None
Eczema of nipples in pregnancy, 232 Edema of genitals after labor, 641 of glottis in pregnancy, 253 of placenta, 123 of vulva in pregnancy, 229 Edgar's method of dilating os uteri, 808 Egg-cords, 60 Ehrenfest-Neumann kliseometer, 452, 453 pelvigraph, 452, 453 Elephantiasis, congenital cystic, 165 Embolism, pulmonary, in labor, 616 in pregnancy, 254 Embryo, development of, 76 in first month, 76 in second month, 80 in third month, 81 Embryonal area, 74 Embryotomy, 831 Emotion as a cause of puerperal hemor- rhage, 650 death from, in labor, 616 Emotional fever in puerperal state, 658 Emotions, maternal, influence of, upon fetus, 170 Emphysema in pregnancy, 253 subcutaneous, in labor, 613 Endocervicitis in pregnancy, 224 Endochorion, 107 Endocolpitis in puerperal sepsis, 753 Endometritis, catarrhal, 150 chronic, as a cause of death of fetus, 176 cystic, 151 decidualis, 127 polyposa or tuberosa, 149 exanthematous decidual, 152 hemorrhagic decidual, 152 in puerperal sepsis, 753 microbic decidual, 153 placentaris, 1 28 gummosa, 127 polypoid, of decidua, 149 purulent decidual, 153 tuberculous, 153 Endometrium, decidual, diffuse hyper- plasia of, 147 hyperplastic inflammation of, 147 involution of, 342 Entoderm, 75 Epichorial decidua, 143 Epilepsy, abortion from, 262 in pregnancy, 247 Episiotomy, 324 Epistaxis in parturition, 253 in pregnancy, 253 Epoophoron, 42 Erysipelas in puerperal state, 670 of fetus, 161 relation of, to puerperal sepsis, 774 Erythematous rashes in puerperal state, 673 Evisceration, 838 Evolution, spontaneous, 421 Exanthemata of new-born, 875 Exanthematous decidual endometritis, 152 Exochorion, 107 Exostoses of pelvis, 486 Expulsion, forces of, 381 excessive jx)wer oit, 433 of gravid uterus, 219 stage of lalxjr, 310 Extension of fetal head, anomalies of, 392 in face presentations, 399 in labor, 387 External conjugate, measurement of, 437 genitals, development of, 42 Extramcdian engagement of head, 460 PLxtra-uterine pregnancy, 276 advanced, 298 changes in uterus and vagina in, 279 classification of, 277 clinical history of, 278 diagnosis of, 295 etiology of, 277 frefiuoncy of, 277 prognosis of, 296 symptoms of, 294 terminations of, 286 treatment of, 297 Eyesight in new-lx)m infant, 856 Eyes, failing of, in pregnancy, 248 Face, appearance of, in pregnane^', 195 of fetus, injuries of, during labor, 867 pn^scntation, 397. See also Presen- tation, face. Fallopian tulK\s, anatomy of, 50 False corpus luteum, 64 Fat of human milk, 860 892 INDEX. 893 Fetus, traumatism of, 167 tuberculosis of, 161 tumors of, obstruction of labor by, 547 typhoid fever of, 162 vaccination of, 160 variola of, 159 yellow fever of, 163 Fever in puerperal state, emotional, 658 from cerebral disease, 663 from constipation, 661 from exposure to cold, 660 from reflex irritation, 661 from sun-stroke, 664 non-infectious, 658 syphilitic, 665 with eclampsia, 664 maternal, influence of, upon fetus, 169 Fibrofatty degeneration of placenta, 124 Fibroid of uterus, obstruction of labor by, 532 Fibroids in puerperal state, 650, 748 Fibromata of uterus in pregnancy, 223 Fibromyoma of uterine muscle in preg- nancy, 223 Fibromyxomatous degeneration of cho- rion, 116 Fibrous degeneration of placenta, 124 Fillet-carrier, 806, 807 extraction of breech by, 807 Fimbriae of oviduct, 53 Finger-nails, loosening of, in pregnancy, Fistulae, genito-urinar}', 610 Flat pelvis, non-rachitic, 463 rachitic pelvis, 474 Flexion of fetal head, 386 abnormalities of, 391 Food -yolk of ovum, 61 Foramen ovale, 85 Forceps, 781 application of, 792 axis-traction, application of, 803 Davis', 789 dilatation of cervical canal by, 810, 811 Hirst's, 787 historical sketch of, 781 Hodge's, 787 in after-coming head, 829 in breech presentation, 807 in labor with contracted pelvis, 516 in occipitoposterior position, 802 in transverse pKDsitions of head, 802 indications for application of, 790 introduction of, 792 LevTet's, 785 locking of, 798 mortality from, 803 Palfyn's, 784 position for, 792 Poulet's axis-traction, 789 Forceps, preparations for application of, 792 Simpson's, 787 Smellie's, 785 sterilization of, 792 Tamier's axis-traction, 789 traction on, 801 uses and functions of, 790 P'orces of expulsion, 381 of labor, anomalies of, 428 of resistance, 381 Fossa navicularis, 44 Fourchct, 44 Fowler's jx)sition after operation for dif- fuse suppurative peritonitis, 758 Fracture of limbs of child during labor, 868 of pelvis, 489 of skull during labor, 864 Fractures in utero, 166 Friedlander, decidual cells of, 146 Fritsch's method of treating postpartum hemorrhage, 577 Fundus uteri, height of, as an indication of duration of pregnane}', 213 Funic soufl[le, 204 Funis, 135. See also Umbilical cord. Funnel-shaped pelvis, 460 Furuncles of new-bom, 878 Galactocele, 710 Galactorrhea, 701 Galbiati's knife, 840 Gangrene of vulva, obstruction of labor by, 525 puerperal, 765 Gartner, canals of, 41 Gastro-intestinal hemorrhage in new- born, 882 Gau's dilators, 811 Gavage of premature infants, 858 Gelatin of Wharton, 136 Generative organs, nerves of, 32 Genital cord, 40 eminence, 42 Genitalia, diseases of, 217 external, development of, 42 internal, development of, 39 Genito-urinar>' fistulae, 610 Germinal spot of ovum, 61 vesicle of ovum, 61 Germ-yolk of ovum, 61 Gestation, 17. See