Obstetrics, the science and the art

Charles Delucena Meigs

Henry C. Lea, 1867 - 730 páginas

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Preliminary observations	33

PAGE	36

PART I	37

Idea of pelvis 38 Etymology of pelvis	38

Fig 1 and Fig 2 The female pelvis illustration of Brim strait	40

The superior strait with view Fig 4 and inferior strait Fig 5	44

Primordial pieces of embryonal sacrum Fig 7	46

Base apex wings	47

The binder	366

The newlyborn child	368

Lochia Etherization	369

Professor Simpsons letter to author on anæsthesia in midwifery	373

Authors letter in reply to Prof Simpson	376

Present views of author on anesthesia	381

CHAPTER XI	382

Figs 80 81 illustrating face cases	384

Naegelés oblique oval pelvis with Fig 10	49

Os coccygis Fig 11	52

Os innominatum Fig 12	53

Acetabulum Cardinal point Cavity or excavation of ischium	55

Fig 14 illustrates planes of pelvis Carus curve	56

Fig 15 Carus curve Dubois on axis	57

Foramina	61

Duplications of peritoneum in pelvis	67

Fig 20 of a vertex presentation in 2d position How the head	73

Inclined plane	75

Fourth position Fig 23	79

Measurements of foetal heads with results by author	85

The pudenda 92 Account of the pubic symphysis The labia majora The perineum	92

Labial thrombus	94

Fig 33 A breech presentation	95

Nymphæ	96

Vestibule Cohesion of the labia	97

The fourchette	98

The hymen Imperforation	99

Which hand Fig 100 Foot prolapsed Fig	101

The clitoris	102

Kobelts Fig 34 of clitoris and pars intermedia	103

Kobelts Fig 35 of bulbs of the vestibule	104

Kobelts Fig 36 profile view of the bulbs and clitoris Case of wounded pars intermedia	105

Duverneys glands and their diseases	107

The vagina	109

Columns of the vagina	110

State of the vagina in falling of the womb	111

Fig 37 The womb and vagina	112

Structure and powers of the womb	114

Fig 39 Muscles of the wombtheir condition in labors The place of the womb as in the pelvis and diagnosis	115

CHAPTER V	119

Graafian vesicles	120

Fig 40 Ovulum humanum from Wagner	121

Germinal or Purkinjean vesicle and germinal spot	122

Regner de Graaf	123

Purkinje and his discoveries with Figs 41 42 and 43	125

Coste and T Wharton Jones	127

Rudolph Wagner and the macula germinativa	128

Fig 44 Prof Costes Figure of dissected ovary	129

Wagners human ovule with zona pellucida	130

Corpus luteum with Fig 46	133

Authors paper in Philos Soc on corpus luteum 139 M Huschkes idea on acinus of stroma	139

Spontaneous extrusion of ovum from ovary Ovarian fecundation	140

Prof Coste extract from on corpus luteum	142

MENSTRUATION	145

Fig 47 The womb and ovaries	151

absence of womb or ovaries Case	157

Hydræmia not anæmia how it affects the development of the girl	163

Torpor of the womb as cause of emansio mensium A young girl	168

Medicines for amenorrhoea Tonics for amenorrhea	174

Louise Bourgeois her pastilles for cure of amenorrhoea Valets	175

Iron by hydrogen Blauds pills M Raciborski	176

Diet and medicines Exercise for amenorrhoeal women	177

CHAPTER VIII	178

Definition of pregnancy	179

Fecundation	180

Conception	181

Conception is the affixation of a germ	182

The Jews and their law of unclean 183 A table showing the dates of menstruations and conceptions	183

Ovarian pregnancy how it might happen	184

The decidua	185

Velpeaus Figure 49 of a decidua	186

Tubular glands Membranes of the interior of womb Costes Fig 50	188

Fig 51 Genital organs of the Opossum Bisected ovary of Opos sum Fig 52	190

In the solidungula and cetacea the entire chorion becomes placenta They can have no decidua therefore First forms of the embryo heart	191

The only part of the child that really touches the mother is the blood of the child 193 Cervix uteri as guardian of the pregnancy Double cervix of the ...	193

Development processes or evolution of gravid womb	194

Size and weight of gravid womb Womb sinks downwards soon after commencement of gestation	195

Nausea of pregnant women with cases	197

Quickening is the first perceived movement of the embryo Form of the abdomen in pregnancy	199

Pointing of the navel Cramps Costiveness in pregnancy	200

Alternate hardening and softening of the womb neck becomes conical	201

Size of womb at term	202

Placenta How the cylindrical	203

Hunter Seiler Velpeau Owen Flourens on placenta	205

Costes preparations of gravid wombs Figs 53 54 of affixation	207

Webers views of placenta 209 Human placenta Figs 55 56	208

Gravid wombs examined by Author	210

Endangium its condition in womb and in placenta	211

Changes in constituent elements of uterus in gestation	212

The blastoderm Processes of conception or affixation and development of the chorion and the decidua reflexa or capsule of the ovulum	213

