None
sudden, 814 etiology, 814, 815 s^ptoms, 816 definition, 118 degree of effaoement and dilatatioa of cervix in, 295 -«-tiii,a01 * of bladder in, 784 984 "-"iher and wy in, Labor, diy, treatment of, 600 duratioiL 136 edema 01 cervix in^ 429 effaoement of cervix in, 124 effect of, on child's ofganism, 142 <m matonal organism, 136 engagement of pfeaenting part in, 291 epidural hemorrhage in, 147 ether anesthesia in, 304 eversion of vaginal walls in, 428 examination in,, firsts 286 rectal, 293 vaginal, 294 expukBon of feces in, oare of, 815 fainting qpeUs in, 188 fetal axis pressure in, 154 fever in, 817 treatment^ 817 first examination in, 286 stage, 121 oonduct of, summary, 331 treatment, 801 fissure of anus in, 668 fistulas in, 784 forces involve in, 153 fracture of bones of extremi- ties of fetus in, 837 of davicle of fetus in, 837, 838 of femur of fetus in, 838 of humerus of fetus in, 837 of long bones of fetus in, 838 of sternum in, 788 fuU bladder in, 784 sravity in, 155 head, unusual mechanism, 595 heart disease in, 504 treatment, 506 hematoma of stemomastoid muscle of fetus in, 834, 835 of vagina in, 761 etiology, 761 prognosis, 762 symptoms, 761 treatment, 762 of vulva in, 761 etiology, 761 prognosis, 762 symptoms, 761 treatment, 762 hemorrhage in, 140 hours of beginning, 136 of delivery, 137 hypertrophic elongation of cervix m, 428 hypnotism in, 306 immature, 430 in abruption of placenta, 456 in absolutely contracted pel- vis, treatment, 730 in conduplicatio corpore, 634,1049 in contracted pelvis, mech- anism, 708 first stage, 700 second stage, 710 Labor in eantneM pd stage, 712 pragnoeia, 723 forcfaiki,724 f or moClwr, 723 trealmenl^ 727 what to tdl pa after. 741 in flat pehriisp findingB, ' mecfaamflm, 713 in fiuuid pdvia, diagi 719 medumiam, 719 in general^ oontraeted ▼is^ diagnwii, medmnnniy 717 in moderatdy eoolii pdvia. tieatnmt, 731 m oDluiueiy eootncnii vis, medbaiiisn, 731 in <dd primipwne, 665 in rdatively oontnctec via, treatment, 730 in slightly ooDtracted p treatment} 739 in votmg pmniparv, 61 inauetioxi of, in afaraptj piaoentAp 458 in ecUunptta, 377, 87] anestheaa in, 377 in hypeicueBB gn nm^964 in inevitable abottiQi 4^ accidents in, 441 hemorrhage in, perforation of i in. of vulva in, 743 insensil>lo, 9:^. 121.296 instructions to nurwdi 253 internal wKnmetn* in, ' intestinal tract in.' 13$ inversion of uterus in. See also Im^^^on cf i in laltar. kidneys in. 139 Kristeller's expreatnoo 588 laceration of cervix in, ' )m>}mo^is, 763 treatment, 7t)3 INDEX 1071 Labor, laceration of pelvic con- nective tissue in, 758 treatment, 760 of perineum in, 309, 744 causes, 309 etiology, 748 history of prevention, 318 perineorrhaphy, 764 treatment, 309, 752 preventive, 752 of vagina in, 757 prognosis, 760 treatment, 760 lengthening of fetus In, 176 leukocytosis in, 140 levator ani in, preservation, 309 list of articles needed for, 237 location of placenta in, 291 loosening of sacrum in, 787 mechanism, 152 fetal head, 172 trunk, 174 fetus, 172 formation of parturient canal, 167 in breech presentation, 619, 621 in brow presentation, 605, 608 in flat pelvis, 713 in forehead presentation, 605 in funnel pelvis, 719 in generally contracted pelvis, 7l7 in median vertex presen- tation, 603 in obliquely contracted pelvis, 721 in occipital presentation, 186^196 in occipitodextra posterior position, 202 in persistent occipitopos- terior position, 596 in transverse presentation, 631 passages, 156 passengers, 172 powers, 153 prognosis, 299 soft parts. 