptoms of,436.Anatomical characters of,437.Treatment of,438.Crural, connexion of, with phlegmasia dolens,465.Phlegmasiadolens,463.Nature of,463.Definition of,463.Symptoms of,464.Duration of,465.Connexion of, with crural phlebitis,465.With puerperal fever,467.Causes of,466.Anatomical characters,467.Treatment of,469.Physiologyof utero-gestation,15.Placenta, description of the,55.Cotyledons of the,56.Decidua of the,51-56.Circulation of the uterine blood through the,57-61.Sulci of the,57.Fœtal surface of the,60.Expulsion of the,167. SeeLabour.Management of the,186.In twin cases,187.Prævia,393.History of,393.Symptoms of,402.Comparative frequency of, in different years,405.Treatment,406.Partial presentation of the,413.Treatment of,414.Retention of the,337.Encysted,354.Situation of,354.History of,354.Adherent,356.Treatment of,356.Left in the uterus,357.Absorption of retained,358.Plethora, effects of, on uterine contraction,327.Plug, utility of the, in restraining hæmorrhage,410.Best means of applying,152.Positionof the patient during labour,176.Precipitatelabour,361.From violent uterine action,361.From deficient resistance,363.Effects of,363.Treatment of,365.Connexion of, with mania,366.Pregnancy, changes induced in the uterus by,36.Seat and appearance of the uterus in the different stages of,39.Signs of,80.General,81.Cessation of the menses,83.Areola,86.Movements of the fœtus,88-94.Auscultatory signs,89.Ballottement,94.Urinary deposites,96.Purple hue of the vaginal entrance,97.Diagnosis of twin,100.Treatment of,101.Morning sickness,101.Heartburn,103.Constipation,104.Flatulence,104.Colicky pains,104.Headach,104.Spasmodic cough,104.Palpitation,104.Toothach,104.Diarrhœa,105.Pruritis pudendi,105.Salivation,106.Mole,112. SeeMole Pregnancy.Extra-uterine,117. SeeExtra-uterine Pregnancy.Duration of,136.Prematureexpulsion of the fœtus,141. SeeAbortion.PrematureLabour,141.Artificial,250.History of,250.Period for inducing,253.Mode of operating,253.Rupture of the membranes in,287.Presentation, cranial,206.First species of,200.Second species of,203.Of the face,206.Of the nates,210. SeeNates.Of the arm,272.Of the arm with the head,273.Of the hand and feet,273.Of the head and feet,274.Of the placenta,393. SeePlacenta Prævia.Prolapsusof the umbilical cord,368.Pruritispudendi occurring during pregnancy,105.Treatment of,106.Puberty, state of the pelvis before,20.PuerperalConvulsions,376. SeeConvulsions.PuerperalFevers,415.Nature of,418.Varieties of,418.Pathology of,418.Peritonitis,420. SeePeritonitis.Uterine phlebitis,436. SeePhlebitis.Gastro-bilious,444.Causes of,444.History of,444.Symptoms of,445.Anatomical characters of,446.Treatment of,446.Adynamic,450.Symptoms of,450.Anatomical characters of,455.Supervention of arthritic or rheumatic inflammation,456.Contagious nature of,458.PuerperalMania,473.Inflammatory form of,473.PuerperalMania, treatment of,474.Gastro-enteric form of,475.Treatment of,476.Adynamic form of,478.Causes of,478.Symptoms of,478.Treatment of,481.Quickening,88.RetainedPlacenta, absorption of the,358.Retentionof the placenta,337,356.Retroversionof the uterus,126.History of,126.Causes of,127.Symptoms of,129.Diagnosis of,130.Prognosis of,131.Treatment of,131.Rheumaticinflammation after puerperal fever,456.Rheumatismof the gravid uterus,328.Symptoms of,328.Treatment of,333.Rickets, a cause of deformity of the pelvis,294.Rigidityof the uterus, malposition with,272.Of the os uteri,310.Treatment of,310.From age,314.Rigourafter the first stage of labour,162.Ruptureof the uterus,274.Seat of the laceration,274.Causes of,275.Symptoms of,276.Treatment of,277.Gastrotomy,278.During the early months of pregnancy,278.Premature, of the membranes,287.Of the umbilical cord,364.Sacrum, anatomical description of the,16.Salivationduring pregnancy,106.Treatment of,106.Show,163. SeeLabour.Sickness, morning, in pregnancy,101.Treatment of,102.Signsof pregnancy,80. SeePregnancy.Of the death of the fœtus,107.Sizeof a child at birth,281.Spasmodiccough during pregnancy,104.Treatment of,104.Spontaneousevolution,270.Expulsion,271.Stonein the bladder, obstructing labour,323.Strictureof the uterus,335.Symptoms of,335.Effects of, on labour,335.Causes of,336.Treatment of,336.Stroma,23. SeeOvaria.Structure, fibrous, of the uterus,32.Sulciof the placenta, how formed,57.Their connexion with the uterine vessels,59.Tampon,410. SeePlug.Temperament, influence of, on uterine contractions,327.Tetanicpuerperal convulsions,381. SeeConvulsions.Toothachduring pregnancy,104.Treatment of,104.Tumours, obstructing labour,320.Turning,230.Indications for,231.Mode of performing the operation of,232.Rules for finding the feet,237.Extraction of the child,239.With the nates foremost,240.With the head foremost,241.History of,242.Twins,168.Management of the placenta of,168,187.UmbilicalCord,63. SeeCord, umbilical.UnrupturedHymen impeding labour,316.


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