The Matron's Manual of Midwifery, and the Diseases of Women During Pregnancy and in Childbed: Being a Familiar and Practical Treatise, More Especially Intended for the Instruction of Females Themselves, but Adapted Also for Popular Use among Students and Practitioners of MedicineHollick, Frederick
Science
The Matron's Manual of Midwifery, and the Diseases of Women During Pregnancy and in Childbed: Being a Familiar and Practical Treatise, More Especially Intended for the Instruction of Females Themselves, but Adapted Also for Popular Use among Students and Practitioners of Medicine
Hollick, Frederick
Chloroform; Gynecology; Indian Territory; Midwifery; Obstetrics; Pregnancy
A very frequent indication that the fœtus suffers from compression of
the cord, is a greenish color of the water discharged, owing to the
discharge of _Meconium_ from the child's bowels. This is brought about,
most probably, by its straining, and its efforts to relieve itself.
SHORTNESS OF THE CORD.
The cord is sometimes too short, and this may operate very unfavorably
in many ways. It may keep the fœtus up in the Womb, and prevent it from
descending to the bottom of the Vagina,--it may cause the placenta to
be torn away too soon, and so lead to serious flooding,--it may pull
down and invert the Womb,--or it may make the labor very tedious, and
cause the death of the child.
Unfortunately there are but few signs of this accident, even after the
rupture of the membranes, and none at all before, that can be depended
upon. If the head has descended properly, and the parts be fully
relaxed, but still the expulsion is delayed from no obvious cause, it
may reasonably be supposed that shortness of the cord exists; and if so
there is very soon given a proof of it by a discharge of blood. This is
owing either to the breaking of the cord, or to the separation of the
placenta, and is frequently the first intimation the assistant has of
the accident. All that can be then done is, to conclude the delivery as
soon as possible, and in the best way that circumstances will allow.
In some cases the cord is not too short absolutely, but is made so by
being twined round the body or limbs of the child, which are often
_cut off_ by it. M. Tasil saw a case where the cord round the neck
had nearly severed the head; and Montgomery gives several instances
in which the limbs had been amputated in this way. Two of these are
represented below:--
[Illustration: PLATE XLIX.
Fig. 1. Fig. 2.
_Limbs cut off by the Cord._
Occasionally the cord can be slipped over the head, or limbs, when
wound round them, and the strain upon it be thus removed. If this
cannot be done however, and the danger increases, relief may be
obtained by _cutting the cord_, particularly if it be absolutely short.
But this must not be done till everything indicates that the labor will
probably soon terminate; and the end connected with the child must be
carefully held, or tied.]
DESCENT OF OTHER PARTS WITH THE HEAD.
_One Arm._--The descent of one arm along with the head may cause
some delay and difficulty, but Nature nearly always overcomes the
impediment. It is seldom that the arm can be reduced, and therefore
but little can be done at first; if the delivery be evidently arrested
by it the accoucheur must at last assist in the most feasible manner.
Sometimes even it is necessary for him to apply the forceps.
Public-domain text, read in full here on John Shaqi.
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