163 mental conoition in, 138 metabolism in^ 140 method of delivery, 310 of head. 315 of shoulders, 317 on side, 311 missed, 117, 489 S3rmptoms of, 489 treatment of, 490 moderately contracted pel- vis in, treatment, 731, 733 molding of head in, 147 morphm anesthesia in, 307 myoNclonia uteri in, 590 Naegel^'s rule for determin- ing day, 274 nitrous oxid gas anesthesia in, 305 nurse in, 253 Labor, obstruction of. See also Dystocia. operation in shock after, 809 painless, 135 pains, 121, 133 cramp, 590 effect of, on fetal heart, 142 false, 583 too strong, 593 paralysis of muscles of ex- tremities of fetus in, 836 passages in, 156 anomalies of, 661 passengers in, 172 anomalies, 595 classification, 595 pathology, 581 pelvimetry in, internal, 298 perineum in, preservation, 308 history, 318 periods, 121 physiology, 118 placental stage, 121, 132 plastic changes wrought on fetus b^, 146 polyuria in, 139 powers involved in, 153 anomalies, 583 precipitate, 593 dangers of, 594 treatment of, 594 prediction of day, 274 premature, 430, 451 definition, 118 etiolo^ of, 433 induction of, 1050 by bougies, 1052 by dilatation of cervix, 1052 by puncture of bag of waters, 1052 conditions in, 1051 in moderately con- tracted pelvis, 731 in prolonged pregnancy and over^wth of child^ 1051 indications, 1050 prognosis, 1051 technic, 1052 preparation for aseptic con- duct, 236 preservation of levator ani in, 309 of life of fetus in, 308 of perineum in, 308 history, 318 pressure necrosis of bladder in, 784 prognosis, 149 for infant, 151 of mechanism, 299 prolapse of uterus in, 758 prolonged, 488 pubic segment in, 168 question of assistance in, 280 rectal examination in, 293 rectovaginal fistula in, 785 reduction of size of fetal head in, 177 relaxation of pelvic floor in, 745 Labor, respiration in, 137 response to call in^ 281 ri^dity of cervix m, 593 Ritgen's manoeuver in, 588 room in, 285 rubber gloves in, 282 rupture of bag of waters in, determining, 296 of pelvic joints in, 786 of sternocleidomastoid muscle of fetus in, 834 of symphysis pubis in, 786 of uterus in 765 after-treatment, 777 diagnosis, 772 dmerential, 774 etiology, 765 frequency, 768 incomplete, treatment of, 777 patholo^, 768 prognosis, 775 symptoms, 770 the rupture, 771 threatened, diagnosis, 772 treatment, 775 after rupture, 776 preventive, 775 sacral se^cnt in, 168 scopolamin-morphin amnesia in, 306 second stage, 121, 126 antisepsis in, 329 asepsis in, 329 conduct, 302 summary, 331 delivery of shoulders, 317 method of delivery, 310 of head, 315 pains in, 126 show, 120 soft parts in, 163 spasm of cervix in, 593 spinal anesthesia in, 306 stages, 121 sterilization of hands in, 281 stricture of cervix in, 593 of uterus in, 591 treatment, 592 sudden death in, 814 etiology, 814, 815 symptoms, 816 syncope in, 814 diagnosis, 816 symptoms, 816 treatment, 817 temperature in, 137 tetanus uteri in, 590 diagnosis, 592 third stage, 121, 132, 323 antisepsis in, 329 a<*epsi8 in, 329 conduct of, 8ummar>% 331 examination of parts for injuries, 331 invasion of uterus in, 329 mechanism, 204 mode of conduct, 323 pain in, 132 treatment, 323, 326 INDEX 1073 Membrana decidua, 33 Membranes, 49 too early rupture, 659 tough, dystocia due to, 657 treatment, 658 Menacme, 11 Menarche, 1 Meningisme in new-bom in- fant, 833 Mem'ngoccle, 555 Menopause, 18 pregnancy after, 19 symptoms, 19 Menses, 11. Menstrual cycle, 13 Menstruation, 11 after conception, 256 amount of flow, 17 and ovulation, connection between, 14 cause, 13 ccsation of, as sign of preg- nancy, 256 character of flow, 17 clinical aspects, 16 duration of flow, 17 during gestation, 18 