None
Extraperitoneal cesarean sec- tion, 1000 indications, 1002 Extra-uterine pregnancy, 381 abortion and, ^differentia- tion, 390 and intra-uterine preg- nancy, combined, 387 angular pregnancy and, differentiation, 390 appendicitis and, differ- entiation, 393 changes in uterus in, 387 classification, 381 clinical course, 387 course, later, 386 diagnosis, 389 differential, 390 direct, after first trimes- ter, 390 first trimester, 389 etiology, 381 frequency, 382 hematocele in, 383 hematoma in, 384 intra - uterine pregnancy and, differentiation, 389 pathology, 382 pregnancy in retroverted uterus and, differen- tiation, 391 prognosis, 394 pyosalpinx and, differen- tiation, 392 repeated, 387 Extra-uterine pregnancy, rup- ture in,, 384 treatment, 395 symptoms, 387 treatment, 394 .r-raj's in diagnosis of, 394 EyeUds, darkening, in preg- nancy, 111 Eyes, diseases of, in pregnancy, 505 of new-born infant, care of, 303,308,336 injury to, during labor, 811, 987 Face presentation, 176, 592 changing of, to occipital, 930, 931, 932, 933 clinical course, 596 correction, 932 De Lee's method, 933, 934 diagnosis, 597 forceps in, 980 frequency, 178, 592 mechanism, 593 of labor in, 592 plastic changes in, 600 prognosis, 600 treatment, 600 after engagement, 601 before engagement, 601 Facial paralysis in new-born infant, 811 Facies Hippocratica in peri- tonitis in puerperal fever, 849 Fainting spells in labor, 134 in pregnancy, 105, 111, 533 Fallopian tubes in pregnancy, 96 False corpus luteum, 9 fontanel, 168 knots in umbihcal cord, 52, 558 pains, 279, 567 pelvis, 152 Fat umbilical cord, 61 Favereau's cord repositor, 632 Feces, expulsion, in labor, care of, 302 in operations, care of, 905 Fecundation, 20 Feeding new-liorn infant, 337 Feet and arms, prolapse, with head, 634, 635 treatment, 634 Fehling's theory of pulse-rate in puerperium, 220 Femoral veins, thrombosis, in puerperal fever, 859 Femur of fetus, fracture, in labor, 815 FertiUzation, 20 Fetal axis pressure, 150 blood, 61 body, diseases, abortion from, 417 palpation, in diagnosis of pregnancy, 260 circulation, 61 changes in, after birth, 140 INDEX 1037 Fetal digestion, physiology, 67 envelops, diseases, 544 head, advancement, along birth-canal, internal ex- amination for deter- mining, 288 asynclitic, 182 bregma, 168 changes wrought on, by labor, 142, 143 compression of, from for- ceps, 963, 964, 965 delivery, 302 descent, in occipital pres- entation, 183 determining size, 710 diameters, 169 disengagement, in occi- pital presentation, 187 engagement, 177 deeply, 177 in occipital presenta- tion, 181 extension, in occipital pres- entation, 187 external restitution, in occipital presentation, 188 flexion, in occipital pres- entation, 183 floating, 177 groove depression, 707 in mechanism of labor, 167 injuries to, in labor, 809 molding, in breech pres- entation, 612 in brow presentation, 592 in labor, 143 median vertex presen- tation, 588 in occipitoposterior po- sition, 582 occiput, 168 on perineum, 177 period of disengagement, 177 reduction in size, in labor, 172 regions, 168 rotation, in occipital pres- entation, 183 internal anterior, in oc- cipital presentation, 184 shape, 169 sinciput, 168 sutures, 167 synclitic, 182 vertex, 169 heart, effect of labor pains on, 138 sounds, 58 in diagnosis of preg- nanc}-, 260 hiccup, 59 movements, activ(>, in diag- nosis of pregnancy, 259 passive, in diagnosis of pregnancy, 259 respiration, physiology, 67 skull. souffle in diagnosis of preg- nancy, 261 Fetal triangle, 282 Fetus, accidents to, in labor, 797 asphyxia of, 706 causes, 477 at term, 56 length, 57 weight, 57 attitude of, 169. See also Attn II lie of fetus. blood, 61 blood-corpuscles, 61 bones of, changes in, due to syphihs, 487 cervical muscles, injuries, in labor, 812 changes in, in eclampsia, 360 result of labor, 171 chest of, circumference, 169 circulation, 61 clavicle of, fractures, in labor, 814, 815 crying of, in utero, 801 dangers of placenta previa to, 449 death of, as cause of abor- tion, 417 causes, 476, 477 changes in ovum after, in abortion, 434 diagnosis, 265 symptoms and signs, 265 deflexion attitudes, 585 etiology, 585 delivery of, postmortem, 795 development, 54 at term, 56 at various periods, 55 in eighth month, 56 in fifth month, 56 in first month, 55 in fourth month, 56 in ninth month, 56 in second month, 55 in seventh month, 56 in sixth month, 51 in tenth month, 56 in third month, 56 digestion of, phy-siology, 67 diseases of, 535 effect of death of mother on, 536 enlargement of parts of, dys- tocia due to, 638 evidences of life, 58 excessively large, dystocia due to, 636. See also Dystocia due to excessively large fetus. femur of, fracture, in labor, 815 fractures in, in contracted pelvis, 70S of bones of extremities, in labor, 814 growth, 54 restraining, Prochownick's diet for, 715 head. See Fetal head. heart sounds, 58 hiccup, 59 humerus of, fracture, in labor, 815 in mechanism of labor, 167 Fetus, injuries of brain of, 706 in labor, 809 medicolegal aspect, 816 internal super-rotation, 584 in^•ersion of, 178 kidneys, physiology, 68 length, 54 at term, 57 lengthening of, in labor, 171 leukocythemia, 61 life of, diagnosis, 265 preservation, in labor, 295 long bones, fracture of, in labor, 816 mental state, 59 militarj' attitude, 583 mobility of, 178 movements, 58 mucous membranes of, changes in, due to syphi- hs, 485 mutilating operations on, 1005 noiu'ishment, 67 organism of, efTect of labor on, 138 outside amniotic cavitj', 475 overgrowth of, induction of premature labor in, 1014 paralj'sis of muscles of ex- tremities of, in labor, 813 physiology, 61 special, 66 plastic changes wrought on, by labor, 142 position of, 172. See also Position. presentation of, 172. See also Presentation. prognosis of life of, in con- tracted pelvis, 706 respiration, physiologj', 67 respirator}' action, 59 rigor mortis in, 536 dystocia due to, 638 scalp of, pressure necrosis, 707 shoulders of, circumference, 169 skin of, changes in, due to syphilis, 485 skull of, groove depression, 707 sternocleidomastoid muscle of, rupture, in labor, 812 sternomastoid muscle, hema- toma of, in labor, 812, 813 sj-philitic changes in, 485 osteochondritis in, 487 trunk of, in mechanism of labor, 169 injuries, in labor, 812 ttiberculosis of, 480 viscera of, changes in, due to syphilis, 4S5 injuries, in labor, 813 weight, 54 at term, 57 Fever during labor, 796 treatment, 796 from constipation in puer- periimi, 896 milk-, 213, 219, 843, 884 1038 INDEX Fever of pregnancy, 519 puerperal, 817. See also Puerperal fever. retention, in puerperal in- fection, 839 Fibers, Luschka's, 161 I'ibro-elastic tissue of uterus, 72 Fibroids of uterus, effects of on pregnancy, 523 in pregnane}', 521 diagnosis, 524 differential, 525 pregnancy and, differ- entiation, 525 prognosis, 525 