also Pregnancy. Gingivitis in pregnancy, 232 Glands of clitoris, 45 of Montgomery-, 195, 352 Gland-space, 60 Glandular layer of uterine decidua, 146 Glottis, edema of, in pregnancy, 253 in puer|)erium, 349 »94 INDEX. Goiter in pregnancy, 251 GornxxKrcus-infection in pregnancy, 227 in pucrpcml sepsis, 724, 727 Gonorrhea in puerperal state, 671 Gonorrheal stomatitis \A new-bom, 877 GvxAiell's rule of pregnancy, 202 Itraahan follicles^ ^^ aevelopment of. t)o rupture o£ Co Graduatevi bougies, dilatation of cer- vical canal by, Sio, 811 Graves* disease in pregnancy, 251 Gravid uterus, 183. See also Pregnani lUerus. Guni of new-bom, 854 Habitual death of fetus, 175 diagnosis of cause of, 179 preventive treatment of, 180 Harelip, treatment of, 875 Harris' method of dilating os uteri, 80S Harris-Dickinson pelvimeter, 438 Head, fetal, effects of flat pelvis on, 458- 460 extramedian engagement of, 460 p>ossiblc presentations of, 384 structure of, 383 Hearing, disturbances of, in pregnanc\*,. 248 Heart affections of new-bom, 880 changes in, in pregnancy, 187 disease in labor, 634 1 in pregnancy, 240 failure, death from, in labor, 614 muscle, disease of, in pregnancy, 251 of ne\v-lx)rn infant, 857 s«.iunds, fetal, in pregnancy, ausculta- tion of, 204 HoUnoniy, 844 Hi'^ars Ixiugies or dilators, 811 sign of pregnancy. 202 Hematocele, antc-ulerine. 2Q3 fn>m tubal pregnancy, 203 R^tn>-uterino. 203 Hemalcmia fn>m ruplUR'^ tubal preg- nancy. 20^ of ivni. 141 of vagina, obstruction of labor by, 522 l»l\;xMd. oi uterus, 140 pucqx^ral, 051, 052 clinical histv>r\- of. 054 ^ ti-.agv.i^sis of, 054 », '.C h.\s:^" m^m. On I «•«««*« ■^•■x v.:c ,\n^: N^m-. of, 653 :Tv.i:—.cr.: of. ^57 •.\;-.":urv^ v^!. V av.sinc i?cath in labi-kr. 015 >lc-VA:;:ri.\ r^ '.^-xx^-'-vT- -45 Hemidrosis of new-bom infant, 880 Hemophilia of new-bom, 880 Hemoptysis in pregnancy, 254 Hemorrhage, accidental, 571 complicating labor, 560 from laceration of cervix, 589 from umbilicus, 882 gastro-intestinal, in new-born, 882 in placenta pncvia, 564 in third stage of labor, prevention of, 329 placental, 129 postpartum, 573 abdominal binder in, 575 auto-infusion in, 580 causes of, 573 compression of uterus In, 576 diagnosis of, 574 electricitj- in, 577 ergot in, 575 Friisch's method of treating, 577 intravenous injection of salt solu- tion in, 578 Monsel's solution in, 577 morphin in, 579 rectal injection of salt solution in, 568. 578 symptoms of, 574 tampon in, 576 transfusion of blood in, 580 treatment of, 575 puerperal, 641 from carcinoma of uterus, 651 from dislodgment of thrombi, 64Q from displacements of uterus, 646 from emotional causes, 650 from tibrxMds, 050 from hematomata. 651, 652 from f)eh-ic engorgement, 651 from relaxation of uterus, 650 from retained placenta and mem- branes, O41 from retention of blood-clots, 650 from wounds of genital tract, 651 unavoidable. 560. 571 Hemorrhagic decidual endometritis, Hemorrhoids in pregnancy, 2y) \-esical, 244 Hemothorax of child from injury in labor. S70 Heredity function of, in labor, 304 Hernia of pregnant uterus, obstruction of labor by, 526, 527 umbilical, 140 of newborn. S75 vacinal. «^bstruction of laS^r by. 5;o Hernial pnMrusion. pregnant uterus forming pan of, 222 Heqx^ gestationis in pregnancy. 257 Hicks' cephak>tribe, S34 INDEX. 89s Hirst's canvas binder for symphyseot- omy, 843 cranioclast, 833 forceps, 787 knife for cutting subpubic ligament, 840 method of antepartum fetometry, 454 operation for inversion, 607 pelvimeter, 446 Hodge's forceps, 787 scissors, 832 Holmes' u^-^rine tube and packer, 577 Holoblastic ovum, 61 Hook, blunt, 806 Braun's, 838 Ramsbotham's, 838 Human milk as food, 860 compared with cows' milk, 861 constitution of, 860 Hydatidiform mole, 108 Hydramnios, 99 acute, 99 diagnosis of, 102 differentiation of, from ascites, 103 from ovarian cyst, 103 from twin pregnancy, 103 etiology of, 99 from abnormal pressure in l>lood- vessels of cord, 100 from both fetal and maternal sources, lOI from deficient absorption of liquor amnii, 102 from excessive secretion of fetal urine, 100 from fetal skin, loi from the amnion itself, loi of fetal origin, 99 of maternal origin, 99 symptoms of, 102 treatment of, 103 Hydrencephalocele, 545 obstruction of labor by, 547 Hydroamnion, 99 Hydrocephalus, 548 diagnosis of, 548 treatment of, 549 Hydronephrosis in pregnane)', 243 Hydrops tubae profluens, 300 Hydrorrhoea gravidarum, 300 Hydrostatic dilatation of cervical canal, 808 Hymen, 45 unruptured,obstructionof labor by, 523 Hyperemesis gravidarum. See Vomit- ings pernicious. Hyperlactation, 701 Hyperleukocytosis, artificici, in treat- ment of puerperal sepsis, 739 Hyperplasia, diffuse, of decidual en- dometrium, 147 Hypertrophy, cellular, of placenta, 124. See also Cellular hypertrophy. localized, of cord, 141 Hypodermoclysis, 579 Hysterectomy for puerperal sepsis, 746 Hysteria in pregnancy, 247 Hysterical convulsions, abortion in, 262 Hysterotomy, anterior vaginal, for arti- ficial dilatation of cervical canal, 815 Icterus gravidarum, influence of, upon fetus, 171 of new-lx)rn, 880 Iliopsoas muscle, 25 Imperforate rectum of child, 876 Impetigo herpetiformis, 256 Impregnation, change in ovum follow- . ing, 74 time when most likely to occur, 72 Incarceration of pregnant uterus, 218 treatment of, 220 Incontinence