influence of periodicity of, on production of labor, 119 midperiod, suppression of flow, 19 object of, 16 periodicity, 17 pregnancy and, 229 pseudo-, 16 in new-bom infant, 347 return, after cessation, 19 after delivery, 18, 217 sjTTiptoms, 17 time of appearance, 16 tubal, 16 uterus in, 13 vicarious, 19 without, pregnancy, 256 Mental condition in labor, 138 occupation in pregnancy, 233 state of fetus, 59 Mercury in puerperal fever, 904 Mesnard-Stein bone forceps, 1046 Mesoblast, 30 Mesoderm, 30, 37 Metabolism, diseases of, in pregnancy, 518 in labor, 140 in pregnancy. 111 Metastatic bacteremia in puer- peral fever, 877, 881 Meteorism. See Tympany. Metreurynter, dilatation of cervix with, 937 Metreurysis, 937 conditions for, 939 dangers, 939 disadvantages, 939 in placenta prsevia, 470 indications, 939 Metritis desiccans in puer- peral fever, 861 Micha^lis, rhomboid, 241 Microcephalus, 555 68 Midperiod suppressed menses, 19 Midplane of pelvis, 159 Military attitude of fetus, 599 Milk, abnormal, 912 secretion, 910 drying up, 915 fever, 218, 224, 867, 909 human, 219 composition of, 219 drugs in, 221 lack of, 912 quantity and quality, 221 influence of age of patient on, 221 of disease on, 221 of drugs on, 221 of emotions on, 221 of foods on, 222 of hunger on, 221 of irritation of nip- ples on, 221 of nutrition of pa- tient on, 221 of pregnancy on, 221 scarcity of, 912 secretion of, in puerperi- um, 218 theory of puerperal fever, 841 uterine, 32, 61 Milk-leg in puerperal fever, 884, 885 Milk-sugar in urine in puer- perium, 226 Minor disturbances of preg- nancy, 549 Miscarriage, 430. See also Abortion. Missed abortion, 431, 437, 449, 450 labor, 117, 489 symptoms, 489 treatment, 490 Mobility of fetus, 183 Molding in breech presenta- tion, 628 in brow presentation, 608 in labor, 147 in median vertex presenta- tion, 604 in occipitoposterior position, 598 Mole, blood, 449 destructive. 561 fleshy, in abortion, 449 hematoma, in abortion, 449 hydatidiform, 560 clinical course, 563 diagnosis of, 563 etiology of, 562 prognosis of, 563 symptoms of, 563 treatment of, 564 tubal, 397 Mollities ossium in pre^ancy, 520 Momburg's tube in postpar- tum hemorrhage, 809 in rupture of uterus, 777 Monatliche Reinigung, 16 Monsters, 553 classification of, 553 Monsters, clinical aspects, 557 diagnosis, 557 double, 553, 555 etiology of, 553 prevention of recurrence of, 558 single, 553, 555 treatment, 558 Monstra per defectum, 553, 555 per excessimi, 555 per fabricam alienam, 555 Monstrosities, 553 Montgomery's tubercles, 104 Monthlies, 11 Monthly sickness, 11 Morales* sling-carrier, 969 Morbus cseruleus, 66 Morning sickness in diagnosis of pregnancy, 257 in pregnancy, 110 Morphin anesthesia in labor, 307 treatment of eclampsia, 378 Mortality in labor, 149 of puerperal fever, 895 Momla, 20 Mother, death of, effect on fetus, 552 prognosis of life of, in con- . tracted pelvis, 723 Mouth-to-lung insuflflation in asphyxia neonatorum, 829 Mucous membranes of fetus, changes in, due to svphilis, 501 Multiple pregnancy, 477. See also Pregnancy, multiple. Mummification of umbilical cord, 346 Murphy's cord repositor, 648 Muscle, bulbocavemosus, 166 ischiocavemosus, 166 sternocleidomastoid, of fetus, rupture, in labor, 834 stemomastoid, of fetius, hem- atoma of, in labor, 834, 835 transverse superficial peri- neal, 166 Muscle-fibers of uterus, 73 Muscles, cervical, of fetus, in- injuries, in labor, 834 of extremities of fetus, paral- ysis, in labor, 836 Mutilating operations on child, 1041 Myoclonia uteri in labor, 590 Myoma of uterus in pregnancy, 537. See also Fibroids of uterus in pregnancy. Myxoma of placenta, 573 Naeoele's obliquity, 187 pelvis, 688 perforator, 1044 rule for determining day of labor, 274 Narcotics in eclampsia^ 379 Nausea and vomiting m diag- nosis of pregnancy, 257 in pregnancy, 110 pernicious, in pregnancy, 355. See also Ilyper- emesis gravidarum. 