Synopsis
This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1908. Excerpt: ... cus, labor should be terminated as speedily as possible. Chloroform should be administered to the full surgical degree in order to secure complete relaxation. The mode of delivery varies with the nature of the case. In shoulder presentations some authorities advise version, if the child is living, while others consider decapitation a safer procedure. In head presentations version should never be attempted, as undue strain is put upon the uterine walls. The careful application of the forceps is the best procedure. Failing with the forceps, the choice lies between Cesarean section and craniotomy upon the living child. If the child is dead, craniotomy is the preferable operation. In performing version or in the use of the forceps all violent manipulations must be avoided. Curative Treatment. After rupture has occurred the indications for treatment are to deliver the child and the placenta as soon as possible, to control the hemorrhage, and to repair the laceration if practicable. If the fetus lies wholly, or, for the most part, within the uterus, delivery through the natural passages should be attempted. In head presentations the forcepts should be employed. In shoulder presentations version can usually be performed. The placenta should then be removed by expression or by manual extraction, and bloodclots removed. The uterus contracts promptly, as a rule, and hemorrhage ceases. The patient should now be allowed to rest, and stimulants should be administered until she rallies. After the patient is in better condition the question of further treatment must be considered. Laparotomy is necessary in most cases. If operation is decided upon, a supra-vaginal hysterectomy offers the best chance for recovery, when infection is probably present, when there is great a...
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