Development of embryo its omphalomesenteric system and allantois	215

The umbilical vesicle with Figs 57 58 59 60	217

Fig 62 A case of embryonal exomphalos	218

Circulation of foetus	219

Stillborn causes	221

RitaChristina and doubled children Dr Boerstlers duplex monster	224

Duration of pregnancy Pfeiffers monster Fig 63	229

Rainards tables of gestation in animals	231

Gestation of Elephant 232 Asdrubali and Signora	232

Anne Gideon	234

Method to compute termtime	236

Changes of the wombs shape and size Fig 67	238

Uterine muscles	239

Obliquity of womb	241

Pressure of womb on the vessels and its consequent	242

Tendency to eclampsia from pressure Puzoss views	243

Hydatids Are they entozoa? Edwards Pouchet	245

Moles Physometra	247

Hydrometra Abortion	248

Pregnancy does not suspend the ovulations relation of this fact to menstruation in pregnancy and to abortions	250

Figs 69 70 Aborting womb	252

Conducting a case of abortion 253 Fig 73 Deweess placenta hook	253

Bonds forceps for placenta Fig 74	255

Brauns colpeurynter Fig 75 Tampon	256

Prolapsus from abortions	259

Retroversion	260

Case of retroversion Dr Yardleys case of retroversion adherent fundus Fig 76	261

Case of gravid womb retroverted colpeurysis	275

Extrauterine pregnancy with cases	277

Signs of pregnancy A case with dropsy of the ovum	279

Touching as a means of diagnosis in questionable gestation Auscul tation Bruit de souffle 283 Ausculted sounds of foetal heart M Depaul	283

Obstructions Case of denied pregnancy	284

Quickening as a sign of pregnancy	285

Tympanitis Case of Mad T by Depaul	286

PART III	288

Caliph AlMamun and his physician	290

Fournier and tost seurement et sans doleur Definition of labor	292

Cause of labor	293

Baudelocques opinion on cause of labor	294

Subsidence of womb at approach of labor	295

their duration	296

Frequencynumber Saccombes curious table of pains	297

Differences and effects of pains	298

Bearing down in labors	299

State of the cervix dilated Fig 77	300

Constitutional effects of pains Signs of labor	301

Touching or examination	302

False pains	305

Wigands opinion concerning pains	306

Periodicity of pains Effect of overfull womb on laborpains	308

State of womb in last moments of labors	310

Separation and discharge of placenta The child during a labor	312

Outward thrust of the spinal arch of the child increases the flexion and dip of the head Flexion	313

Positions Fig 78 illustrates first position of the vertex	314

Table of positions Mde Boivin Mde Lachapelle Nægèle 316 Prof Nægèle at Heidelberg his views on fourth position	316

Mechanism of a labor Lochia	320

CHAPTER X	323

Case of remarkably slow pulse during labor	326

Prof Deweeshis use of venesection in labors	327

State of the bowels to be regarded a Case	328

Decubitus during parturition Cases illustrative	329

To assist the flexion and rotation	331

Failure of rotation Vaginal vesicocele a Case	332

Management of the cervix and os in a labor	334

Effects of badlyformed sacrum	335

Influence of badlyshaped pubis a Case The perineum a Case	336

The conditions of the perineum it compels extension of the head	338

Cord around the neck	339

The shoulders in a labor How to treat the child just born	340

Cutting the cord Placenta to manage its delivery	341

Hourglass contraction and adherent placenta	344

Weight and size of a placenta Retention of it Delivery of	345

Womb after delivery to avoid inversion	346

Afterpains Cases in illustration	347

Case of hemorrhage for want of afterpains	348

The posture of the woman after delivery its influence on flooding 350 Danger of rising up soon after delivery a Case	350

Case to show the usefulness of ergot in procuring afterpains Sitting Hearne and the Indian mother up too soon	351

The heartclot Coagulability of blood augmented by hemorrhage	352

Fainting after delivery Processes of it and dangers Authors first publication concerning heartclot in Med Examiner 1849	353

Dr John Sims letter describing the case of the Princess	355

Cases of heartclot	359

Case of heartclot	361

Remarks on the process and result of heartclot Emboli how pro duced and effects of them	362

Tampon never True doctrine of conduct of floodings	364

Turn out the clot	365

Figs 82 83 of face presentations	385

Fig 84 a face presentation chin to sacrum	386

Causes of face presentations 387 Only two positions of face presentations	387

Case of face labor	390

Chin to sacrum Fig 85	393

Madame Boivin on face labors	397

Alexander Gordon His epidemic at Aberdeen His discovery and his method by venesection	398