1074 Navel, anmioiL 346 flkm,346,578 Neok, anus in ni^ of, 651 NecsimBy pcassure, of Madder 'in labon 784 of scalp of fetus, 726 Needle, hdmteotomy, 050 Neglect transverse presenta- tion, 637 treatment, 641 Neoplasms. See Tumon, Nepnritic eclampsia, 360 Nephritis in pregnancy, 383, 512 after twenty-eighth week, treatment, 514 befcure child is viable, treatment, 514 chronic interstitial, 513 parenchymatous, 512 Hifignnwiaj 513 inedampsia, 360 primary^ acute, 512 prognosis, 514 truktment, 514 Nerven^enters of uterus, 80 Nerves of uterus, 78 Nervous chills in puerperium, 336 shock of labor as cause of synocH^e and death, 815 . system, changes in, in preg- nancy, 114 in puerperium, 223 temperature in puerperal fever, 802 Nest building, 15 Neuman and Ehrenfest's method of cliseometry, 240 Neuritis in pregnancy, 387 treatment, 388 optic, in pregnancy, 521 puerperal, 388 New-bom infant, albuminuria in, 343 asphyxia of, 810. See sdso Aaphyxia neonato- rum. bathlDGT, 348 blood in, 341 bowels in, care of, 340 breasts of, 347 care of, 320, 348 of eyes, 316, 321, 348 general rules, 351 instructions to nurse, 254 summary, 351 cause of nrst respiration in. 143 cereoral hemorrhage in, 83:^ changes in, in fetal circu- lation in, 144 local, 340 circulation in, 342 ervthrocyt<*H in, 341 eyes of, care, 316, 321, 348 facial paralysis in, 834 feedine:, 349 general condition, 345 icterus of, 345 injuries of, 8:^1 in hiU^T, SIO New4Mim infant^ intestiiial tract ixip 343 1'aundice m, 345 eukocvtosis in, 341 local changes in, 346 meconium of^ 343 meningisme m, ^3 nursing, 335^ 340 contraindications, 335, 336 ophthalmia in, 321 prevention, 321 idiysiology, 341 pseudo - menstniatioii in, 347 pulse of I takin^350 requration in, 341 taking, 350 secretion l^ breasts in, 347 separation of umbilical oord in, 346 ddn of, 345 skin-eruptions in^ 345 starvation fever m, 350 stodsof, 343 strophulus of, 345 - temperature, 342 tflddng^ 350 umbilical oord in, care of, VTWO urinatioii in, care of, 340 urine of, 343 vemix caseoea, 345 weii^hing. 350 weiiht of, 343 Nipple-shield, Wansbrough's, 015 Nipples, accessory, 105 changes in, in pregnancy^ 258 diseases of, in [)uerpenum, 915 inverted, 235 irritation of, influence on milk, 221 sore, 915 treatment of, 915 Nitabuch-Winkler, closing ring of, 36 Nitroas oxid gas anesthesia in labor, 305 Nose and throat, diseases, in pregnancy, 521, 523 changes in, in pregnancy, llQ Nourishment of fetus. 67 Novocain as anesthetic in labor, 306 Nuclein, 29 Nucleus, embryonal, 20 segmentation, 29 Numbness in pregnancy, 549 Nurse, obstetric, engagement of, 25;^ instructions for, 253 care of child, 254 during labor, 253 during puerperium, 253 Nursins in syphilis, 503 new-Dom infant. 335, 349 contraindications, 335, 336 Obesity in pregnancy, 519 Oblique diameters of pelvic inlet, 158 ObKqne presentatioiML 631 Obli<|iidy contraetea pdri^ 085 fKngmTiBB, 601 labor in, wwwiiMiS— i 721 OUiquiW. littmaim's, 188 Nai«el6'B, 1S7 Obfltetrie ocmjuaate diamrta 158 niune, engagement of, 253 instructions for, 253 cave of diild, 254 during labor, 258 puerperium, 253 satcli^ De Lee'i^ 278 list oif artides m, 270 specula, De het^n, 750 stethoeoope, 308 Obstetrics, operatiye^ 922 Occipital presentation, dnea cf head, 188 disengagement of hea 102 engagement cf head, U extension of head, 192 external lestitiitiQn < head, 103 flesdon of head. 188 mechanism at hbor i 186 observations OB, 19( of shoulden, IM over^rotation, 196 rotation of head, 188 internal anterior, IS Oodpitodextra posterior pn tion, findinics ia. 20£ mechanism of labor ii 202 Occipitofrontal diameter, 174 Occipitomental diameter. 