of urine in pregnancy, 244 in pucrperium, 689 Incubation, 857 Incubator, Kny-Scheerer, 858 Indagation, 370 Indigestion in pregnancy, 237, 238 Induction of abortion, 776 See also Abortion. Inertia uteri, 428 diagnosis of, 430 etiolog)' of, 428 treatment of, 431 Infant, new-born, 363, 830. See also New-born injant. Infarcts, placental, 125 Inflammation, acute, of decidual, 152 adhesive, in formation of amniotic bands, 104 diffuse hyperplastic, of decidual endo- I mctrium, 147 I Influenza in pregnancy, 255 I Infundibulopelvic ligament, 55 I Inguinal cololomy for atresia ani of new- I lx)rn, 876 I Injuries of child-birth, repair of, 640 I to infant during labor, 863 Inlet of pelvis, 17 Insanity in pregnancy, 248 preexisting, 249 Insemination, 66 Insertio vclamentosa, 140 Insolation in puerperal state, 664 Instrumental dilatation, 809 InsuflJation in asphyxia neonatorum, S7. Internal cell-membrane of ovum, 61 Interstitial placentitis, 124 pregnancy, 297 abdominal section for, 298 iiiii 896 IN Interstitial pregnancy, clinical history of, symptoms of, 195 Intestinal invagination in fetus, 167 Intcslincrs in pregnancy, 337 Intra[)i'riloncal abscess, abdominal sec- tion for, 743 Intrauterine amputations, 167 Inlussusocpliun of new-bom, 878 Inversion of uterus in labor, 603. See also VUrtia. inversion oj. Involution of utenia, 338, 357 abnornia lilies of, 635 I. 343 Kyphoscoliosis, pelvis of, 507 Kyphosis, 499 lumbosacral, 500 Kyphotic pelvis, 499. See also Pdvis, kyphotic. varices of, in pregnancy, 128 puncture of, for edema of vulva. 13a Labor, 303 abdominal palpation in, 377 action and appearance of woman Id, changes in blood<vessels in, 343 in muscle-hbers in, 339, 340 endometrium in, 343 ergot for, 358 Irritable uterus as a cause of abortion, z6o Ischiopagus parasiticus. 543 Ischiopubiotomy in obliquely coniracied pelvis, 470 Ischiorectal abscess, 772 in puerperal sepsis, 773 JA> ■-. S43 Jaundice in pregnancy, 338 of new-born. 880 Johnson's sign of prcgnancv, 200, lo. Jorisenne's sign of pregnane^. 187 Juslumajor pelvis, 471 Justominor [iclvis, 461. See also Frlvis Juvi'nile pelvis, 447 Kidney, dialcK^ation of, in labor. 688 in pueqielium, 688 of nregnauiy, lyc, diffcrvntial diagnosis of, from neph- Kidneys, diseases of, in pregnaniy. 2311 in pu('r[«.'ni! stale. 688 palpation of, at end of pueriietium, 376 Klcl>s-I,t>nier Uicillus in puerperal sep' sis, 734 Klisi'ompfer. Ncumann-Ehrenfest, 451 Knots of umbilical cord. 136. 138, ly, Knv-Srheerer incubator, 858 Kycsteinic pelUcIc, 187 caput succedaneum in, 866 causes of, 303-30S circular detachment of cervix by heart disease. 634 by hemorrhage, 560 b)- pneumonia, 633 secunng, 330 s during, t .,)»• decapitation of fetus ddinllion of, 303 delirium tremens during. 241} dcsi cnt of uterus in, 306 diagnosis of, 305 diastasis of abdominal muscles in. 61} dislocation of kidney in, 688 distort'on of head during. 864 dn/. 3^' duration of, 307 eclampsia during. 631 effect of menial impresMons during, emixilism of pulmonary arterv in, 616 elherin. 13. )n of patient in. 316 L- for. ■'f. m fir.*l stage of. 310 anesthetics in, 330 management of. 31S pain in, 319 forces involved in, 381 anomalies of, 438 fta rcofcL.,,., -.. of limb^ of child during, i of |H-W'c bones in, 611 of skull during. S64 INDEX. 897 I«abor, heart failure in, 614 induction of, 778 in placenta prsevia, 567 injuries of anterior vaginal wall in, 602 repair of, 640 to bowel of child during, 869 to brain during, 863 to cervix uteri in, 589 to face during, 867 to infant during, 863 to neck of fetus during, 867 to peripheral nerves during, 863 to scalp during, 866 to trunk of child during, 868 urinary tract in, 610 inversion of uterus in, 603 labia in, 311 lacerations of perineum in, 323, 596 treatment of, 324, 596 of vagina in, 592 of vestibule in, 593 of vulva in, 593 leukocytes after, 347 liquor amnii in, 322 management of, 315 when obstructed by contracted pel- vis, 514. manner in which uterine muscle acts on fetal body in, 382 mechanism of, 377 abnormalities of, 391 expulsion of trunk in, 391 forces involved in, 381 in breech presentation, 408 in brow presentation, 405 in face presentations, 400 in flat pelvis, 456 in funnel-shaped pelvis, 465 in justominor pelvis, 463 in kyphotic pelvis, 502 in obliquely contracted pelvis, 469. in occipitojx)sterior positions, 393 in osteomalacic pelvis, 486 in rachitic pelvis, 480 in right occipito-antcrior position, 393 in shoulder presentation, 420 in third stage, 422 abnormalities of, 423 in vertex presentation, 394 normal, 395 accommodation of fetal head in, 395 anterior rotation of occiput in, 387 descent of head in, 387 dilatation of lower segment and of cervical canal in, 394 external rotation in, 391 57 Labor, mechanism of, normal, propulsion and extension of head in, 388 restitution in, 388 when occiput rotates into hollow of sacrum, 396 missed, 189 obstruction of, by abnormal condition about rectum, 540 by abnormalities of fetal mem- branes, 558 by abscess of Bartholin's gland, 524 by anus vestibularis or vaginalis, 523 by atresia of cervix uteri, 519 of vagina, 523 by calculi in bladder, 540 by carcinoma of cervix uteri, 532 by cicatrices of vagina, 522 by cicatricial contraction of cervix uteri, 520 by closure of vagina, 521 by congenital anomalies of uterus, 518 narrowness of vagina, 525 by cystocele, 540 by displacement of cervix uteri, 532 of uterus, 525 by double uterus, 518 by edema of vulva, 524 by enlarged caruncula; myrtiformes, 525 by former fixation of uterus, 527 by gangrene of vulva, 525 by hematomata of vagina, 522 by hernia of pregnant uterus, 526, 527 by hydrencephaloccle, 547 by hydrocephalus, 548 by large fetal head, 544 by malformations of fetus, 544 by ovarian cysts, 536 celiotomy for, 538 by overgrowth of fetus, 541 by pendulous belly, 526 by placenta praevia, 560. See also Placenta prarvia. by premature ossification of cra- nium, 544 by prolapse of uterus, 529 by rectocele. 