CHAPTER XII	399

Pelvic labors not preternatural Plinys remarks and Raynalds	400

Danger to the child	401

Fatalities in breech labors M Cazeauxs opinion on fatalities by pelvic presentations	403

Diagnosis of these presentations	404

Not to bring down the feeta good rule	405

The breech to descend without help	406

First position illustrated by Fig 88	410

Cases	411

Fourth breech position	412

CHAPTER XIII	416

Shoulder presentations 419 Two shoulder presentations two positions for each shoulder	419

Diagnosis of shoulder cases Turning Rules for turning	420

Which foot?	424

Undilated os venesection for	426

Warm bath The arm not to be amputated Cosgreave	427

Spontaneous evolution	428

Doubleheaded fœtus Fig 90 born only by Evolution Dr Pfeiffer Dr Rohrers case of tumor on foetal head Fig 91	429

Case of forced evolution in shoulder presentation	430

Hemorrhagic labors Hemorrhage before delivery	431

Postpartum hemorrhage Placenta prævia	433

In placenta prævia the doctrine is to turn and deliver by the feet	435

Case of placenta prævia Dr Eberle	437

Tampon to be avoided in the cases	438

Treatment when danger is great and pressing	440

When to turn and deliver Dilatability not dilatation Colpeurynter 445 Of turning in placenta prævia Deciding on the action Brauns colpeurynter its ad...	445

Concealed hemorrhage Case	446

Hemorrhage following the birth of child Clot the cause of	448

Hourglass contraction of the womb invariably attended with adhe sion of the placenta The rule to deliver by the hand	450

Hemorrhage following delivery of the placenta The rule turn	452

the clot	455

Mauriceaus sister to show that to let the womb contract is the rule Convulsions	460

Dr Blackall first to propose albuminuria in dropsy The toxic power	462

of uræmic blood	464

Brights cases Dr Gourbeyre and Dr Lever	465

Case of convulsions with albuminuria	467

Albuminuria remarks on with Fig 92 of Bowmans capsules and tubuli	468

Dilatation of osIs it a cause of eclampsia?	471

Convulsions most frequent in primipara women	472

Dr Churchills table of convulsion cases pelle Braun Author	473

Table of convulsion cases by Author	474

Description of a paroxysm of convulsions	475

Cases	479

Conduct of labor in hydræmical women	487

Exhaustion in labors	489

Cramps in labors Prolapse of the cord Mad Boivin and La Cha	493

Fainting in labors Hernia and laceration in labors	495

Engagement of a loop of the intestine in front of the womb with a case	496

Carcinoma uteri in labors Cases	497

Cases of turning	513

The right hand in second positions	514

Turning in shoulder cases Fig 106	516

Right hand prolapsed second position Fig 107	517

Fig 109 Which hand?	518

CHAPTER XIV	519

Rickets and mollities Nægèles pelvis	520

Fig 110 Nægèles oblique oval pelvis	521

Shall turning be used in deformed pelvis ? 525 Reduction of planes of the head like wiredrawing	525

Mensuration of pelvis or diagnosis of deformity	526

Pelvimeter calliper	527

Badlyformed arch of pubis or misformed sacrum Case	528

Prolapse of the bladder with a Fig 118	530

Laceration of the womb and vagina measures to be taken	531

CHAPTER XV	533

The instruments of the ancients Tertullian quotation from	534

Paul Hugh and Peter Chamberlen Their invention of the forceps the cochlea junctura and manubrium or clamps joint and handles The forceps an ins...	535

Hugh Chamberlens interview with Mauriceau at Paris Aug 12 1670	540

Fig 119 Chamberlens vectis 541 Figs 120 121 Specimens of Chamberlens forceps from the country seat Woodham Mortimor Hall	541

Figs 122 123 Other drawings of the Chamberlen forceps presented by Mr Causardine to Royal College of Surgeons 543 Samuel Chapman A D 1733	543

Smellie and Levrets forceps Progress of improvement in	544

Pean Baudelocque Observations on the meaning and uses of the forceps	545

Daviss forceps described	546

Hustons modification of Siebolds Fig 124	548

Fig 125 Daviss forceps and childs head	549

Forceps for child Perforator for mother Cæsarean section for the mother alone	550

Lever motion of forceps Not an instrument of compression	552

Baudelocques experiments with forceps as compressive	553

Forceps to be applied only to a head within the pelvis When forceps cannot be adjusted to head	554