174 Occipitopopiterior |Nie<itiofl. Tt* correction, 9o(> course, r>9t3, 598 diafn^osis, 59^^ forceps in, 1005 Hodge*s manaHi\*er in 600 molding in, 598 persistent, 596 mechanism of labor in 596 prognosis, 599 treatment, 600 unusual mechanisms, for ceps in, 1000 Occipitosarral position, 596 molding in, 598 treatment, 600 Occiput, fetal, 173 Ointment, Cn^i^'s, in pwf |)eral fever, 9iH Ohgohydraninion. 52. 580 01shausen*8 theory of pul* rate in puerp«Tium, 225 Opening cervix, operation* fw 932 Openiting tolescope. De Lw 928 Operation**, 922 anes^thesin in. 923 assistants. 92*.^ contraimli cat ions, 922 INDEX Operations, diagnosis before, 922 feces issuing from anus in, care of, 931 for enlarging pelvic canal, 947 for opening cervix, 932 in private houses, arrange- ment of room, 925 preparations, 924 of patient, 925 provisions for complica- tions, 930 indications, 922 instnmients for, 929 mutilating, on child, 1041 of delivery, 972 general conditions, 972 mdications, 972 posture of patient, 927 preparatory, 932 preparing pelvic floor for de- livery, 946 vagina for delivery, 946 reflection after, 923 selection of, 922 Operative obstetrics, 922 Ophthalmia neonatorum, 321 prevention, 321 Opsonins, 851 Optic neuritis in pregnancy, 521 Osiander's manoeuver with for- ceps, 1009 Osteochondritis, syphilitic, in fetus, 503 Osteomalacia in pregnancy, 520 symptoms, 520 treatment, 521 physiologic, of pregnancy, 112 Osteomalacic pelvis, 705 diagnosis, 705 Osteophytes, puerperal, 107, 112 Otosclerosis, effect of preg- nancy on, 110 Ovarian pregnancy, 400 tubes, Pfltiger's, 3 tumors in pregnancy, 545 diagnosis, 545 prognosis, 546 treatment, 547 during labor, 547 vaginal ovariotomy in, 548 Ovario-abdominal pregnancy, 395 Ovariotomy, vaginal, in ova- rian timiors, 548 Ovary, anatomy, 2 external wandering, 25 fimctions, 3^ 11 germinal epithelium, 3 m pregnancy, 99 influence of, on lactation, 105 internal secretion, 15 interstitial gland in, in ani- mals, 11 tunica externa, 4 interna, 4 Overgrowth of fetus, causes, 652 Overgrowth of uterus, induc- tion of premature labor in, 1050 Overrotation in occipital pres- entation, 196 Overterm, 488, 652 Ovocytes, 3 Ovulation, 2 and menstruation, connec- tion between, 14 definition, 2 time of, 15 Ovum, 23 and spermatozoid, union, 28 blastula formation, 30 changes in, after death of fetus, in abortion, 449 development, 28 diseases of, 551 embedding, in uterine mu- cous membrane, 31 forceps, 443 karyokinesis in, 30 method of spirochete in reaching, 500 morula stage, 30 nine weeks', 40 six weeks'. 40 three weeks', 40 Oxygen in eclampsia, 380, 381 Packing cervix, 934 forceps^ De Lee's, 797 uterus m postpartiun hemor- rhage, 805 with gauze in puerperal fever, 902 Packs, hot, in eclampsia, 380 Pains, after-, in puerpcriiun, 336 cramp, 590 treatment of, 592 false. Parathyroid extract sia, 381 Parathyroids, chani pregnancy, 107 Parietal bone prese flat pelvis, 714, bones, shape, 174 bosses, 174 Parsenow's method • postpartum hemoi Partunent canal, 12 anomaUes, 661 dystocia due axial stretching, axis of, 170 contractile port deformities, 52t dilating portion formation, 167 injuries to, in la position, 170 Passages involved 156 anomalies, 66 Passengers in labor,' anomalies, 595 classification. Passive contraction 635 Paternal syphilis, ( pregnancy, 499 Patterson's abdom porter, 414 Plan's forceps, 988 Pelveocrural celhUiti peral fever, 885 Pelvic bones, injuries 786 canal, length, 157 operations for 947 cellulitis in puerp 864. See alsc tritia. congestion as sigi nancy, 258 connective tissue tion, 758 trcatmen floor, 164 in pregnancy. 