treatment, 525 in earl}^ pregnancy, 525 near term or in labor, 526 twins and, differentiation, 469 Fibroma moUuscum graxada- rum, 376 Fissure in ano in labor, 650 in puerperium, 896 Fistula in labor, 763 rectovaginal, in labor, 763 Flat pelvis, 662 generally contracted, 667 mechanism, 695 labor in, findings, 697 parietal bone presenta- tion in, 696, 697 racliitic, 663 simple, 662 Fleshy mole in abortion, 435 Flexion in occipital presenta- tion, 183 Floating head, 177 Flowers, 11 FcBtus compressus, 435, 465 papyraceus, 435 sanguinolentis, 435 FolUcle, graafian, ripening of, 5 primordial, 3 Fontanel, anterior, 168 false, 168 large, 168 posterior, 169 small, 168 Fontanels, 167 lateral, 168 Foods, influence of, on quantity and quality of milk, 217 to be avoided in puerperimn, 322 Footling presentation, 608 prolapse of cord in, treat- ment, 634 Forceps, 961 adaptation, 971 application of blades, 970 axis-traction, 983 application of, 980 conditions for, 985 indications for, 985 principle of, 983 Barnes', 983 Baumers', 962 Breus', 983 cephalic curve, 963 Forceps, conditions for, 966 Chamberlen, 962 Chassagny's, 962 compression of head from, 903, 964, 965 Coutouly's, 962 De Lee's cervix, 746 packing, 776 definition, 961 description, 963 diameter for, 966 Dusce's, 962 dynamic action, 963 extraction of head, 971 first act, 970 fourth act, 973 front of, 966 function of, 963 Galabin's, 983 Gregoire's, 962 Hamon's, 962 Hermann's, 983 Ifigh, 966, 983 conditions for, 985 in contracted pelvis, 718 indications for, 985 technic of, 986 historic sketch, 961 in after-coming head, 956, 957 in arrested rotation of chin, 981 in brow presentation, 982 in deep transverse arrest, 966, 974 in face presentation, 980 in impaction of head, 974 in occipitoposterior position, 979 in transverse arrest in O. D. P., 976 in unusual mechanisms of occipitoposterior presen- tation, 974 indications for, 965 injuries to child, 987 injuries to mother, 986 inlet, 966, 983 Japanese, 962 Leroyenne's, 983 Levret's, 962 locking, 971 low, 966, 973 medium, 966 IMesnard-Stein bone, 1010 method of turning blade, 977 midplane, 966, 983 Osiander's manocuver, 982 outlet, 966, 973 ovum, 429 Pajot's mana>uver, 982 Paifyn's, 962 Pean's, 962 pehac curve, 963 prognosis, 986 removal, 973 Ritgen's manoeuver, 973 Rudford's, 962 Sanger's, 983 SantarelU's, 962 Saxtorph's, 962 Scanzoni-Fritsch method, 980 second act, 971 Forceps, Simpson's, 963 shpping of, 986, 987, 988 axial, 987 exaxial, 987 Smcllio's, 962 Tarnier's axis-traction, 984 technic, 966 third act, 971 tissue, 729 traction on, 971 two-stage operation, 978 varieties, 962 ^'edder's, 983 Vienna School, 963 Forces involved in labor, 149 Forehead presentation, 589 mechanism of labor in, 589 Fossa ovarica, 2 Fractures in fetus in contracted pehis, 708 of bones of extremities of fetus in labor, 814 of clavicle of fetus in labor, 814, 815 of femur of fetus in labor, 815 of humerus of fetus in labor, 815 of long bones of fetus in labor, 816 of sternum in labor, 767 Freezing point of liquor amnii, 52 Fritsch's method of treating postpartum hemorrhage, 787 Fritsch-Scanzoni method of forceps delivery, 980 Frontal bone, shape, 169 suture, 168 Funic souffle in diagnosis of pregnancy, 261 Funnel inversion of uterus in labor, 759 pelvis, 677 diagnosis, 678 labor in, diagnosis, 701 mechanism, 701 Fiirbringer's method of sterili- zation of hands, 273 Furunculosis in puerperium, 377 Gait in pregnancy, 110 Galabin's forceps, 983 Galactophoritis, 893 Galactorrhea, 886 treatment, 887 Gall-stones in pregnancy, 492 Ganglion, cervical, great, 78 Gangrene of bladder in retro- version of preg- nant uterus, 408 treatment, 413 of um])ilical cord, 334 Gas-forming liactcria in puer- peral fever, 831 Gastric indigestion in preg- nancy. labors, unusual mechanism, 579 presentation, de^^ated, 615 frequency, causes of, 178 Pajot's law of accommo- dation in, 178 prolapse of arms and feet in, 634, 635 Head presentation, version in, 940 conditions necessary for, 941 double manual method, 941 indications, 940 methods, 941 Heart, changes in, in preg- nanc\-, 104 disease, effect of pregnancy on, 488 effects of, on pregnancy, 489 in labor, 488 treatment, 490 in pregnane}', 487 prognosis, 489 treatment, 489 in puerperium, 488 fetal, effect of labor pains on, 138 hypertrophv, in pregnancy, 104 sounds of fetus, 58 Heart-tones, fetal, in diagnosis of pregnane}', 260 Hebosteotomy, 921, 923 after-treatment, 927 complications, 925 conditions, 928 Doderlein's method, 923 hemorrhage in, control, 925 in contracted pelvis, 719 indications, 927 instruments for, 923 lacerations in, 927 needle, 924 prognosis, 929 subcutaneous, 925 Hegar's sign of pregnane}', 78, 255 Hematocele in extra-uterine pregnancy, 383 Hematoma in extra-uterine pregnancy, 384 mole in abortion, 435 of sternomastoid muscle of fetus in labor, 812, 813 of vagina in labor, 743 etiology, 743 prognosis, 744 s}-mptoms, 743 treatment, 744 of ATilva in labor, 743 etiology, 743 prognosis, 744 S}'mptoms, 743 treatment, 744 retroplacental. retinal, in pregnancy, 505 unavoidable, 437, 445 Hemorrhoids in pregnancy, 107. 379 Henkel's method of treating postpartum hemorrhage, 788 Hepatization of placenta, 551 Hermann's forceps, 983 Hernia, abdominal, 539 1040 INDEX Hernia cerebri, 539 in pregnane^', 494 into unil)ilioal cord, 561 of pregnant uterus, 415 spinalis, 539 umbilical, 539 uteri gravidi abtlominalis, 398 Herpes gestationis, 376 Hexen-Milch, 335 Hevernaux's cord rcpositor, 632 Hiccup, fetal, 59 Hicks' sign of pregnancy, 259 High forceps, 9S3 in contracted pelvis, 718 stomach in puerperium, 213, 230 Hips, double dislocation, 688 diagnosis, 689 Hirst's bag for dilatation of cervix, 911 Hirsuties in pregnane^', 376 Hirudin in eclampsia, 368 History card in pregnancy, 233 Hodge's manojuver in occipito- posterior position, 584 S3'stem of pelvic planes, 156 Homologous twins, 539 Hook, Braun's, 1011 decapitation, 1012 JanUne's, 1012 Hormone, mamma, 102 Horseshoe placenta, 46, 50 Hot packs in eclampsia, 367 uterine douche in postpar- tum hemorrhage, 782 Hour-glass contraction of uterus, 772 Houses, private, operations in, arrangement of room, 900 preparations, 899 of patient, 900 provisions for complica- tions, 905 Humerus of fetus, fractures, in labor, 815 Hunger, influence of, on quan- tity of milk, 216 Husband, cause of puerperal fever, 825 pregnancy and, 224 Hydatidiform degeneration of chorion, 544 mole, 544 clinical course, 547 diagnosis, 547 etiology, 546 prognosis, 547 symptoms, 547 treatment, 548 Hydramnion, 562. See also Polyh yd ram nion. Hydramnios, 562 Hydremia in pregnancy, 103 Hydrocephalus, dystocia due to, 638 course, 639 diagnosis, 640 treatment, 641 Hydrorrha-a gravidarum, 417, 518 Hygiene and conduct of preg- nancy, 223 of pregnancy, 225 Hyperemesis gravidarum, 343 