540 by rigidity of cervix uteri, 520 by sacculation of uterus, 529 by septa of vagina, 522 by short umbilical cord, 558 by tumors of fetus, 547 of vagina and vulva, 523 by twins ^<^t^ by unruptured hymen, 523 by uterine displacements, 525 fibroid, 532 polypi. 535 898 INDEX. Labor, obstruction of, by vaginal entero- cele, 539 by vaginismus, 525 by varicose veins, 525 by Wormian bones, 544 pains of, 306 pathology of, 428 preliminary preparations for, 315 premature, 259 care of child after, 857 induction of, 778 in overgrowth of fetus, 541 preparations for, 315-317 prevention of hemorrhage in third stage of, 329 profound emotion in, 616 pulse in, 347 resistant forces of, excess of, 434 ruj)ture of hematoma in, 615 of rcsj)iratory tract in, 613 of sacro-iliac joints in, 61 1 of symphysis pubis in, 611 of uterus in, 580. See also Uterus^ rupture of. second stage of, 310 clinical features of, 313 shock in, 614, 633 signs of, 306 "show," 316 sloughs of scalp from injury during, 867 stage of descent in, 310 of dilatation in, 310 of expulsion in, 310 stages of, 310 suVjcutaneous emphysema in, 613 sudden death during, 614 syncoj)e in, 616 temperature in, 315 temporary delirium of, 249 third stage of. 310, 331 mechanism of, 422 abnormalities of, 423 thrombosis of pulmonar)' artery after, 616 twin, 553 coiling of cords in, 555 mechanism of. 555 f)lacenta in, 556 presentations in, 553 prognosis of, 557 uterine contractions in, 308 vulva in. 311. 323 Laceration of perineum in lal)or, 323 preventive treatment of. 324 T.actannimin of human milk, 860 Lactose. S60 Langhans' cells. ri8 Lanugo. S2 Laparo-elytrotomy, 845 Larynx, diseases of, in pregnancy, 253 Late ligation of cord, 335 Lateral displacement of pregnant uterus, 221 Lateroflexion of pregnant uterus, 221 Lateroposition of pregnant uterus, 221 Lateroversion of pregnant uterus, 221 Length of mature fetus, 88 Leukemia in pregnancy, 253 Leukocytes after labor, 347 Leukorrhca in pregnane}', 194 vaginal, in pregnane}-, 225 Levator ani, importance of, 26 Levret's forceps, 785 Ligamentous structures of pelvis, 27 Limbs of fetus, fracture of, during labor, 868 Linea nigra, 200 Lipuria in pregnancy, 244 Liquor amnii, 96 abnormalities of, 104 complicating labor, 558 secretion of, 98 composition of, 97 deficiency of, 98 escape of, in labor, 322 excessive quantity of, 99 origin of, 97 putrefaction of, 104 folliculi, 60 Lithopedion, 175 Liver, degeneration of, in pregnancy, 238 L. O. A. presentation, 380 explanation of frequenc}' of, 380 Lochia, 343 . alba, 344 rubra, 344 serosa, 344 Lochial tube, Doderlein's, 729 Lohlein's method of measuring trans- verse diameter of pelvic inlet, 449, 450 Longings in pregnancy, 1S8 Loosening of pelvic joints in pregnane)'. 231 L. O. P. presentation, 380 Lordosis, pelvis of, 507 Lowenhardt's method of estimating duration of pregnane}*, 213 Lumbosacral kyphosis, 500 Lungs in pregnancy, 253 in puerperal state, 349 of new-bom infant, diseases of, 872 septic infection of, 873 Luxation of femora, effect of, on pehis, 511 Luxations of fetus, 166 Lymphangioma of fetus, obstruction of labor by, 547 Lymphatic ducts of peh-ic organs, 32 Lymphatics of uterus in pregnane}-, 182 K INDEX. 899 Malaria in puerperal state, 677 of fetus, 161 relation of, to puerperal sepsis, 775 Male pronucleus, 73 Mammae, absence of, 693 congestion and engorgem'ent of, 706 hypertrophy of, 693 supemumerar}', 693 Mammary abscess, 709 m pregnancy, 232 binder, 363 changes in puerperal state, 350 glands, 351. See Breasts. in puerperium, 361 tumors, 710 in pregnane)', 232 Manual method of dilating os uteri, 808 of extracting breech, 805 Marginal insertion of cord, 139 Marshall Hall's method of artificial respiration^ 871 Martin's pelvimeter, 438 Masculine pelvis, 461 Mastitis, 708 of new-bom, 875 Maternal blood, alterations in, that are fatal to fetus, 1 76 death, effect of, on fetus, 616 emotions, influence of, on fetus, 170 fever, influence of, on fetus, 169 Maturation of ovum, 60 Mature fetus, 87 appearance of, 88 dimensions of head of, 88 length of, 88 weight of, 87 Maturity of ovum, as cause of labor, 304 Mauriceau's method of delivering after- coming head, 828 Measles in fetus, 160 in pregnancy, 255 in puerperal state, 674 Mechanism of labor, 377. See also Labor, mechanism of. of various positions, 384 presentations, 384 Melancholia in pregnancy, 188 Melena of new-born, 882 Mellituria in pregnancy, 245 Membra na decidua vera, 142 granulosa of Graafian follicle, 60 reflexa, 142 serotina, 142 Membranes, fetal, abnormalities of, complication of labor by, 558 retention of, puerperal hemorrhage from. 641 Menstrual flow, character of, 59 duration of, 59 Menstrual flow, quantity of, 59 molimina, 58 Menstruation, 56 and ovulation, connection between, 64 cessation of, 59 as a sign of pregnancy, 192 without pregnancy, 193 in extra-uterine pregnancy, 294 recurrence of, during pregnancy, . 