9 injuries, in laboi operations, pre| delivery, 946 projection, 99 relaxation, in la rigidity of, dye to, 664 diagnosis, C treatment, girdle in pregnane; r ■^^ INDEX ^'^^^ ■ ta mclination, onamalicK, Pelvia, contractej. L-Umcal ae- Pell-is. Sat. ntchiur, ffil dyviwia due U>, tiT4 peels, 708 funi>oC6»5 ,et, diameters, 157 oblique, 16S treatment, 740 iliaicn'xu' of. ilfM T»l"ie of. 157 craniotomy in, 731, 739 ia pregnancy, 101 mectlani«n^ 719 ries of, iu btbof , Tbe disproportion between cUld and peK-ia, diag- incliuauon, ISl — lation ot, Jo preg- infantile, 676 nancy, 393 nosis, 727 wlure. in labor. 78fl dystocJH due to, 671 obbque^ US 39 ■ - - 741 etiotof^ 678 Tiial. in pregnancj-. forcepe in, 736 243 frequency, 675 ipclmic. 241 Itenerally, 676 kyphaaa, eaS oratns, diseases, dystocia du«' to, 666 flat,6S3 Urge. 156 labor in, diognoci*, 718 Itmvr. 156 outlet, liiaaieterB. 160 mainruliiic. 670 plane of, 160 heboBletomy in. 736 planes, 167 hiffh rnr«cp« in, 736 nUn^r. 156 ' NaM^«^6S6 Hodge's syst«n ' ancy, clinical ae- namiw, 139 ^t 708 nimid parv». 876 vnde. 159 obtcri^ (»S.73f treatment, 740 frequencj'. 1S3 meehaniKm. 708 diagnosis. 7HS J veins. Uftntioo!'. in puerpprel first eta«e, 709 auUm. riiamelenfl pUnc of, IflO ~ fevPT, 907 w«ind stitgp, 710 PeJvimetCT, Baudelocque- lliinl stage, 712 pliTW 1 Breiiky, 238 ■xtffa'a plane of inlet. 157 De Lee'g, 211 planes. 157 Pdvimetew. inlernal. 242 for mother, 723 Hodge-s syfUn. 160 Peh-imeliy, external, 239 intemaT in labw, 298 trt^tnu-nl, 727 n^^'SS-.SSSi Pelvis, 15(5 675 quadrants at. 17» raautk, 660^ BBl anomalies of, Bunnaire's modwalely, exaggerated diaei)«u,68S els^fication, K74 lithotomy position in. fUt.680,681 7M Robert, e»l claMofication, 672 rubber, 520 dystoeia due to, 669 labor in. 731 seoiiiMK', livl trwitment. 731 simple flat, 6HD 672 during labor, 733 email. 156 SchauU's daa^fication. during pregnancy, split at pubis. 7»7 ((72 731 spondyk^istliFtic, 701 W^cher position in, 734 dia^ostA. 702 674 oWiquely. 685 too large, dyMoei* di aaeimilalion. 697 diagnosis of. 691 674 asyiDTnetrie, 700 labor in. mechaniam, 721 true, 136 SX^-"' plaeenta pRfiia in, treat- PnS^iw abdooxn M ment. 741 low,69S nancy. SS. il3 lower, 697 relatively. 675 mid plane- contracted. TOO induction of premature Peptonuria in pnsnaMy labor in, 730 in puerperium. 238 G99 treatment. 730 Perforation. tOll. Sm upper, 697 slightly, treatment. 739 mnphv^otomy in, 736 of utenis in empUMg t umnent. 247 in iDe%-i table abvm bituberBl diameter. iiiea»- treatment. 727 urement, 247 hospital versus borne Naesel*s. lOH chief plane, 160 practice, 741 Perimetritis in purtpml conjugate diametfr, inea»- version in, 735 870 iircmenl, 247 what to tfll patient after oontnuned, 675 labor in. 741 absolutely, 675 coxalpc. 688 dwarf. 676, 677 ircAtment. 730 at inlet, treatment of labor excavation of, 157,159 eynipUmiM,8n in. 739 false. 156 trwatnuot, Sli flat. 680 Perineal hndv. 1« l^wr in. 739 eenerallv eonlracted, 6S5 bbor in; findinp*, 715 caput surredaneum in. 726 aftercare. 75« ittstnnnenis for. 7*7 p%tr^ieritone»l, 738 staen. 756 dafla&cation. 67S in, 714. 