adrenalin in, 351 anesthetics, 350 causes, 345 depressomotors in, 350 diagnosis, 347 diet in, 350 drugs in, 350 first stage, 344 induction of labor in, 351 lavage of stomach in, 350 pathologic anatomy, 346 prognosis, 348 salt solution in, 351 second stage, 344 serum treatment, 351 suggestion treatment, 350 suprarenal extract in, 351 sjTnptoms, 343 third stage, 344 treatment, 349 gjTiecologic, 351 medical, 350 obstetric, 351 Hyperlactation, 885 Hypertrophic elongation of cervix in labor, 414 Hyper troph}' of cervix in preg- nancy, 516 of heart in pregnancy, 104 Hj'pnotism in labor, 295 HjTJospadias, 539 Hysterectomy in puerperal fever, 881 Hysteria, epilepsy and, differ- entiation, 360 Hysterostomotomy, dilatation of cervical canal by, 914 Hysterotomj^, posterior, in ret- roversion and retroflexion of pregnant uterus, 412 vaginal, 916 Icterus gravis in pregnancy, 370 in pregnancy, 492 neonatorum, 333 etiology, 334 treatment, 334 Ileus in pregnancy, 494 tympany of, in puerperium, 896 Iliococcygeal portion of leva- tor ani, 161 Immature labor, 416 Impaction of head, forceps in, 974 Impetigo herpetiformis in preg- nancy, 376 Impregnation, 20 Incarceration of uterus in ret- roversion of pregnant uterus, 407 Incarnation, 20 Incincta, 225 Incisions, Diihrssen's, 914 in cervix for purpose of dila- tation, 914 Inclination of pelvis, 157 Incomplete abortion, 422, 423 Incomplete abortion, diagnosis, 424 treatment, 433 Indian position, 716 Indigestion, gastric, in preg- nancy, 492 intestinal, in pregnancy, 492 Inertia uteri, 567 Inevitable abortion, 422. See also Abortion, inevitable. Infantile genitals, dystocia due to, 648 peh-is, 658 Infarcts of placenta, 49, 551 varieties, 551 white, ofplacenta, 49, 551, 553 Infection in cesarean section, 995 in labor, 796 puerperal, 817. See also Puerperal fever. specific, in puerperal fever, 862 wound, 831 Infectious diseases, acute, in pregnancy, 476 chronic, in pregnancy, 480 Inflanmiation of breasts, 892 Influenza in pregnancy, 479 Innominate bones, dislocation of, in labor, 766 lateral pressm'e, 653 transverse tension, 652 Insanity in pregnancy, 372, 373 treatment, 373 Insensible labor, 91, 286 Insertio marginalis, 50 velamentosa, 50 Insertion, abnormal, of um- bilical cord, 560 treatment, 560, 561 velamentous, of umbilical cord, 561 Insomnia in pregnancy, 533 Instructions for obstetric nurse, 248 Instruments for operations, 904 for perineorrhaphy, 729 Insufflation, mouth-to-lung, in asphj'xia neonatorum, 807 Intercourse. See Coitus. Interstitial gland in ovary in animals, 11 pregnancy, 381, 383 Intestinal indigestion in preg- nancy, 492 tract, changes in, in puer- perium, 221 in labor, 134 in new-born infant, 331 Intestines, changes in, in preg- nancy, 107 Intoxication, wound, 831 Intra-uterine and extra-uterine pregnancy comljincd, 387 douches in puerperal fever, 876 pregnancy, ectopic preg- nancy and, differentiation, 389 Inversion of fetus, 178 of uterus in labor, 759 diagnosis, 761 INDEX 1041 Inversion of uterus in labor, etiology, 759 funnel, 759 prognosis, 761 spontaneous, 759 symptoms, 7G0 treatment, 701 violent, 759 Inverted nipples, 230 Involution in puerperium, 205, 212 Irritability of bladder as sign of pregnancy, 253 Irritable bladder, 725 uterus, 417 Ischiocavernosus muscle, 161 Ischiococcygeal portion of levator ani, 161 Ischuria paradoxa in retrover- sion of uterus, 405, 40S Isthmus of uterus, 86, 92 jAcqrEMix's sign of pregnancy, 254 Japanese forceps, 962 Jardine's hook, 1012 Jaundice, 492 Jelly of Wharton, -49, 51 Johnson t-nins, 540 Joints, pelvic, in pregnancy, 98 injuries of, in labor, 765 relaxation of, in preg- nancy, 379 rupture of, in labor, 765 Jonge's position, 723 Justominor pelvis, 658 diagnosis, 661 etiology, 660 mechanism of labor in, 699 Kartokixesis in ovum, 30 Kidneys, changes in, in eclampsia, 359 in puerperium, 221 decapsulation, in eclampsia, 368 enlarged and prolapsed, in pregnancy, 532 in labor, 135 of fetus, physiology, 68 of pregnancy, 108, 226, 369 sjTnptoms, 369 treatment, 370 pains of, 131 Knots in umbilical cord, 558 false, 52, 558 true, 52, 558 Kolpoporrhexis, 749 Kristeller's expression in labor, 572 KjTphoscoliotic peh-is, 674 Kj^photic pelvis, 677 Labor, abdominal examina- tion in, 279 muscles in, 151 palpation in, 279 powers in, anomalies, 569 treatment, 571 pressure in, 151 66 Labor, abnormal, 114. See also Dystocia. abnormaUties in, internal examination for determin- ing, 288 accidents of, 725 to child in, 797 action of uterus in, anoma- Ues, 567 advancement of head along birth-canal, internal ex- amination for determining, 288 albuniinima in, 135 anesthesia in, 293 choice of anesthetic, 294 conditions, 294 liistory, 294 indications, 294 method of administration, 294 objections to, 293 obstetric degree, 293 surgical degree, 293 anomahes of abdominal pow- ers in, 569 treatment, 571 of passages, 644 of passengers, 579 classification, 579 of powers, 567 anorexia in, 134 antisepsis in, 273 asepsis in, 273 of enxdronment in, 277 of patient in, 275 of physician in, 273 aseptic conduct of, prepara- tion for, 231 assistance in, cjuestion of, 272 atony of uterus in, 567 attendance of physician in, 290 auscultation in, 284 bag of waters in, rupture, 291 bath before, 276 bed in, 277 bladder in, 134 care of, 291 bowels in, care of, 291 caput succedaneum in, 143, 144 card, 289 causes, 115 influence of accident, 116 of anaphylactic process, 116 of irritabiUt}' of uterus, 115 of period! cit 3' of men- struation, 115 of presenting part on lower uterine seg- ment, 115 theories of, 115 changes in fetus result of, 171 ■^\"rought on fetal head by, 142, 143 chart, 1023-1025 chills in, 127, 133 chloral anesthesia in, 295 Labor, chloroform anesthesia in, 294 circulation in, 133 chnical course, 116 coccygodynia in, 767 collapse in, 793 diagno-sis, 795 SjTnptoms, 795 treatment, 795 complicated, in contracted pelvis, treatment, 723 conduct of, 270 cramp pains in, 573 cramps in leg in, 134 cystocele in, 740, 763 death in, sudden, 793 etiology, 793, 794 sjTiiptoms, 795 definition, 114 degree of effacement and dila- tation of cer\-ix in, 286 diet in, 291 dislocation of bladder in, 763 of ribs in, 767 douche before, 276 dry, 120, 122 duration, 132 edema of cervix in, 415 effacement of cer\'ix in, 120 effect of, on child's organism, 138 on maternal organism, 132 engagement of presenting part in, 283 epidural hemorrhage in, 143 ether anesthesia in, 294 eversion of vaginal walls in, 414 examination in, first, 278 internal, 285 expulsion of feces in, care of, 302 fainting spells in, 134 fetal axis pressure in, 150 fever in, 796 treatment, 796 first examination in, 278 stage, 117 conduct of, summary, 319 treatment, 291 fissure of anus in, 650 fistulas in, 763 forces involved in, 149 fracture of bones of extremi- ties of fetus in, S14 