Motives and manner of proceeding	555

Fig 126 Forceps refuse to be locked from obliquity of clamps	558

Explanation of the lever movements of forceps	559

To apply forceps before the rotation is completed	562

Forceps in occipitoposterior positions	564

Forceps in transverse positions	565

Forceps in face presentations Forceps in locked head	567

Impaction of the head	568

Forceps in pelvic presentations	570

Section of the pubis Sigault Baudelocque M Sue E Sherwood	572

CHAPTER XVI	574

Motives Holmes perforator	575

Questions as to perforation or Cæsarean section	576

The sharp crotchet or uncus	578

Case of embryulcia for deformed pelvis Mrs R by Dr	580

Embryotomy instruments of author with Figs 127 128 129	592

Dr Gibsons Cæsarean operation for Mrs	595

CHAPTER XVII	601

Letter from the author to Dr E on a proposed induction of labor	603

Results of E s case	608

CHAPTER XVIII	609

Case of inversion 613 Case	611

Method of repositing inverted womb	613

A case of inversion with spontaneous cure	615

A like case	616

Dr Hatchs letter describing case of spontaneous cure	617

Dr Jno Greene Crosses essay on inversion and his criticisms	620

Crosse Daillez and Baudelocque	622

CHAPTER XIX	623

Diversity of the opinions of physicians as to the disease	624

Necessity for independent research and reasonings on it 625 Authors treatise on the nature signs and treatment of childbed fevers referred to The mil...	625

Misleading tendency of the words childbed fever which is not a fever but a pure phlegmasia 627 Affects among crowded hospitals and cities pregnan...	627

To be cured if possible by resolution of an inflammation 629 The expansion of the primary seats of inflammation transports the phlegmasia to distant...	629

Pathogenic processes Pyæmia 631 Pathogenic processes of childbed fevers Causes	631

Epidemic What may be the epidemic cause	632

Epidemic at HôtelDieu at Paris at Dublin London c Table of epidemics from Ozanam from 1652 to 1845	634

Contagion assumed by some persons to be the cause	638

The Manchester Epidemic of Roberton examined	639

Quarantine for the physician	640

Curious sequence of cases in the practice of certain individuals An example of this sequence	641

Contagion continued	642

The state of the nervous mass in childbed fevers	645

Contagion	647

Mode of onset of the childbed fever and the symptoms detailed	649

The tympanitic state	651

Angulation of the gut frequently mortal	653

Differential diagnosis of milk fever	655

Gordon Hey Armstrong and Lees work republished by author	658

Gordon indicates twentyfour ounces at one venesection as the cure	659

Dr Collins of Dublin distrusts venesection in childbed fever His case 660 Letter from Dr Collins 664 Case of puerperal fever Leeching as a cure	660

Cupping Emetics Doulcets success	665

Cathartics Calomel	667

Chaussiers method Stupings for the abdomen Blisters	668

Oil of turpentine by Brenan Opium Mercury Antimonials	669

Enemata 670 Tympanites and angulated colon	670

Oatmeal gruel and diet Not a fever but inflammation	672

Metrophlebitis	673

Pyæmia Intoxication Hysteroid symptoms	674

CHAPTER XX	676

CHAPTER XXI	680

Ergotism Nature of laborpains	681

Michels book on ergot	683

Ergot in cases prone to floodings	684

Ergot to procure abortion	685

Dr R Lees case of large doses of ergot	686

CHAPTER XXII	687

Structure of the breast	688

Case of inflamed breast	690

Sore nipple	692

Ointment of deers suet for sore nipples	694

Dr Physicks method for sore nipples 695 Inflamed mamma	695

Fasciola and strophium 697 Milk abscess	697

Case of gathered breast	699

Countersunk nipple	702

THE HISTORY AND DISEASES OF THE YOUNG CHILD	703

Dress suitable for child	709

Weaning	715

The	722

CHAPTER XXIV	730

Condition of the lungs in a foetus and in a neonatus	736

Asphyxia	740

Rokitansky on cyanosis	748

Términos y frases comunes

acetabulum appears arch artery backwards basin become betwixt bladder blood body bone called canal cause cavity cell cervix child chin chorion coccyx corpus luteum corpuscles decidua discharge distended embryo endangium escape Fallopian tube fecundation finger flexion fluid foetal foetus follicle fontanel force forceps four inches fundus germinal vesicle gestation Graafian Graafian follicle gravid half hemorrhage iliac inferior strait inner ischium labia labium labor left acetabulum length Let the Student ligaments lower membrane menstruation Midwifery months mucous nerves oblique occipito-frontal diameter organ orifice ossa ovarian ovary ovulation ovulum ovum oxygen pain parturition patient pelvis perineum placenta plane portion position posterior pregnancy pubal rectum rotation rupture sacral sacro-iliac sacrum seen shoulder side spinous superior strait suppose surface symphysis pubis tion tissue transverse tube umbilical upper upwards uteri uterus vagina vein vertex presentation vessels vitellary whole woman womb women yelk

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Información bibliográfica

Título	Obstetrics, the science and the art
Autor	Charles Delucena Meigs
Editor	Henry C. Lea, 1867
Largo	730 páginas

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