715 PCfiMunu fatal kMdai. INDEX 1077 Perineum, injuries of, in labor, 744 laceration of, in labor, 309, 744 causes, 309 etiology, 748 history of prevention, 318 treatment^ 309, 752 preventive, 752 preservation, in labor, 308 history, 318 retraction of, in breech pres- entation, 984 scissors, 319 suture of, in lacerations, 754 Periods, 11 Peritoneum in pregnancy, 97 Peritonitis in pregnancy, 636 in puerperal fever, treat- ment, 875 Pernicious anemia in preg- nancy, 388 vomiting in pregnancy, 355. See abo Hyperemesis grav- idarum. Perret's cephalometer, 275 Pfltiger's ovarian tubes, 3 Phlegmasia alba dolens in puerperal fever, 884 treatment, 886 cradle, 886 Phleiipionous mastitis, 918 Phthisis in pregnancy, 496 treatment, 497 Phvsician, asepsis of, in labor, ' 281 attendance of, in labor, 299 response to call, in labor, 281 Physician's examinations in pregnancy, 238 visit before labor, 250 in puerperium, 336 Physics of abdomen, 103 Physiologic chill in puerpe- rium, 223 diabetes of pregnancy, 112 leukocytosis of pregnancy, 106 osteomalacia of pregnancy, 112 Physometra in transverse pres- entation, 638 Pica, 110 Pinard's method of breech ex- traction, 977 Pipet, Little's, 890 Pituitary extract, effect on uterus, 107 in atony of uterus, 585 Pituitrin in postpartum hemor- rhage, 808 Pityriasis versicolor in preg- nancy, 550 in puerperium, 391 Placenta, 37, 39, 43, 45 abruption of, 452 cesarean section in, 459, 1018 concealed hemorrhage in, 454 diagnosis, 457 Placenta, abruption of, diag- nosis, differential, 457 emptying uterus in, 458 etiology, 452 frequency, 452 hemorrhage in, 453 concealed, 454 labor in, 456 pathology, 453 placenta prajvia and, dif- ferentiation, 457 prognosis, 457 pulse in, 456 rupture of uterus and, dif- ferentiation, 457 symptoms, 455 treatment, 457 vaginal cesarean section in, 459 accessory portions, 46 accreta, 793 adherent, 799 albuminurique, 513 angioma of, 573 at term, 45 atelectasis of, 572 battledore, 51 bilobate, 46, 47, 50 calcification of, 572 circular sinus, 42 rupture of, 459 circumvallata, 43, 568 cirrhosis of, 567 cotyledons of, 48 cysts of, 573 delivery of, Duncan's me- chanism, 205, 206 hemorrhage in, mechan- ism of control, 208 mechanism, 204 Schultze's mechanism, 205, 206 diseases of, 567 abortion from, 431 edema of, 572 examination of, 327 excretory functions, 68 expression, 132, 133, 323 Ahlfeld's method, 326 Credo's method, 325, 326 early, 325 expulsion of, 323 mechanism, 205 extra, retention of, 328 fenestrata, 462 fetal surface, 49 growth of, 43 hemorrhages, 570 hepatization of, 567 horseshoe, 46, 50 in cesarean section, 1022 infarcts, 49, 567 varieties, 567 insertion of umbihcal cord in, 50 isthmialis, 461 location of, in labor, 291 low insertion, 461 marginata, 43, 568 maternal surface, 47 membranacea, 46 myxoma of, 573 nappiformis, 568 prsevia, 460 Placenta praevia, abortion from, 464 abruption of placenta and, differentiation, 457 accouchement forc6 in, 475 Braun's colpeurynter in, 471 Braxton-Hick's version in, 469 cesarean section in, 475, 1018j 1019 centralis, 461 colpeurynter in. methods of improving, 956 diagnosis, 5ft8 foTcapa in, 1005 Hodge's mantpuver in, 600 molding in, 598 persistent, 596 mechanii^m of labor in, 596 prognosis, 599 treatment, 600 unuRual mechanisms, foi^ ceps in, 1000 occipitosacraJ, 596 molding in, 598 treatment, 600 of fetus, melhoda of im- pnmng, 956 of patient for operation, 927 Walclier, 734, 735 Position, Walcher, in moder- ately contracted pelvis, 734 Posterior ear presentation, 715 Piwtraortem delivery of fetus, 817 Postpartum hemorrhage, 789. Bee also Heinarrkagt, pmi- partum. Poullet'a cord repositor, 648 Powers involved in labor, 153 Precipitate labor, 593 dangers, 594 treatment, 69-4 Precocious pregnancy, 117 Preeclamptic toxemia, 367 Prqpiancy, Abderhalden teat tor. 263 abdominal, 395 secondary, 399 wall in. 102 acetonuria in, 112 acne in, 550 acromegalic changes in, 107 acute yellow atrophy of liver diagnosis, 3i patholo^, 3 hology. 