of clavicle of fetus in, 814, 815 of femur of fetus in, 815 of humerus of fetus in, 815 of long bones of fetus in, 816 of sternum in, 767 full bladder in, 763 gra^'ity in, 151 head, " unusual mechanism, 579 heart disease in, 488 treatment, 490 hematoma of sternomastoid muscle of fetus in, 812, 813 of vagina in, 743 etiologj', 743 1042 INDEX Labor, hematoma of vagina in, prognosis, 744 symptoms, 743 treatment. See also Inversion of uterus in labor. kidneys in, 135 Kristeller's expression in, 572 laceration of cer^•ix in, 745 prognosis, 745 treatment, 745 of peh"ic connective tissue in, 740 treatment, 742 of perineum in, 296, 726 causes, 296 etiology, 728 history of prevention, 305 perineorrhaphv, 736 treatment, 296, 734 preventive, 734 of vagina in, 739 prognosis, 742 treatment, 742 lengthening of fetus in, 171 leukocj'tosis in, 136 levator ani in, preservation, 296 hst of articles needed for, 232 location of placenta in, 283 loosening of sacrum in, 766 mechanism, 148 fetal head, 167 trunk, 169 fetus, 167 formation of parturient canal, 163 in breech presentation, 603, 605 in brow presentation, 589, 592 in flat pelvis, 695 in forehead presentation, 589 in funnel pelvis, 701 in generally contracted pelvis, 699 in median vertex presen- tation, 587 in obliquely contracted pelvis, 70.3 in occipital presentation, 181, 191 in occipitodextra posterior position, 197 in persistent occipitopos- terior position, 580 in transverse presentation, 615 passages, 152 passengers, 167 powers, 149 prognosis, 288 soft parts, 1.59 mental condition in, 134 metabolism in, 136 Labor, method of delivery, 297 of head, 302 of shoulders, 304 on side, 298 missed, 113, 474 sj-mptoms of, 474 treatment of, 475 moderately contracted pel- vis in, treatment, 713, 715 molding of head in, 143 morpliin anesthesia in, 295 mj'oclonia uteri in, 573 Xaegele's rule for determin- ing day, 267 nitrous oxid gas anesthesia in, 295 nurse in, 248 obstruction of. See also Dystocia. painless, 131 pains, 117, 129 » cramp, 573 effect of, on fetal heart, 138 false, 567 too strong, 577 parah'sis of muscles of ex- tremities of fetus in, 813 passages in, 152 anomalies of, 644 passengers in, 167 anomalies, 579 classification, 579 pathology, 565 pelvimetry in, internal, 288 perineum in, preservation, 296 history, 305 periods, 117 physiology, 114 placental stage, 117, 128 plastic changes wrought on fetus by, 142 polyuria in, 135 powers involved in, 149 anomalies, 567 precipitate, 577 dangers of, 577 treatment of, 578 prediction of day, 267 premature, 416, 436 definition, 114 etiology of, 419 induction of, 1014 by bougies, 1016 bv dilatation of cervix, "1016 by puncture of bag of waters, 1016 conditions in, 1015 in moderately con- tracted pelvis, 713 in prolonged pregnancy and o\crgrowth of child, 1014 indications, 1014 prognosis, 1015 teclmic, 1016 preparation for aseptic con- duct, 231 preservation of levator ani in, 296 of life of fetus in, 295 of perineum in, 296 INDEX 1043 Labor, preser^'ation of perineum in, history, 305 pressure necrosis of bladder in, 7(53 prognosis, 145 for infant, 147 of mechanism, 288 prolapse of uterus in, 740 prolonged, 473 pubic segment in, 164 question of assistance in, 272 rectal examination in, 288 rectovaginal fistula in, 763 reduction of size of fetal head in, 172 regional anesthesia in, 295 relaxation of pelvic floor in, 727 respiration in, 133 response to call in, 273 rigidity of cervix in, 577 Ritgen's manoeuver in, 572 room in, 277 rubber gloves in, 274 rupture of bag of waters in, determining, 286 of pelvic joints in, 765 of sternocleidomastoid muscle of fetus in, 812 of symphysis pubis in, 765 of uterus in, 747 after-treatment, 758 diagnosis, 754 differential, 755 etiology, 747 frequency, 750 incomplete, treatment of, 758 pathologj', 750 prognosis, 755 symptoms, 752 the rupture, 753 threatened, diagnosis, 754 treatment, 756 after rupture, 756 preventive, 756 sacral segment in, 164 scopolamin-morphin anes- thesia in, 295 second stage, 117, 122 antisepsis in, 317 asepsis in, 317 conduct, 292 summary, 319 deliverv of shoulders, 304 " method of dehvery, 297 of head, 302 pains in, 122 show, 116 soft parts in, 159 spasm of cervix in, 577 stages, 117 steriUzation of hands in, 273 stricture of cervix in, 577 of uterus in, 574 treatment, 576 sudden death in, 793 etiology, 793, 794 symptoms, 795 syncope in, 793 diagnosis, 795 symptoms, 795 Labor, syncope in, treatment, 795 temperature in, 133 tetanus uteri in, 573 diagnosis, 575 third stage, 117, 12S, 310 antisepsis in, 317 asepsis in, 317 conduct of, summary, 319 examination of parts for injuries, 319 invasion of uterus in, 316 meclianism, 199 mode of conduct, 310 pain in, 128 treatment, 310, 313 turgidity and swelling of turbinate bones in, 134 ureters in, 134 urethra in, 134 urinary system in, 134 urine in, 135 uses of hquor amnii during, 53 uterine action in, anomalies, 567 contractions in, 117, 119, 129 mechanism, 149 ^^sit of physician before, 244 \-ital dilatation in, 150 vomiting in, 134 weight in, 136 Laceration in hebosteotomv, 927 in postpartum hemorrhage, treatment, 788 of cervix in labor, 745 prognosis, 745 treatment, 745 of peh'ic connective tissue in, in labor, 740 treatment, 742 of perineum in labor, 296, 726 causes, 296 etiology, 728 history of prevention, 305 perineorrhaphy, 736 treatment, 296, 734 preventive, 734 of vagina in labor, 739 prognosis, 742 treatment, 742 Lactation, 213 absence of, 213 atrophy in puerperium, 212 Lactosuria in pregnancy, 108 in puerperium, 221 Lambdoid suture, 167 Langhans' laj-er, 38 Larj-nx, changes in, in preg- nancy, 106 Lateral pressure of innominate bones, 653 Lavage of stomach in hj-per- emesis graAndarum, 350 Law, Colles', 485 Pajot's, of accommodation, in head presentation, 178 Profeta's, 483 Sellheim's, of accommoda- tion in anterior rotation in occipital presentation, 187 Lead n i p p 1 e - s h i e 1 d , Wans- brough's, 891 Lean umbilical cord, 51 Leroyenne's forceps, 983 Leukemia in pregnancy, 374 Leukocyt hernia, fetal, 61 Leukocytosis in labor, 136 in new-born infant, 329 in pregnane}-, 103 in puerperal fever, 870 in puerperium, 220 phj'siologic, of pregnancy, 103 Leukorrhea in pregnancy, 89 Levator ani, 160 iliococcygeal portion, 161 injuries, in labor, 726 ischiococcjgeal portion, 161 preservation, in labor, 296 pubococcvgeal portion, 161 puborectal portion, 161 Levret's forceps, 962 Ligaments, broad, in preg- nancy, 95 pubovesical, 763 round, in pregnancy, 94 uterosacral, in pregnane}', 95 Ligamentum teres, 64 Ligation of pelvic veins in puerperal fever, 883 Lightening, 83, 84 diagnosis of, 264 Linea albicantes gravidanmi, 99 lactea, 100 nigra, 100, 110 terminalis, 152, 153 Line, white, 160 Lines on abdomen in preg- nancy, 99 Liquor amnii, 45, 52 amount, 52 bacteria in, 53 chemical anah'ses, 52 food