193 time of onset, 58 Mental impressions during labor, effect of, 616 Mesoderm, 74 Mesonephros, 42 Metritis, chronic, as a cause of abor- tion, 176 dissecting, in puerperal sepsis, 754 in pregnancy, 223 treatment of, 223 septic, in puerperal fever, 754 Micro-organisms, behavior of, in gen- ital canal, 726 capable of producing puerperal sep- sis, 723 manner of entrance of, into genital canal, 725 passage of, from mother to fetus, 158, 159 Miliary tuberculosis in pregnancy, 254 Milk, colostrum-corpuscles in, 704 cows', constitution of, 871 effect of emotions on, 699, 703 fever, 350 human, as food, 860 constitution of, 860 qualitative anomalies in, 702 quantity of, 354 secretion of, 696 defective, treatment of, 700 deficient, 697 excessive, 700 uterine, 1 17 Milk-leg in puerperal sepsis, 763 Miscarriage, 259, 275. See also Abor- tion. Missed abortion, 275 labor, 189 Mole, hydatidiform, 108 tubal, 290 vesicular, no Molimina, menstrual, 58 Mons veneris, 43 Montgomer\''s glands, inflammation of, 704 prominence of. in pregnancy, 195 Morning sickness, 188 Morula, 74 Mother, chronic diseases of, effect of, upon fetus, 177 900 INDEX. I Mother, conditions of, which injuriously aflfect fetus, 169 death of, effect of, upon fetus, 171, 617 directions for, 364 effect of death of fetus upon, 171 Mouth-to-mouth insufflation in as- phyxia neonatorum, 871 Mucous plug, 186 Mulberry mass, 74 Mullerian ducts, 39, 40 Miiller's method of antepartum fetom- etry, 454 Multiple births, 553. See also Labor ^ twin. fetation, 91. See also Fetation. pregnancy, 91. See Fetation^ mul- tiple. Murphy breast-binder, 363 Muscle-fibers of uterus, alterations in, in pregnancy, 181 Muscles of pelvis, 25 Mycosis of vagina in pregnancy, 227 Myelitis, ascending, in puerperal state. Myocardium, brown atrophy of, in pregnancy, 251 Myometrium, rheumatism of, in preg- nancy, 223 Myxoma fibrosum placentae, 116 of fetus, obstruction of labor by, 547 Myxomatous degeneration of placenta, 126 Myxosarcoma, telangiectatic, 141 Naboth, glands or follicles of, 46 Naegele's method of estimating dura- tion of pregnancy, 212 Naegele's pelvis, 466. See also Pelvis y contracted, obliquely. Nasal catarrh of new-born, 877 Nausea and vomiting in pregnancv, 188, 103 Neck, injuries of, during labor, 867 Necrosis of pelvis, 492 Nephritis, differential diagnosis of, from kidney of pregnancy. 240 in pregnancy, 240 treatment of, 241 maternal, effect of, upon fetus, 177 Nervi'S of generative organs, 32 of uterus in pregnancy. 182 Nervous system, diseases of, in preg- nancy. 246 in pregnancy. Obstetric examination in labor, 317 operations, 776 Obstetrical binder, 331 Obturator internus, 25, 27 Occipito-anterior position, 380 mechanism of labor in, 384 right, mechanism of, 393 Occipito-posterior position, 380 diagnosis of, 393 mechanism of labor in, 393 prognosis of, 397 treatment of, 396 Oligohydramnios, 98 Omphalitis of new-bom, 881 Omphalorrhagia, 882 Ophthalmia neonatorum, 879 Os uteri, artificial dilatation of, 808. See also Cervical canal, dilatation of. Osiander's pelvimeter, 438 Osseous system, diseases of, in preg- nancy, 25s Ossification of cranium, premature, ob- struction of labor by, 544 Osteomalacia of pregnancy, 255 Osteomalacic pelvis, 483 Osteophytes in pregnancy, 187 Ostium abdominale of oviduct, 53 internum of oviduct, 53 Outlet of pelvis, 1 7 Ovarian arteries, 32 cysts in pregnancy, 224 pregnancy, 277 clinical history of, 283 operation for, 298 terminations of, 291 veins, ligation or exsection of, in thrombophlebitis, 743 Ovario-abdominal pregnancy, 277 Ovariopelvic ligament, 55 Ovariotomy for ovarian cyst compli- cating pregnancy, 537 Ovary, anatomy of, 54 cysts of, complication of labor by, '536 development of, 40 germinal epithelium of, 60 Overdistention of uterus as cause of labor, 304 Oviducts, anatomy of, 50 Ovular decidua, 143 Ovulation, 60 and menstruation, connection be- tween, 64 Ovule and spermatic particle, meeting- place of, 71 Ovum, changes in, following impreg- nation, 74 dcutoplasm of, 61 discharge of, from ovar}', 62 fertilization of, 71 germinal spot of, 61 vesicle of, 61 internal cell-membrane of, 61 maturation of, 60 a cause of labor, 304 migration of, to uterine cavity, 63 polar globules of, 61 premature expulsion of, 260, 261. Sec also Abortion. protoplasm of, 61 transmigration of, 63 vitelline membrane of, 61 i yolk of. 61 I zona pellucida of, 61 Pain in extra-uterine pregnancy, 294 in pchac joints in pregnancy, 231 Pains in labor, 306, 308 Palfyn's forceps, 784 902 INDEX. \% Palpation, abdominal, at end of puer- perium, 375 in labor, 378 Paralyses, spinal, in pregnancy, 246 Paralysis in puerperal state, 693 Para-uterine phlebitis in puerperal sep- sis, 759 Parovarium, 40, 42 Parturition, epistaxis in, 253 Patient in puerperal sepsis, 733 Pear-shaped elastic rubber bags, 781 Pelvic bones, fracture of, in labor, 611 cavity, measurement of capacity of, connective tissue, infection of, vaginal section for, 752 direction, 24 engorgement, puerperal hemorrhage from, 651 joints, ankylosis of, 492 changes in, in pregnancy, 186 loosening of and pain in, in preg- nancy, 231 relaxation of, 492 after labor, 7 1 o suppuration of, 772 lymphatic glands, 32 organs, sensations in, in pregnancy, peritonitis in puerperal fever, 756 position, 22 shape, 20 size, 22 suppuration, vaginal section for, 752 tumors, pregnancy and, 205 fmtrcfaction of, 770 Pelvigraph, Ncumann-Ehrcnfest, 452 Pelvimeter, 438 Bylicki's, 449 Harris-Dickinson's, 438 Hirst's, 446 Martin's, 438 Osiandcr's, 438 Pelvimetry, 437 Ncumann-Ehrcnfest method, 452 Skutsch's method, 449, 450 Pelvis, anatomy of, 17 anomalies of, 442. See Pelvis, de- formities of. assimilation. 