PART I.—MIDWIFERY.Section I.position and uses of the female organs.PageCHAPTER I.—Position of the Organs and Parts,13Internal Organs,14External Organs,16CHAPTER II.—Structure of the Principal Organs and Parts,18The Womb,19The Vagina.—Vulva.—Perineum,29The Pelvis,30CHAPTER III.—Functions of the Principal Female Organs,50The Womb,50The Ovaries.—Menstruation,51Conception,54CHAPTER IV.—Fœtal Development,57Fœtal Nutrition,67Peculiarities of the Fœtal Circulation,70The Breast,74Section II.signs of pregnancy, and the means of detecting it; its duration,and the period at which the fœtus can live.CHAPTER V.—Presumptive Signs,83Probable Signs,94CHAPTER VI.—Duration of Pregnancy,137CHAPTER VII.—Period when the Child can live,142Section III.the form, size and position of the fœtus, and its appendages, atfull term.CHAPTER VIII.—Form and Size of the Body,144Size and Form of the Head,144Attitude of the Fœtus at Full term,152CHAPTER IX.—The Appendages of the Fœtus at term,155CHAPTER IX.—The Membranes,155The Placenta,156The Umbilical Cord,157Section IV.the mechanism of delivery in all the different presentationsand positions of the fœtus.CHAPTER X.—Presentations,160Positions,161Mode of ascertaining the Presentation andPosition,164CHAPTER XI.—The Mechanism of Delivery, in a Presentationof the Head,170The Left Anterior Occipito Iliac Position,170Mechanism of Delivery in all other Positionsof the Head,185General Remarks on the Different Positionsof the Head,189CHAPTER XII.—Mechanism of Delivery in Presentations ofthe Lower Extremities,191Delivery in a Breech Presentation in the leftAnterior Sacro-Iliac Position,192Delivery by the Breech in the Right PosteriorSacro Iliac Position,196Delivery by the Breech in the Full Posterior,or Sacro Sacral Position,196General Remarks on the Presentation of theLower Extremities,197CHAPTER XIII.—Mechanism of Delivery in Presentations ofthe Face,199Delivery in the Right Posterior Mento IliacPosition of the Face,199Delivery in other positions of the face,200CHAPTER XIV.—Mechanism of Delivery in Presentations ofthe Trunk,203Mechanism of Delivery in Presentations ofthe Trunk by Spontaneous Evolution,204Section V.the physiology of spontaneous delivery, or childbirth, and themanner of conducting a natural labor.CHAPTER XV.—Of Delivery in General.—Different Kinds ofDelivery.—Causes of Labor,211Signs of Delivery,212CHAPTER XVI.—The Progress, Phenomena, and Duration ofNatural Labor.—First Period,214Second Period,216Duration of Natural Labor,220CHAPTER XVII.—The Conduct or Management of a NaturalLabor.—Preliminary Requisites,222Preliminary Proceedings,223Preparations for the Delivery,226Attendance after the Preparations are made,and during the Delivery,229CHAPTER XVII.—Delivery of the After Birth, or Placenta andMembranes,239Attentions to the Female after the Deliveryof the After Birth,242Attentions to the Child,243Accidents which may happen,246Subsequent Attentions to Mother and Child,249Concluding Remarks,255Section VI.protracted and difficult labors.CHAPTER XVIII.—The Causes and Consequences of ProlongedLabor to both Mother and Child,259The Consequences of Prolonged Labor,259CHAPTER XIX.—Causes connected with the Mother whichmay impede labor, or make it difficult,260Inertia, or Want of sufficiently PowerfulContraction in the Womb,260Rigidity of the Mouth of the Womb, Vaginaand Vulva,264Obliquities of the Womb,266Prolapsus Uteri.—Smallness or Deformity ofthe Pelvis,267Tumors in the Pelvis,286Tumors externally.—Obstructions in the Vagina,295CHAPTER XX.—Causes connected with the child, or children,which may impede delivery.297Procidentia of the Umbilical Cord,297Shortness of the Cord,300Descent of other parts with the head,301Twins and Triplets,302Excessive size of the Fœtus, or the diseaseddevelopment of certain parts,304Ossification of the Head,305Various presentations and positions of theFœtus,306Presentations of the Lower Extremities,307Presentations of the Shoulder,311Section VII.accidents during labor which may compromise the mother's life.CHAPTER XXI.