value, 53 freezing-point, 52 sources, 53 urea in, 53 uses, 53 during labor, 53 folliculi, 3 Lithokelyphos, 387 Lithopedion, 387 Lithotomy position, exag- gerated, in moderatel}- con- tracted pelvis, 716 Little's pipet, 865 Litzmann's classification of contracted pelves, 657 system of classification of bony pelves, 654 Liver, acute yellow atrophy, in pregnane}-, 370 diagnosis, 371 patholog}-, 370 prognosis, 371 symptoms, 370 treatment, 371 changes in, in eclampsia, 359 in pregnancy, 107 of pregnancy, 346 Lochia, 210 1044 INDEX Lochia all)a, 210, 211 bacteriology, 211 odor, 210 piirulcnta, 210 quantity of, 212 sanguinolcnta, 210, 211 sources, 212 Lochiocolpos in puerperal fever, 834 Lochiocytes, 211 Lochiometra in puerperal fe\er, 835 Locking of forceps, 971 Long umbilical cord, 560 Loosening of sacrum, 766 Losing the periods, IS Lumbar glands, changes in, in pregnane}^, 10-4 puncture in eclampsia, 367 Lungs, changes in, in eclamp- sia, 360 in pregnane}', 106 Luschka's fibers, 161 Lusk's cephalotribe, 1006 Lutein, 7 cells, 7 Lymphangitis, 893 Lymphatics of uterus, 75 Lysol gauze for tamponade, 1022 sterilization, 1022 Malacosteon in pregnancy, 504 Malaria in pregnane}^ 478 Mamma hormone, 102 Rlammary glands. Mania in pregnane}^, 373 Manual chlatation of cervix, 910 Martin's trepliine, 1008 Masculine pelvis, 658 Mask of pregnancy, 110 Massage in puerperium, 326 of breasts, 885, 886 of uterus in postpartum hemorrhage, 781 in third stage of labor, 310 Mastitis, 892 cellulitic. 893 etiology, 892 forms, 893 glandular, 893 interstitial, 893 parenchj-matous, 893 phlegmonous, 893 purulent, 894 symptoms, 893 treatment, 895 Maternal impressions in preg- nancy, 228 organism, effects of labor on, 132 organs, changes in, in preg- nancy, 103 syphilis, effects, on preg- nancy, 482 Maurer's treatment of placenta praevia, 455 ]Mauriceau-Smellie-Veit meth- od of delivering after-coming head, 955 Measles in pregnancy, 478 Meconium, 331 Medicolegal aspect of injuries of fetus in labor, 816 Mela^na spuria, 891 Melancholia in pregnancy, 373 Membrana decidua, 33 granulosa, 3 Meml)ranes, 49 tough, dystocia due to, 641 treatment, 642 Menacme, 11 Menarche, 1 IMeningisme in new-born in- fant, 811 Meningocele, 539 INIenopause, 18 pregnane}^ after, 19 symptoms, 19 Menses, 11. See also Men- struation. Menstrual cycle, 13 Menstruation, 11 after conception, 251 amount of flow, 17 and ovulation, connection between, 14 cause, 13 cessation of, as sign of preg- nane}^, 251 character of flow, 17 clinical aspects, 16 duration of flow, 17 influence of periodicity of, on production of labor, 115 midperiod, suppression of flow, 19 object of, 15 periodicity, 17 pregnancy and, 224 pseudo-, 16 in new-born infant, 335 return, after cessation, IS symptoms, 17 time of appearance, 16 tubal, 16 uterus in, 13 vicarious, 19 without pregnane}', 251 ]\Iental condition in labor, 134 occupation in pregnancy, 228 state of fetus, 59 Mercury in puerperal fever, 879 Mesnard-Stein bone forceps, 1010 Mesoblast, 30 Mesoderm, 30, 37 IMetabolism, diseases of, in pregnancy, 502 in labor, 136 in pregnancy, 107 Metastatic bacteremia in puer- peral fever, 853, 856 Meteorism. See Tyyn-pany. Metreurynter, dilatation of cervix with, 911 Metreurysis, 911 conditions for, 913 dangers, 913 disadvantages, 913 in placenta pra?via, 455 indications, 913 Metritis desiccans in puer- peral fever, 837 Michaelis, rhomboid of, 236 Microcepiialus, 539 Mitlperiod suppressed menses, 19 ISIidplane of pelvis, 155 INIihtary attitude of fetus, 583 Milk, abnormal, 887 secretion, 885 dr}'ing up, 890 fever, 213, 219, 843, 884 human, 214 composition of, 214 drugs in, 216 lack of, 887 quantity and quality, 216 influence of age of patient on, 216 of disease on, 216 of drugs on, 216 of emotions on, 216 of foods on, 217 of himger on, 216 of irritation of nip- ples on, 216 of nutrition of pa- tient on, 216 of pregnancy on, 216 scarcity of, 887 secretion of, in puerperi- um, 213 theory of puerperal fever, 818 uterine, 32, 61 Milk-leg in puerperal fever, 858, 859 Milk-stigar in urine in puer- perium, 221 Minor disturbances of preg- nancy, 533 Miscarriage, 416. See also Abortion Missed abortion, 417, 423, 435 labor, 113, 474 symptoms, 474 treatment, 475 Mobility of fetus, 178 Molding in breech presenta- tion, 612 in brow presentation, 592 in labor, 143 in median vertex presenta- tion, 588 in occipitoposterior position, 582 Mole, blood, 434 destructive, 545 fleshy, in abortion, 435 hematoma, in abortion, 435 hydatidiform, 544 clinical course, 547 diagnosis of, 547 etiology of, 546 prognosis of, 547 symptoms of, 547 treatment of, 548 tubal, 383 Mollities ossium in pregnancy, 504 Momburg's tube in postpar- tum hemorrhage, 788 in ruptiu-e of uterus, 757 Monatliche Heinigung, 16 Monsters, 537 INDEX 1045 Monsters, classification of, 537 clinical aspects, 541 diagnosis, 541 double, 537, 539 etiology of, 537 single, 537, 539 treatment, 542 Monstra per defectum, 537, 539 per excessum, 539 per fabricam alienam, 539 Monstrosities, 537 Montgomerj-'s tubercles, 101 Monthlies, 11 Monthly sickness, 11 Morales' sling-carrier, 943 Morbus cajruleus, 64 Morning sickness in diagnosis of pregnancy, 252 in pregnane}-, 106 Morphin anesthesia in lal^or, 295 treatment of eclampsia, 366 Mortaht}- of puerperal fever, 870 Morula, 20 Mother, death of, effect on fetus, 536 prognosis of life of, in con- tracted pelvis, 705 Mouth-to-lung insufflation in asphyxia neonatorum, 807 Mucous membranes of fetus, changes in, due to sj-pliilis, 485 Multiple pregnancy, 462. See also Pregnancy, multiple. Mummification of mnbilical corrl, 334 Murphy's cord repositor, 632 Muscle, bulbocavernosus, 161 ischiocavernosus, 161 sternocleidomastoid, of fetus, rupture, in labor, 812 sternomastoid, of fetus, hem- atoma of, in labor, 812, 813 transverse superficial peri- neal, 161 Muscle-fibers of uterus, 72 Muscles, cer^^cal, of fetus, in- juries, in labor, 812 of extremities of fetus, paral- ysis, in labor, 813 Mutilating operations on child, 1005 Myoclonia uteri in labor, 573 Myoma of uterus in pregnancy, 521. See also Fibroids of uterus in pregnancy. Mjrxoma of placenta, 557 Naegel^'s obliquity, 182 pelvis, 670 perforator, 1008 rule for determining daj* of labor, 267 Narcotics in eclampsia, 366 Nausea and vomiting in diag- nosis of pregnancy, 252 in pregnancy. 