472 blood-vessels of organs of, 32 caries of. 402 cavity of, measurement of capacity of, 45 1 connective tissue of. 2S contracted. Cesarean section in, ^17, 518 forceps in, 516 generally, 461. See also Pelvis, justominor. induction of premature lal)or in, 514 Pelvis, contracted, management of labor in, 514 obliquely, 466 characteristics of, 466 diagnosis of, 468 etiology of, 467 influence of, on labor, 469 prognosis of, 469 treatment of, 470 symphyseotomy in, 517 transversely, 470 version in, 516, 816 coxalgic, 509 deformed, frequency of, 434 deformities of, 434 classification of, 435 description of, 455 diagnosis of, 437 from absence of both lower extrem- ities, 513 of one lower extremity, 513 from clubfoot, 514 Rontgen rays in, 437 development of, 24 diameters of, 22 direction of, 24 dwarf, 461, 462 effect of luxation of femora upon, exostoses of, 486 fetal, 464 flat, non-rachitic, 463 rachitic, 473 simple, 455 diagnosis of, 456 etiology of, 456 influence of, upon labor, 456 fracture of, 489 funnel-shaped, 464 inclination of, 22 inferior strait of, 17 inlet of, 17, 18 justomajor 471 justominor. 461 characteristics of, 461 etiolog}' of, 462 influence of, on labor, 463 juvenile, 461 of kidney, diseases of, in pregnancy. kyphoscoliotic, 507 kyphotic, 499 characteristics of, 499 diagnosis of, 505 frecjuency of, 506 influence of, on labor, 502 management of labor in, 504 prognosis of, 506 ligamentous structures of, 27 lordosic, 507 lymphatic ducts of organs of, 32 INDEX. 903 Pelvis, masculine, 462 muscles of, 25 Naegele's, 466. See also Pelvis^ contracted, obliquely. nana, 461 necrosis of, 492 nerves of organs of, 32 obliquely contracted, 466 obtecta, 502 osteomalacic, 483 diagnosis of, 485 influence of, upon labor, 486 treatment of, 486 outlet of, 1 7 plana, 455 position of, 22 pseudo-osteomalacic, 477 rachitic, 472 characteristics of, 473 diagnosis of, 478 flat, 474 influence of, on labor, 480 Robert's, 470. See also Pelvis, con- tracted, transversely. scoliotic, 506 shape of, 20 simple flat, 455 siU-, 513 size of, 22 soft tissues of, 25 spinosa, 486 split, 472 spondylolisthetic, 493 characteristics of, 493 diagnosis of, 495 etiology of, 495 frequency of, 495 influence of, upon labor, 498 treatment of, 499 superior strait of, 17 true, 17 tumors of, 486 undeveloped, 464 Pemphigus of new-born, 878 syphilitic, 879 Pendulous belly, obstruction of labor by, 526 Peptonuria from death of fetus, 1 74 in pregnancy, 245 in puerperal state, 687 Perforator, Blot's, 832, 833 Smellie's, 832, 833 Perineum, laceration of, in labor, 323, 596 causes of, 324 treatment of, 324, 596 supporting of, 325-327 Periodicity a cause of labor. 304 Peripheral nerves, injury to, during lalx)r, 863 in pregnancy, 246 Peritoneal covering of uterus, changes of, in pregnancy, 181 Peritonitis, diffuse, in puerperal sepsis, 765 suppurative, abdominal section for, 743 Fowler's position after operation for, 758 lymphatica in puerperal sepsis, 757 pelvic, in puerperal fever, 756 Peri -uterine adhesions in pregnancy, 23 1 inflammations in pregnancy, 231 Pernicious anemia in pregnancy, 253 vomiting, 230. See also Vomiting. Perret's method of antepartum fetom- etr>', 454 Pfliiger's theory of menstruation, 56 Phlebitis, para-uterine, in puerperal sepsis, 759 uterine, in puerperal sepsis, 759 Phlegmasia alba dolens in puerperal sepsis, 763 Phthisis in puerperal state, 666 placental, 125 pulmonalis in pregnancy, 254 Physical disturbances in pregnancy, 248 Pigmentation, exaggerated, in preg- nancy, 258 of areolae, exaggerated, 706 Placenta, 116 adhesion of, 424 causes, 425 diagnosis of, 425 prognosis of, 427 treatment of, 425 anatomy of, 120 annular, 123 anomalies of, 122 of number of, 122 of i)osition of, 122 of shape of, 122 of size of, 122 of weight of, 122 battledore, 140 calcareous degeneration of, 126 cellular hypertrophy of, 124 circular vein of, 121 sinus of, rupture of, 573 cotyledons of, 121 cysts of, 131 delivery of, 331 in twnn lalx)r, 556 detachment of. 334 premature, 571 causes of, 5 7 1 diagnosis of, 572 frequency of, 571 prognosis of, 573 rupture of circular sinus and, 573 symptoms of, 572 904 INDEX. Pliacenta, detachment of, premature, treatment of, 573 development of,- 116 duplex, 123 edema of, 123 expression of. Credo's method of, expulsion of, mechanism of, 422 fatty degeneration of, 124 fibrofatty degeneration of, 124 fibrous degeneration of, 124 functions of, 121 hemorrhages of, 129 manner of separation of, 314 membranacea, 107, 122 multilobar, 123 myxomatous degeneration of, 126 phthisical, 124 pnevia, 559, 560 abortion in, 565 Cesarean section for, 570 clinical history of, 563 diagnosis of, 565 etiology of, 562 