The married woman's private medical companion : $b embracing the treatment of menstruation, or monthly turns, during their stoppage, irregularity, or entire suppression. Pregnancy, and how it may be determined; with the treatment of its various diseases. Discovery to prevent pregnancy; its great and important necessity where malformation or inability exists to give birth. To prevent miscarriage or abortion. When proper and necessary to effect miscarriage. When attended with entire safety. CausesMauriceau, A. M.
Science
The married woman's private medical companion : $b embracing the treatment of menstruation, or monthly turns, during their stoppage, irregularity, or entire suppression. Pregnancy, and how it may be determined; with the treatment of its various diseases. Discovery to prevent pregnancy; its great and important necessity where malformation or inability exists to give birth. To prevent miscarriage or abortion. When proper and necessary to effect miscarriage. When attended with entire safety. Causes
Mauriceau, A. M.
Abortion; Pregnancy; Women -- Health and hygiene
The accoucheur may be consulted by a mother anxious to know whether the
pelvis of her daughter is such as to justify marriage. His opinion may
also be desired by a female pregnant for the first time, in whose mind
there may exist fears as to the formation of her pelvis. In this case,
he will have to reply to the following questions:
Is delivery at full term compatible with the safety of the child? What
influence will the deformity have on pregnancy? What precautions are
necessary to guard against accident until the completion of gestation,
and to facilitate delivery?
When the accoucheur states that delivery will not be possible without
the interference of art, he will then be asked whether this interference
will compromise the life of the mother or child; and whether this
operation cannot be avoided by some process during pregnancy, either
saving the life of mother and child, or sacrificing the child for the
benefit of the mother?
In order to answer these questions satisfactorily, and to furnish
himself with a rule of conduct in advance, it will be necessary for the
accoucheur to know precisely the condition of the pelvis, and the
dimensions of the diameters, &c.
However, it must not be supposed that this mensuration can be made with
mathematical accuracy; our means will not enable us to obtain this
precision; but even if we could, the object we have in view would not be
completely accomplished, for, in order to arrive at a rigorous
appreciation of the consequences of the deformity and the operations it
might require, it would be necessary also to know the exact size of the
fœtus, which is not possible.
Happily, in practice, an approximation as to the absolute condition of
the pelvis will suffice, and it is easy to arrive at this result. With
this view, the accoucheur should, in the first place, learn the previous
history of the patient in infancy and youth, and afterward proceed to an
external and internal examination.
When the accoucheur is called upon to pass an opinion as to the natural
or unnatural conformation of a female, he should, says M. P. Dubois,
inquire minutely into the antecedent condition of this woman during her
infancy and youth. The history of early life will often, of itself,
cause him to suspect the state of the pelvis. He should address the
following questions to the parent:
_What diseases was the infant affected with? At what age did they
manifest themselves? At what age did the child walk? After walking, did
it appear weak in the inferior extremities? Was the erect position
possible? Was it easy? Were the articulations large?_
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