106 pernicious, in pregnancy, 344. See also Hyper- emesis gravidarum. Navel, amnion, 334 skin, 334, ,562 Neck, arms in nape of, 635 Necrosis, pressure, of bladder in labor, 763 of scalp of fetus, 707 Needle, hebosteotomy, 924 • Neglected transverse presenta- tion, 621 treatment, 625 Neoplasms. See Tumors. Nephritic eclampsia, 356 Nephritis in pregnancy, 369, 496 after twenty-eighth week, treatment, 498 before child is viable, treatment, 498 chronic interstitial, 497 parenchj-matous, 496 diagnosis, 497 in eclampsia, 359 primarj' acute, 496 prognosis, 497 treatment, 498 Nerve-centers of uterus, 78 Nerves of uterus, 76 Nervous chills in puerperi\im, 324 shock of labor as cause of sjTicope and death, 794 system, changes in, in preg- nancy, 111 in puerperium, 218 temperature in puerperal fever, 867 Nest building, 16 Neiunan and Ehrenfest's method of cliseometry, 244 Neuritis in pregnancy, 373 treatment, 374 optic, in pregnancy, 505 puerperal, 374 New-born infant, albuminuria in, 331 asph>-xia of, 797. See also Asphyxia neonato- rum. bathing, 336 blood in, 329 bowels in, care of, 337 breasts of, 335 care of, 307, 336 of eyes, 303, 308 general rules, 339 instructions to nurse, 249 summary, 339 cause of first respiration in, 139 cerebral hemorrhage in, 811 changes in, in fetal circu- lation in, 140 local, 334 chart for, 1027, 1028 circulation in, 330 erj'throcytes in, 329 eyes of, care, 336 facial paralysis in, 811 feeding, 337 general condition, 333 icterus of, 333 injuries of, 809 New-born infant, injuries of, in labor, 797 intestinal tract in, 331 jaundice in, 333 leukocytosis in, 329 local changes in, 334 meconium of, 331 meningi.sme in, 811 nursing, 323, 337 contraindications, 323, 324 ophthalmia in, 308 prevention, 308 physiology, 329 pseudo - menstruation in, 335 pulse of, taking, 338 respiration in, 329 taking, 338 secretion by breasts in, 335 separation of umbilical cord in, 334 skin of, 333 skin-eruptions in, 333 starvation fever in, 338 stools of, 331 strophulus of, 333 temperature, 330 taking, 338 umbilical cord in, care of, 336 m-ination in, care of, 337 urine of, 331 vernix caseosa, 333 weighing, 338 weight of, 331 Nipples, accessor}', 102 changes in, in pregnancy, 253 diseases of, in puerperium, 890 inverted, 230 irritation of, influence on milk, 216 sore, 890 treatment of, 892 Nipple-shield, Wansbrough's, 891 Nitabuch-Winkler, closing ring of, 36 Nitrous oxid gas anesthesia in labor, 295 Nose and throat, diseases, in pregnancy, 505, .506 changes in, in pregnancy, 106 Nourishment of fetus, 67 Nuclein, 29 in puerperal fever, 880 Nucleus, embryonal, 29 segmentation, 29 Numbness in pregnancy, 533 Nurse, obstetric, engagement of, 248 instructions for, 248 care of child, 249 during labor, 248 during puerperium, 248 Nursing in syphilis, 487 new-born infant, 323, 337 contraindications, 323, 324 1046 INDEX Obesity in pregnancy, 503 Oblique diameters of pelvic inlet, 154 presentations, 615 Obliquely contracted pelvis, '667 diagnosis, 673 labor in, mechanism, 703 Obstetric conjugate diameter, 154 nurse, engagement of, 248 instructions for. 248 care of child, 249 during labor, 248 iluring puerperium, 248 satchel, De Lee's, 270 list of articles in, 271 specula, De Lee's, 741 Obstetrics, operative, 897 Occipital presentation, descent of head, 183 disengagement of head, 187 engagement of head, 181 extension of head, 187 external restitution of head, 188 flexion of head, 183 mechanism of labor in, 181 observations on, 191 of shoulders, 189 over-rotation, 191 rotation of head, 183 internal anterior, 184 Occipitodextra posterior posi- tion, findings in, 197 mechanism of labor in, 197 Occipitofrontal diameter, 169 Occipitomental diameter, 169 Occipitoposterior position, 580 correction, 930 course, 580, 582 diagnosis, 582 forceps in, 979 Hodge's manccuver in, 584 molding in, 582 persistent, 580 mechanism of labor in, 580 prognosis, 583 treatment, 584 unusual mechanisms, for- ceps in, 974 Occipitosacral position, 580 molding in, 582 treatment, 584 Occiput, fetal, 168 Ointment, Credo's, in puer- peral fever, 879 Oligohydramnion, 52, 564 Olshausen's theory of pulse-rate in puerperium, 220 Omphalomesenteric duct, 45 Opening cervix, operations for, 907 Operating telescope, De Lee's, 903 Operations, 897 anesthesia in, 898 assistants, 898 Operations, contraindications, 897 diagnosis before, 897 feces issuing from anus in, care of, 905 for enlarging pelvic canal, 921 for opening cervix, 907 in private houses, arrange- ment of room, 900 preparations, 899 of patient, 900 provisions for complica- tions, 905 indications, 897 instruments for, 904 mutilating, on child, 1005 of delivery, 946 general conditions, 946 indications, 946 posture of patient, 902 preparatory, 907 preparing pelvic floor for de- hvcry, 920 vagina for delivery, 920 reflection after, 898 selection of, 897 Operative obstetrics, 897 Ophthalmia neonatorum, 308 prevention, 308 Opsonins, 827, 881 Optic neuritis in pregnancy, 505 Osiander's manoeuvcr with for- ceps, 982 Osteochondritis, syphilitic, in fetus, 487 Osteomalacia in pregnancy, 504 symptoms, 504 treatment, 505 phvsiologic, of pregnancy, i09 Osteomalacic pelvis, 687 diagnosis, 687 Osteophytes, puerperal, 104, 109 Otosclerosis, effect of preg- nancy on, 106 Ovarian pregnancy, 385 tubes, Pfliiger's, 3 tumors in pregnancy, 529 diagnosis, 529 prognosis, 530 treatment, 530 during labor, 531 vaginal ovariotomy in, 532 Ovario-abdominal pregnancy, 381 Ovariotomy, vaginal, in ovar- ian tumors, 532 Ovarj', anatomy, 2 external wandering, 24, 25 functions, 3, 11 germinal epithelium, 3 in pregnancy, 96 internal secretion, 15 interstitial gland in, in ani- mals, 11 tunica fibrosa, 4 propria, 4 Overgrowth of fetus, induction of premature labor in, 1014 Over-rotation in occipital pres- entation, 191 Ovocytes, 3 Ovulation, 2 and menstruation, connec- tion between, 14 definition, 2 Ovum, 23 and spermatozoid, union, 28 blastula formation, 30 changes in, after death of fetus, in abortion, 434 development; 28 diseas(\s of, 535 embedding, in uterine mu- cous membrane, 31 forceps, 429 karyokinesis in, 30 method of spirochetse in reaching, 483 morula stage, 30 nine weeks', 40 six weeks', 40 three weeks', 40 Oxygen in eclampsia, 367 Packing cervix, 909 forceps, De Lee's, 776 uterus in postpartum hemor- rhage, 784 with gauze in puerperal fever, 877 Packs, hot, in eclampsia, 367 Pains, after-, in puerperium, 324 cramp, 573 treatment of, 576 false, 279, 567 in abdomen in pregnancj^, 533 in epigastrium in eclampsia, 354 labor, 117, 129 effect of, on fetal heart, 138 false, 567 too strong, 577 weak, 567 of the kidneys, 131 strong, 577 weak, 567 diagnosis of, 568 etiology of, 568 prognosis of, 569 treatment of, 568, 571 Pajot's law of accommodation in head presentation, 178 manann-cr with forceps, 982 Palfyn's force[)s, 962 Palpation, abdominal, in labor, 279 of fetal body in diagnosis of pregnancy, 260 Paragomphosis, 705 Paralvsis, facial, in new-born infant, 811 of muscles of extremities of fetus in labor, 813 Parametritis in puerperal fever, 840 diagnosis, 845 etiology, 840 late, 844 INDEX 1047 Parametritis in puerperal fever, pathology, 841 prognosis, S4.5 symptoms, 843 treatment, 845, Sol Parathyroid extract in eclamp- sia, 367 Parathj-roids, changes in, in pregnancy, 104 Parietal