Clinical obstetricsRebman, 1903 |
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Common terms and phrases
abdomen abortion abscess accidental hæmorrhage albumin aseptic become bladder bleeding blood bones bowels breast breech brim Cæsarian section cardiac cause cavity cervix child chloroform clot condition conjugate considerable contracted cord craniotomy curette death delivered delivery Diagnosis diameter dilated disease douche easily eclampsia examination expelled fatal felt fever finger fluid foetal foetus forceps frequently fundus given hæmorrhage hand head heart hypodermically incision injection iodoform kidneys labour legs ligament lower uterine segment membranes menstruation milk months mother mucous normal obstruction occiput occur once operation ordinary ovum pain palpation passed patient pelvis perineum peritoneal peritoneal cavity pints placenta placenta prævia plug post-partum hæmorrhage posterior pregnancy present pressure primipara Prognosis prolapse puerperium pulse removed retraction risk rupture saline seen sepsis septic septicemia side sterilised stitches strychnine sutures symphysis temperature tissue traction transverse treatment tube tumour umbilicus urine usually uterine wall uterus vagina vomiting vulva woman
Popular passages
Page 181 - England parson for the Islands of the Blest. We asked no social questions — we pumped no hidden shame — We never talked obstetrics when the Little Stranger came: We left the Lord in Heaven, we left the fiends in Hell.
Page 5 - ... 2. The discrepancy in the results of the various investigators is due to the technique by which the secretion is obtained. 3. As the vagina does not contain pyogenic cocci, auto-infection with them is impossible ; and when they are found in the puerperal uterus, they have been introduced from without. 4. The gonococcus is occasionally found in the vaginal secretion, and during the puerperium may extend from the cervix into the uterus and tubes. 5. It is possible, but not yet demonstrated...
Page 370 - ... motions. It was thick and milky, and did not deposit the urates. There were some hyaline and granular casts, but no blood in it. The albumen had not diminished much. Next day she was feeling comfortable, and passed over 60 oz. urine. During the next two days she passed 130 oz. and 210 oz. The albumen was lessening. She kept well, and passed large quantities of urine until the 21st, a week from the first seizure, when labour came on, and a dead child was born naturally. It had been alive until...
Page 5 - ... nurse (7) Puerperal infection is to be avoided by limiting vaginal examinations as much as possible and cultivating external palpation When vaginal examinations are to be made, the external genitalia should be carefully cleansed and disinfected, and the hands rendered as aseptic as if for laparotomy. Vaginal douches are not necessary and are probably harmful — American Journal of Obstetrics, October, 1898.
Page 371 - ... diagnosed. When the resident arrived he found her in a fit, so he gave her CHC13, and had her removed at once. On admission at 11 AM a hypodermic of morphia (half a grain) was given, and the second child delivered by forceps. The child, a male, like the first, was alive. They weighed 6 Ib. and 6| Ib.
Page 370 - May her headache had become very severe, and vomiting had come on. About midday on the 14th she had a fit, and a second one about 2 PM She was brought to the hospital about 9 PM There was very little oedema of the legs. There were no uterine contractions, but the os admitted one finger. The foetal heart was audible. The urine became almost solid on boiling. An enema was given, and just as it began to act she was seized with a very violent convulsion. After it passed off she was drowsy, but not unconscious....
Page 4 - ... cases, but never the streptococcus pyogenes or the staphylococcus aureus or albus. 2. The discrepancy in the results of the various investigators is due to the technique by which the secretion is obtained.
Page 368 - September.— She was much better. Had drunk in all 100 oz. of milk and imperial drink. The urine had increased markedly, but it could not be measured, as some was lost with the motions. Pulse, 96, regular, high tension. 4th September. — In last twenty-four hours, 96 oz. of urine were measured, besides what was passed with two free motions. Next day, 100 oz. of urine were collected; albumen still present. On the 7th she developed a dry pleurisy in the right side, above the liver. The friction disappeared...
Page 367 - She was first seen at home by a nurse. A fit came on before the nurse had time to examine her. Previous History. — In infancy she had had scarlet fever followed by dropsy, and when five years old she was said to have had dropsy again. For the last three or four weeks swelling of the legs had been noticed. When Dr Barker, the out-door surgeon, saw her she was having a fit. He gave her CHCl3, and had her removed at once. The os was nearly fully dilated. Half an hour later the head was almost on the...
Page 576 - I reflected about an inch of the scalp from the back portion of the frontal bone, and made a small incision through the bone, about a quarter of an inch in front of the suture, then passed Macewen's periosteum elevator between the dura mater and the bone, and raised the depression. The incision was made away from the suture, because the dura mater is always adherent at the suture, and I wished to avoid cutting the dura. The bone was fairly hard, but I cut through it with a sharp-pointed bistoury....