frequency of, 560 hemorrhage in, 564 history of, 560 induction of labor in, 567 prognosis of, 570 symptoms of, 565 tampon in, 569 varieties of, 562 retained, puerperal hemonhage from, 641 retention of, 423, 539 in double uterus, 519 syphilis of, 126 tripartita, 123 tumors of, 131 symptoms of, 133 treatment of, 133 villi of, 116 cellular hypertrophy of, 124 Placentae spuriae, 123 succenturiata!, 123 syphilitic, 128 Placental dccidua, 143 hemorrhages, 129 infarcts, 125 phthisis, 125 polypi, malignant, 131 polypus, 140 syphilis, 126 villi, cellular hypertrophy of, 124 degeneration of, 123 amyloid, 126 Placentitis, 131 interstitial, 124 Plane of peKnc contraction, 2 1 expansion, 21 Plethora, maternal, effect of, on fetus, 1 76 Pleurisy in pregnancy, 254 in puerperal state, 668 Pneumococcus in puerperal sepsis, 724 Pneumonia, complication of labor by, 633 in pregnancy, 253 in puerperal state, 667 of new-bom infant, 873 Podalic version, 819 Poisoning, chronic, of mother, effect of, on fetus, 177 Polar bodies or globules, 61 Polygalactia, 701 Polyhydramnion, 99 Polymastia, 693 Polypi, placental, malignant, 131 uterine, obstruction of labor by, 535 Polypoid endometritis, 149 hematoma of uterus» 149 Polypus, placental, 149 Polyuria m pregnancy, 244 Porro*s method of Cesarean section, 820 Position, definition of, 377 occipito-anterior, 380 occipito-posterior, 380. See also Oc- cipUo'Posterior position. of fetus, diagnosis of, by abdominal palpation, 378 by auscultation, 379 Positions, mechanism of, 384 Postmammaiy abscess, 710 Postmortem Cesarean section, 819 delivery, 617 Postpartum hemorrhage, 573. See also Hemorrhage. Postural version, 818 Posture, Walcher, 517, 518 Pott's disease in pregnancy, 255 Poulet's axis-traction forceps, 789 Prague method of delivering after- coming head, 829 Pregnancy, 17 abdomen in, 194, 196 abdominal, 277. See also Abdom- inal pregnancy. accidents of, 258 acetonuria in, 245 albuminuria in, 240, 246 albuminuric retinitis in, 242 aneurysms in, 252 anomalies of urine in, 244 anteflexion of uterus in, 217 appendicitis in, 238 areola in, 195 asthma in, 254 auscultator}' sounds of, 203 auto-intoxication in, 255 blindness in, 242. 248 blood in, 186, 253 breasts in, 194 INDEX. 905 Pregnancy, broad ligament in, 279 bronchial catarrh in, 253 brown atrophy of myocardium in, 251 cancer of cervix in, 224 of uterus in, 224 "cardiac nerve storms" in, 187 caries of teeth in, 232 cer\'ical, of Rokitansky, 153 cervicitis in, 224 cervix uteri in, 200, 202 cessation of menstruation in, 192 changes in abdomen in, 194 due to increased blood-supply to genitalia and breasts, 194 in abdominal walls in, 186 in bladder in, 186 in blood in, 186 in breasts in, 194 in cervix in, 185 in circulatory system in, 186 in digestive tract in, 188 in heart in, 187 in nervous system in, 188, 195 in pelvic joints in, 186 in rectum in, 186 in respiratory apparatus in, 188 in several bodily systems in, 186 in urine in, 187 in uterus in, 181 in vagina in, 186 in vulva in, 186 in weight in, 188 chloasmata of, 195, 258 chorea in, 247 chyluria in, 245 colostrum in, 196 colpohyperj>lasia cystica in, 228 combined visual and touch cxamin- tion in, 202 congestion of brain in, 246 constipation in, 188, 189 treatment of, 237 cystitis in, 244 degeneration of liver in, 238 delirium of fever in, 249 diabetes mellitus in, 245 diagnosis of, igo-217 by sense of touch, 201 differential, from tumors, 205 mistakes in, iqo diarrhea in, treatment of, 237 diet in, 189 diminution of urine in, 244 diseases of alimentary canal in, 232 of bladder in, 244 of blood in, 253 of blood-vessels in, 251 of brain in, 246 of cervix in, 224 of circulator)' apparatus in, 249 of heart muscle in, 251 Pregnancy, diseases of larj'nx in, 253 of liver in, 238 of nervous system in, 246 of osseous system in, 255 of pelvis of kidney, 243 of respirator)' apparatus in, 253 of skin in, 256 of spinal cord in, 246 of urinar)' apparatus in, 239 of vagina in, 225 of vulva in, 228 dislocation of kidney in. 243 displacements of uterus in, 217 disturbances of hearing in, 248 of \'ision in, 248 dulness on percussion in, 204 duration of, estimation of, 212 early, Hegar's sign of, 202 ectopic, 277. See also Extra-uter- ine pregnancy. eczema of nipple in, 232 edema of glottis in, 253 of vulva in, 229 emphysema in, 253 endocervicitis in, 224 enlargement of uterus in, 203 epilepsy in, 247 epistaxis in, 253 exaggerated pigmentation in, 258 exercise in, 189 exposure to cold, wet, or draught in, 190 extra-uterine, 277. See also Extra- uterine pregnancy. eyes in, 248 face of woman in, 195 fetal heart-sounds in, 204 movements in, 194, 205 palpation of, 201 fibromata of uterus in, 223 first trimester, signs in, 205 funic soufHe in, 204 general changes in, 186 gingivitis in, 232 goiter in, 251 gonococcus-infection in, 227 Goodell's sign of, 202 Graves* disease in, 251 hearing in, 248 heart disease in, 249 Hegar's sign of, 202 hematuria in, 245 hemoptysis in, 254 hemorrhoids in, 239 hernial protrusion of uterus in, 222 herpes gestationis in, 257 hydronephrosis in, 243 hysteria in, 247 impetigo herpetiforniis in, 256 in horn of uterus bicornis or unicornis, 300 go6 INDEX. Pregnancy in uterus bicornis, 300 in uterus unicornis, 300 incarceration of uterus in, 218 incontinence of urine in, 244 