bone presentation in flat pelvis, 696, 697 bones, shape, 169 bosses, 169 Parsenow's method of treating postpartum hemorrhage, 787 Parturient canal, 117 anomahes, 644 dj-stocia due to, 644 axial stretching, 164 axis of, 166 contractile portion, 164 deformities, 509 dilating portion, 164 formation, 163 injuries to, in labor, 725 position, 166 Passages involved in labor, 152 anomahes, 644 Passengers in labor, 167 anomalies, 579 classification, 579 Passive contraction of uterus, 619 Paternal s}"philis, effects on pregnane}', 483 Patterson's abdominal sup- porter, 400 Pean's forceps, 962 Pelveocrural celluUtis in puer- peral fever, 8G0 Pelvic bones, injuries, in labor, 765 canal, length, 153 operations for enlarging, 921 cellulitis in puerperal fever, 840. See also Parametritis congestion as sign of preg- nancy, 253 connective tissue, lacera- tion, in labor, 740 treatment, 742 floor, 160 in pregnancy, 96 injuries, in labor, 726 operations preparing, for dehvery, 920 projection, 96 relaxation, in labor, 727 rigidity of, djstocia due to, 647 diagnosis, 647 treatment, 648 girdle in pregnancy, 98 inclination, anomahes, dys- tocia due to, 656 inlet, diameters, 153 obUciue, 154 plane of, 153 joints in pregnancy, 98 injuries of, in labor, 765 relaxation of, in pregnancy, 379 Pelvic joints, rupture, in labor, 765 mea,surements in pregnane}', 234 internal, in pregnancy, 238 technic, 239 organs, diseases, dystocia due to, 649 outlet, diameters, 156 plane of, 156 planes, 153 Hodge's system, 156 narrow, 155 mde, 155 presentation, 174, 176 frequency, 178 veins, hgations, in puerperal fever, 883 Pelvimeter, Baudelocque- Breisky, 233 De Lee's, 236 Peh-imeters, internal, 237 PehTmetrv, internal, in labor, 288 Peh-is, 152 aequabiliter justominor, 658 anomahes of, Bonnaire's classification, 656 Budin's classification, 656 classification, 654 dystocia due to, 651 Litzmann's classification, 654 Schauta's classification, 654 Tarnier's classification, 656 assimilation, 679 as}'mmetric, 682 diagnosis, 683 high, 680 low, 680 lower, 679 midplane contracted, 682 transversely contracted, 681 upper, 679 biiscliiatic diameter, meas- urement, 242 bituberal diameter, meas- urement, 242 chief plane, 156 conjugate diameter, meas- urement, 242 contracted, 657 absolutely, 657 treatment, 712 at inlet, treatment of labor in, 722 at outlet, treatment of labor in, 722 caput succedaneum in, 708 cesarean section in, 991 extraperitoneal, 721 classification. 657 chnical aspects. of uterus in emptying uterus in inevitable abortion, 431 Perforator, Burton's, 1006 Naegele's, 1008 Perimetritis in puerperal fever, 846 diagnosis, 850 etiology, 846 pathology, 847 prognosis, 850 symptoms, 849 treatment, 851 Perineal body, 162 Perineorrhaphy, 736 after-care, 738 instruments for, 729 Perineum, fetal head on, 177 injuries of, in labor, 726 laceration of, in labor, 296, 726 causes, 296 etiology, 728 history of prevention, 305 treatment, 296, 734 preventive, 734 preservation, in labor, 296 historj^ 305 retraction of, in breech pres- entation, 958 scissors, 306 Perineum, suture of, in lacera- tions, 736 Periods, 11 Peritoneum in pregnancy, 95 Peritonitis in pregnancy, 520 in puerperal fevei", treat- ment, 851 Pernicious anemia in preg- nancy, 374 vomiting in pregnane^-, 343. See also Hyperemesis grav- idarum. Perret's cephalometer, 268 Pfliiger ovarian tubes, 3 Phlegmasia alba dolens in puerperal fever, 858 treatment, 860 cradle, 861 PUegmonous mastitis, 893 Phthisis in pregnancy, 480 treatment, 481 Physician, asepsis of, in labor, 273 attendance of, in labor, 290 response to call, in labor, 273 Physician's examinations in pregnancy, 232 visit before labor, 244 in puerperium, 324 Physiologic chill in puerperium, 218 diabetes of pregnancy, 108 leukocytosis of pregnancy, 103 osteomalacia of pregnancy, 109 Physometra in transverse pres- entation, 622 Pica, 107 Pinard's method of breech ex- traction, 951 Pipet, Little's, 865 Pituitary extract, effect on uterus, 104 Pituitrin in postpartum hemor- rhage, 787 Pityriasis versicolor in preg- nancy, 534 in puerperium, 377 Placenta, 37, 39, 43, 45 abruption of, 437 cesarean section in, 444, 991 concealed hemorrhage in, 439 diagnosis, 441 differential, 441, 442 emptying uterus in, 443 etiology, 437 frequency, 437 hemorrhage in, 438 concealed, 439 labor in, 441 pathology, 438 placenta pran-ia and, dif- ferentiation, 441, 442 prognosis, 442 pulse in, 441 rupture of uterus and, dif- ferentiation, 442 symptoms, 440 treatment, 442 Placenta, abruption of, vaginal cesarean section in, 444 accessory portions, 46 accreta, 772 albumimn'iciue, 497 angioma of, 557 at term, 45 atelecta.sis of, 556 battledore, 51 bilobate, 46, 47, 50 calcification of, 556 circular sinus, 42 rupture of, 444 circumvallata, 43, 552 cirrhosis of, 551 cotyledons of, 48 cysts of, 557 delivery of , Duncan's me- chanism, 200, 201 hemorrhage in, mechan- ism of control, 203 mechanism, 199 Schultze's mechanism, 200, 201 diseases of, 551 abortion from, 417 edema of, 556 examination of, 314 excretory functions, 68 expression, 128, 129, 310 Ahlfeld's method, 314 Crede's method, 312, 313 early, 311 expulsion of, 310 mechanism, 200 extra, retention of, 315 fenestrata, 447 fetal surface, 49 growth of, 43 hemorrhages, 554 hepatization of, 551 horseshoe, 46, 50 in cesarean section, 995 infarcts, 49, 551 varieties, 551 insertion of umbiUcal cord in, 50 isthmialis, 446 location of, in labor, 283 low insertion, 446 marginata, 43, 552 maternal surface, 47 membranacea, 46 myxoma of, 557 nappiformis, 552 pra^via, 445 abortion from, 449 abnipt ion of pi a c e n t a and, differentiation, 441, 442 accouchement force in, 460 Braun's colpeurynter in, 456 Braxton-IIicks' version in, 454 cesarean section in, 460, 991 centralis, 446 colpevn-ynter in, 456 dangers to child, 449 diagnosis, 449 differential, 450 INDEX 1049 Placenta praevia, etiology, 447 frequency, 447 hemorrhage in, 448 in contracted pehis, treat- ment, 724 in third stage, treatment, 459 lateraUs, 446 marginalis, 446 Maurer's treatment, 455 metreurysis in, 455 partiaUs, 446 prognosis, 450 Puzos' treatment, 452 stillicidiima sanguinis in, 448 sjTnptoms, 448 totalis, 446 treatment, 451 during third stage, 459 vaginal cesarean section in, 461 prolapse of, 439 removal of, in postpartum hemorrhage, 778 manual method, in post- partum hemorrhage, 778 ripe, 45 scirrhus of, 551 separation of, 310 mechanism, 199 shape, 46, 47 spuria, 46 succenturiata, 46, 51, 315 trefoil, 50 trilobate, 46, 47 tumors of, 557 variations in shape, 551 venous openings in, 43 ^•illi of, 37 weight, 45 white infarcts, 49, 551, 553 Placentae succenturiatse, 551 Placental circulation, scheme, 42 hemorrhages, 554 infarcts, 49, 551 varieties, 551 polyp, invasive, 548 site, atony of, 759 in puerperiimi, 208 souffle in diagnosis of preg- nancy, 