—Uterine Hemorrhage, or Flooding, duringLabor,315CHAPTER XXII.—Eclampsia, or Convulsions during Labor,336CHAPTER XXIII.—Rupture of the Womb or Vagina,341Section VIII.operations with the hand and with instruments.CHAPTER XXIV.—Operations with Instruments.—The Forceps,345Other Instruments,355CHAPTER XXV.—Operations with the Hand.—Turning,357PART II.the diseases of women during pregnancy, and in childbed.Section IX.the diseases of pregnancy.CHAPTER XXVI.—Sympathetic Diseases occurring duringPregnancy.—Sickness and Vomiting,366Ptyalism, or Excessive Salivation,369Odontalgia, or Toothache,369Derangements of the Appetite,371Pyrosis.—Dysphagia,374Gastralgia,375Constipation,377Dysentery and Diarrhœa,378Dyspnœa, or Difficulty of Breathing,380Cough,381Palpitation of the Heart,383Syncope, or Fainting,384Headache and Dizziness in the Head,386Insomnia, or Sleeplessness,388Temporary Affection of the Sight, Hearing,and Smell,389Disordered Judgment, Inclinations, andPropensities,391Hæmoptysis, Hæmatemesis and Epistaxis,393Varicose Veins,395Hæmorrhoids, or Piles,397Œdema, or Watery Swellings,399Hydrorrhea, or Profuse Discharge of Water,400Pustules, and Mucous Discharges,400Derangements of the Urinary Organs,401Cramps.—Pruritus, or Itching of the ExternalParts,403CHAPTER XXVII.—Idiopathic, or Primary Diseases Incidentto Pregnancy.—Flooding,406Abortion, or Miscarriage,409Section X.the diseases of women in childbed, after lying in.CHAPTER XXVIII.—Diseases of Childbed.—PuerperalFever, or Childbed Fever,420Affections of the Breast occurring afterPregnancy,430Bronchocele, or swelling in the Throat,438Phlegmasia Alba Dolens, or Milk Leg,439Trouble with the Urine,441APPENDIX.on preventing pain in childbirth,443
PART I.MIDWIFERY.
PLATE I.Lateral Section, or side view of the Female Pelvis, to show the position of the Organs.A. The Bladder.B. The Womb.C. The Vagina.D. The Rectum.e.The Right Ovary.f.The Right Fallopian Tube.g.The Os Tincæ, or Mouth of the Womb.h.The Meatus Urinarius, or Mouth of the Bladder.i. i.The Small Intestines.j. j.The Back Bone.k.The Pubic or Front Bone.l.The Right External Lip, or Labium.m.The Right Internal Lip, or Nymphæ.n.The Hymen.o.The Opening through the Hymen.q.The Perineum.p.The Clitoris.(This of course shows the half of all the single Organs and the right one only of those that are double.)
PLATE I.
Lateral Section, or side view of the Female Pelvis, to show the position of the Organs.
A. The Bladder.B. The Womb.C. The Vagina.D. The Rectum.e.The Right Ovary.f.The Right Fallopian Tube.g.The Os Tincæ, or Mouth of the Womb.h.The Meatus Urinarius, or Mouth of the Bladder.i. i.The Small Intestines.j. j.The Back Bone.k.The Pubic or Front Bone.l.The Right External Lip, or Labium.m.The Right Internal Lip, or Nymphæ.n.The Hymen.o.The Opening through the Hymen.q.The Perineum.p.The Clitoris.
(This of course shows the half of all the single Organs and the right one only of those that are double.)
side view of the Female PelvisPlate I.Lateral Section, or side view of the Female Pelvis, to show the position of the Organs in their natural state.
side view of the Female Pelvis
Plate I.Lateral Section, or side view of the Female Pelvis, to show the position of the Organs in their natural state.
Plate I.
Lateral Section, or side view of the Female Pelvis, to show the position of the Organs in their natural state.
PLATE II.Front View of the Female Pelvis, with the External Walls removed.A. The Bladder.B. The Womb.D. The Rectum.e. e.The Ovaries.f. f.The Fallopian Tubes.i. i.The Small Intestines.r. r.The Round Ligaments.
PLATE II.
Front View of the Female Pelvis, with the External Walls removed.
A. The Bladder.B. The Womb.D. The Rectum.e. e.The Ovaries.f. f.The Fallopian Tubes.i. i.The Small Intestines.r. r.The Round Ligaments.
Front View of the Female PelvisPlate II.Front View of the Female Pelvis, with the External Walls removed.
Front View of the Female Pelvis
Plate II.Front View of the Female Pelvis, with the External Walls removed.
Plate II.
Front View of the Female Pelvis, with the External Walls removed.