indigestion in, 238 influenza in, 255 injuries of, 358 insanity in, 248 preexisting, 249 interstitial, 277. See also Inieraitial pregnancy, cerviatis in, 324 intestines in, 237 irritability of bladder in, 244 jaundice in,.238 Johnson's »gn in, 200, 302 kidney of, 239 kyesteinic pdlicle in, 187 lateral displacements of utenis in, 221 lateioflexion of uterus in, 221 lateroposition of uterus in, 221 lateroversion of uterus in, 221 leukemia in, 353 leukorrhea in, 194 linea nigra in, 300 lipuria in, 244 longinpsin, 189 looMmng of, and pain in pelvic joints in, 331 of finger-nails in, 258 mammary abscess in, 232 tumors in, 232 management of, 188 measles in, 255 * melancholia in, 188 melUturia in, 345 metritis in, 323 miliary tuberculosis in, 254 morning sickness in, 188 multiple, 91. See also Fetation^ mul- tiple. mycosis of vagina in, 227 nausea and vomiting in, 188, 193 nephritis in, 240 nervous system in, 188 neuralgia in, 188, 246 neuroses of, 247 nipples in, 190 objective signs of, 195 obscurity of vision in, 242 osteomalacia of, 255 osteophytes in, 187 ovarian, 277. See also Ovarian preg- nancy. cysts in, 244 ovario-abdominal, 277 palpation of abdomen in, 201 pathogenic micro-organisms in vagina in, 226 peptonuria in, 245 peri-uterine adhesions in, 231 Pregnancy, peri-uterine inflamifuilic in, 331 pernicious anemia in, 255 vomiting in, 333 phthisis pulmonalis in, 254 physiology of, i8x pleurisy in, 254 pneumonia in, 253 polypoid hypertrophies d migib mucous membrane in, 228 polyuria in, 344 Pott's disease in, 355 prior, diagnosis of, 215 prolapse ai uterus in, 221 prolongation of, 188 pruritus in, 257 vulvae in, 229, 257 ptyalism in, 193, 233 pulmonaiy embolisn in, 254 tubercidosis in, 254 purpura haemorrhagica in, 253 py^tis in, 243 quickening in, 194 renal calculus in, 243 tumors in, 242 respimtoiy apparatus in, 188, 253 retroflexion of utenis in, 2x8. S also Reiroflexion. retroversion of uterus in» 2x8 salivation in, 193 second trimester, signs in, 205 ' signs of, 193 division of, 305 objective, 195 on auscultation, 303 on inspection, 195 on sense of touc£, 301 subjective, 193 skin diseases in, 256 spurious, 216 striae in, mammary, 195 subjective signs of, 192 suburethral abscess in, 228 sui^cal o|>erations in, 259 syphilis in, 256 teeth in, 190 tetany in, 247 third trimester, signs in, 205 toothache in, 232 torsion of uterus in, 222 tubal, 277. See Tubal pregnancy. tubo-abdominal, 277, 293 tubo-ovarian, 277. See also Tubo-<n rian pregnancy. tubo-uterine, 277 typhoid fever in, 255 umbilicus in, 197 urine in, 187 uterine bruit in, 204 utero-abdominal, 277 uterus in, 181 INDEX. 907 pregnancy, vagina in, 200 vaginal leukorrhea in, 225 varices of labia majora in, 228 of vagina in, 228 varicose veins in, 251 vegetations of vulva in, 229 vesical calculi in, 244 hemorrhoids in, 244 vomiting in, 188, 193 pernicious, 233 vulva in, 200 weight in, 188 Pregnant uterus, alterations in, 181 anteflexion of, 217 displacements of, 217 forming part of hernial protrusion, 222 incarceration of, 218 lateral displacements of, 221 lateroflexion of, 221 lateroposition of, 221 iatero version of, 221 prolapse of, 221 relation of, to intestines, 184 retroflexion or retroversion of, 218. See also Retroflexion. torsion of, 222 Premature infants, abnormalities in phy- siology of, 857 gavage of, 858 management of, 857 sclerema of, 860 labor, 259 in contracted pelvis, 514 in overgrowth of fetus, 541 induction of, 778 Presentation, breech, 398 abnormalities in mechanism of, 414 mechanism of, 414 blunt hook in, 808 causes of, 408 diagnosis of, 408 extraction of, 805 by fillet, 807 by manual method, 805 forceps in, 807 frequency' of, 408 mechanism of, 408 prr)gn()sis of, 413 treatment of, 414 brow, 405 diagnosis of, 405 frequency of, 405 mechanism of, 405 prognosis of, 405 treatment r)f, 405 cephalic, explanation of frequency of, romfjound, 552 treatment of. i;i;2 definition of, 377 Presentation, diagnosis of, by abdom- inal palpation, 378 by auscultation, 379 by vaginal examination, 379 face', 397 abnormalities in mechanism of, 401 causes of, 399 diagnosis of, 398 frequency of, 398 mechanism of, 399 prognosis of, 403 treatment of, 403 mechanism of, 384 abnormalities in, 391 management of, 391 of greater fontanel, 406 shoulder, 415 causes of, 420 diagnosis of, 415 mechanism of, 415, 420 treatment of, 420 version in, 420 transverse, 415 varieties of, 384 vertex, 384 diagnosis of, 384 explanation of frequency of, 380 mechanism of labor in, 384 positions of, 380 Priapism from injury to brain during labor, 863 Primitive streak, 74 Proctitis, septic, in puerperal sepsis, 770 Prolapse of pregnant uterus, 221 spontaneous terminations of, 22a treatment of, 222 of umbilical cord, 617 of uterus, complication of labor by, 529 Promontory, double, 456 Pronucleus, female, 72 male, 72 Prosopothoracopagus, 543 Protcids of milk, 860 Protoplasm of ovum, 61 Pruritus in pregnancy, 257 vulva? in pregnancy, 229, 257 Pseudocvcsis, 216 Pseudo-osteomalacic pelvis. 477 Ptyalism in pregnancy, 193, 233 Pubcs, fracture of, 400 Puerperal anemia, 630 fever. .See Puerperal sepsis. gangrene, 765 hematoma, 652. See also Hematoma. hemorrhage, 641. See also Hemor- rhage, puerperal. infection. See Puerperal sepsis. insanity, 248 sepsis, 712 abdominal section in, 740 9o8 INDEX. 