262 Placentation, 37 Placentitis, 551, 556 Placentula?, 46, 551 Plastic changes wrought on fetus by labor, 142 Plastron, abdominal, 842 Plethora, serous, in pregnancy, 103 Pneumonia in pregnancy, 479 Podalic version, 934, 936 Point of direction, 579 presentation, 172, 579 Poisoning, eclampsia and, dif- ferentiation, 360 Polygalactia, 885 Polvglobuhsm in pregnancy, 375 Polyhydramnion, 52, 562 acute, 562 Polyhydramnion, acute, diag- nosis of, 563 chronic, 563 chnical course, 562 in twins, 465 prognosis, 563 treatment, 564 Polymastia, 102 Polyneuritis in pregnancy, 373 Polyp, placental, invasive, 548 Poljuiia in labor, 135 Pomeroy's bag for dilatation of cervix, 911 Porro cesarean section, 997 indications, 997 technic, 998 Portable sterilizer, De Lee's, 903 Portio vaginalis, 87 Position, 169, 170, 172 changes in, 178 chin, persistent posterior, 596 definition of, 173, 579 diagnosis, bj' abdominal ex- amination, 279 by internal examination, 287 frequency, 178 Indian, 716 Jonge's, 723 hthotomy, exaggerated, in moderately contracted pel- vis, 716 methods of improving, 930 occipitoposterior, 580 chnical course, 582 correction, 930 course, 580 diagnosis, 582 forceps in, 979 Hodge's manccuver in, 584 molding in, 582 persistent. t?ee also Hemorrhage, post- partum. Poullet's cord repositor, 632 Powers involved in labor, 149 Precipitate labor, 577 dangers, 577 treatment, 578 Precocious pregnancy, 113 Preeclamptic toxemia. 354 Pregnancy, abdominal, 381 secondary, 384 Pregnancy, abdominal wall in, 99 acetonuria in, 108 acne in, 534 acromegalic changes in, 104 acute yellow atrophy of liver in, 370 diagno.sis, 371 patholog}', 370 prognosis, 371 symptoms, 370 treatment, 371 adrenaUnemia in, 104 after menopause, 19 albuminuria in, 108, 369 alcohol in, 225 amblyopia in, .506 ampullary, 385 anemia in, 374 angular, extra-uterine preg- nancy and, differentiation, 390 anorexia in, 107 appendicitis in, 493 diagnosis, 493 treatment, 494 appetite in, 107 areola in, 101, 2.53 axis of uterus in, 83 bacteriuria in, .501 ballottement in diagnosis of, 259 bartholinitis in, 514 Basedow's disease in, 491 treatment, 491 bathing in, 228 bladder in. 82, 96 bhndness in, 505 blood diseases in, 374 bowels in, 226 Braxton Hicks' sign, 259 breasts in, 100 care of, 230 broad hgaments in, 95 carcinoma of cervix in, 527 diagnosis, 528 treatment, 528 of rectum in, 532 cerNical, 421 cessation of menstruation in, 251 changes due to, 70 local. 70 in blood in, 103 in bone-marrow in, 104 in bones in, 109 in breasts in diagnosis of, 253 in cervix, 78, 79, 86 in circulatory svstem in, 104 in digestive tract in, 106 in disposition in, 252 in endometrium in, 34 in form, size, consistence, and position of uterus in diagnosis of, 256. 262 in hair in. Ill in heart in, 104 in intestines in. 107 in larynx in. corset in, 225 cotton spitting in, 107 cravings in, 107 cystitis in, 501 cystocele in, 414 darkening of eyelids in. 111 deafness in, 106 dental caries in, 492 diabetes in, 502 diagnosis, 502 prognosis, 503 treatment, 503 after viability of child, 503 before cliild is viable, 503 diagnosis, 250 auscultatory signs, 260 ballottement, 259 bluish discoloration of vagina, vulva, and ves- tibule, 254 Braxton Hicks' sign, 259 cessation of menstruation, 251 changes in breasts, 253 in disposition, 252 in form, size, consist- ence, and position of uterus, 256, 262 in nipples in, 253 in skin, 262 death of fetus, 265 fetal heart-tones, 260 movements, 259 souffle, 261 Pregnancy, diagnosis, Hegar's sign, 255 intermittent uterine con- tractions, 259 irritability of bladder, 253 lightening, 264 morning sickness, 252 multiparity, 266 nausea and vomiting, 252 palpation of fetal body, 260 pchic congestion, 253 placental souffle, 262 quickening, 258 saUvation, 252 softening of cervix and vagina, 255 sources of error, 250 summary of, 264 time, 267 uterine souffle, 262 chet in, 225 dilatabihty of uterus in, 94 diseases, 340 accidental to, 476 local, 509 classification, 340 of ahmentary tract in, 492 of blood in, 374 of circulatory system in, 487 of ear in, 506 of eye in, 505 of heart in, 487 of metabolism in, 502 of nose and throat in, 505, 506 of skin in, 375, 534 of urinary sj'stem in, 496 diverticula of uterus in, 514 dizziness in, 533 dress in, 225 ecliinococcus cysts in, 532 eclampsia in, 353. See also Eclampsia. ectopic, 381. See also E.vtra-uterine pregnancy. eczema in, 534 edema in, 106, 376, 534 effects of diabetes on, 502 of fibroids of uterus on, 523 of heart disease on, 489 of maternal sypIiiUs on, 482 of paternal syphihs on, 483 on diabetes, 502 on heart disease, 488 on otosclerosis, 106 on sypliilis, 482 elasticity of uterus in, 94 endometritis in, 516 catarrhal, 517 glandular, 517 gonorrheal, 519 interstitial, 517 polyposa, 517 syphilitic, 519 tuberosa, 517 endometrium in, changes in, 34 enlarged and prolapsed kid- neys in, 532 enlargement of cervix in, 415 Pregnancy, epistaxis in, 507 erosions of cer^^x in, 516 erysipelas in, 478 erythrocytes in, 103 exercise in, 227 extra-uterine, 381. See also Extra-utcrinc pregnancy. fainting spells in, 105, 111, 533 Fallopian tubes in, 96 fetal heart-tones in diagno- sis of, 260 movements in diagnosis of, 259 souffle in diagnosis of, 261 fever of, 519 fibroids of uterus in, 521. See also Fibroids of uterus in pregnancy. fibroma molluscum in, 376 frequent urination in, 534 gait in, 110 gall-stones in, 492 gingivitis in, 107, 353 treatment, 353 glycosuria in, 108 gonorrhea in, 514 diagno.sis, 516 treatment, 516 gonorrheal endometritis in, 519 Graves' disease in, 491 heart disease in, 487 prognosis, 489 treatment, 489 Hegar's sign in, 78, 255 hematuria in, 501 hemophilia in, 374 treatment, 375 hemorrhage in, 374 hemorrhoids in, 107, 379 hernia in, 494 herpes in, 376 hirsuties in, 376 history card in, 233 husband and, 224 hydremia in, 103 hygiene, 225 and conduct, 223 hypertrophy of cervix in, 516 of heart in, 104 icterus in, 492 gravis in, 370 ileus in, 494 impetigo herpetiformis in, 376 in retroverted uterus, extra- uterine pregnancy and, differentiation, 391 in rudimentary horn of uterus, 509 in uterus arcuatus, 511 bicornis duplex, 510 unicollis, 51 1 unolatere rudimenta- rius, 512 bilocularis, 51 1 subscptus unicoHis, 511 uniccrnis, 512 infectious diseases in, acute, 476 chronic, 480 influence, on quantity and quality of milk, 216 INDEX 1051 Pregnancy, influenza in, 479 insanity in, 372 treatment, 373 insomnia in, 533 instructions in, general, 231 intermittent uterine con- tractions in diagnosis of, 259 interstitial, 381, 383 intestinal indigestion in, 492 intra - uterine and extra- uterine, combined, 387 ectopic gestation and, dif- ferentiation, 389 inverted nipples in, 230 irritability of bladder in diagnosis of, 253 of uterus in, 94 jaundice in, 492 kidney of, 108, 369. See also Kidney of pregnancy. 