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
The manner in which the mouth of the Womb opens, and the time required
for its dilatation, differ much in different cases. In females who have
previously borne children, as before explained, the mouth is always
considerably opened at the full term, while in a first pregnancy it is
nearly closed, even till some time after the labor actually commences.
Sometimes the dilatation takes place rapidly, and at others very
slowly; it is especially liable to be delayed if the Membranes break
too soon, because then the pressure of the bag of waters is lost, and
that is an important agent in expanding the Os Uteri. In some cases
the neck of the Womb is very hard and rigid, so that a long time
is required to make it give way. When any other part than the head
presents also, the opening of the mouth will not take place so soon,
because no other part so completely fills up the passage.
The breaking of the bag of waters will sometimes occur very early,
almost as soon as it protrudes; while at other times it will be
delayed till the whole Vagina is filled up by it, or even till it
appears externally. The quantity of the water discharged at the time of
the rupture is also variable; if the presenting part of the fœtus does
not completely block up the passage, the whole may pass away when the
rupture takes place; but if it does, as is usually the case when the
head presents, only a part flows then, and the rest comes in gushes, as
the head is raised, and when the child is born. The too early escape of
the waters, as already explained, may retard the delivery, by delaying
the expansion of the mouth of the Womb; and in this way unskilful
accoucheurs have caused lingering labors, by breaking the membranes too
soon.
It is important to recollect also, as I explained before, that a
portion of fluid sometimes exists between the amnion and chorion,
which may pass first, and induce the belief that the true waters have
escaped, when they have not. This is called the _false waters_, or
_shows_, and is not connected with the true waters at all.
The _general_ physiological phenomena of a natural delivery having thus
been explained, we have now to state its duration, and then proceed to
its conduct or management.
DURATION OF NATURAL LABOR.
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