384 prognosis. 385 eymptoms, 384 treatment, 383 adrenalinomiii in, 107 after menopause, 19 albuminuria in, 111, 3^ alcohol in, 230 amblyopia in. 522 ampullary, 400 anemia in, 38S angular, extra-uterine pr^- nant^and, difTerentiatioD, 405 110 . 510 appetite in, 110 areola in. 104,258 axis of uterus in, 85 bacteriiiria in^ 517 ballottcment in diagnosis of, 266 bartholinitis in, 530 Basedow's disease in, 5(T7 treatment. 507 bjithing in, 233 bladder in, 8-t. 99 blindness in, 522 blood diaeartes in, 388 bowels in, 231 Braxton Hicks' sign, 266 breasts in. 103 core ot, 235 broad lijiamenis in, 97 changes due to, 71 local, 71 in blood in, 106 in bone-marrow ii Pregnancy, changes in bae in 'diagnoas oi. 258 in cPTvix, 80. 81. 88 in circulatory tystra 108 in digestive Inet in, 1 in (lisuoaitioD in. 237 in enaometiiam in, 3 in form, aizp, eotudai and posiuon of ui in diagnosis id, 361, a bnir in, 114 n heart in. ItS a intestines in, 111 n larj-nx in. 110 in liver in. 111 in lower uterine se^n 88 in lumbar glands in, in liixtgs in. 1 10 in maternal otgsxa in, " rvous syvtem in. n neliaceous glands in, n shape of uterus. SO at term, 82 a skin in, 112 in diagnosis of, 271 n spleen in, 107 n Htoniocb in, 110 n sweat^ands in, 11 a throat in. 110 n tfayroid gland in, II n urine in. 111 sin,- inw(qKfatin,lll child and7228 chIor»nemia Chlor 1, 3S8 106 cholecv^ititis ii cholera in, 493 chorea in, 385 pr<:^cnods. 3S6 treatment. 38« coitus in, 229, 232 colostrum in. 105 constipation in. Ill treatment, 231 contracted pelvis in. rlini a.-.peet«, 708 conlractiliiy of utcfus ia, convulsions in, 36& 8«ei Edamptia. corset in. 230 cotton spitting in, 110, 31 cravings in, 110 cyetitis in, 517 eystocele in. 428 darkening ctf eyriids in. deafness in. 110 delicate spnsc of nnril in. dent^ earicH in, 508 diabeto in. 518 diagnostH, 510 pn^nosis, 519 treatment. 519 after vialklity ol cfc 519 before chilil ■» via! INDEX 1079 Pregnancy, diagnosis, ausculta- tory signs, 267 ballottem^nt, 266 bluish^ discoloration of vagma, vulva, and ves- tibule, 259 Braxton Hicks' sign, 266 cessation of menstruation, 256 changes in breasts, 258 in disposition, 257 in form, size, consist- ence, and position of uterus, 261, 271 in nipples in, 258 in skm, 271 death of fetus, 272 fetal heart-tones, 267 movements, 266 souffle, 268 Hegar's sign, 260 intermittent uterine con- tractions, 266 irritability of bladder, 258 lighteningj 272 morning sickness, 257 multiparity, 273 nausea and vomiting, 257 palpation of fetal body, 267 pelvic congestion, 258 placental souffle, 269 quickening, 265 salivation, 257 serologic, 262 softening of cervix and vagina, 260 sources of error, 255 summary of, 272 time, 274 uterine souffle, 269 diet in, 230 dilatability of uterus in, 96 diseases, 352 accidental to, 491 local, 525 classification, 352 of alimentary tract in, 508 of blood in, 388 of circulatory system in, 503 of ear in, 522 of eye in, 521 of heart in^ 503 of metabolism in, 518 of nose and throat in, 523 of skin in, 389, 550 of urinary system in, 512 diverticula of uterus in, 530 dizziness in, 549 dress in, 230 echinococcus cysts in. 548 eclampsia in, 366. See also Eclampsia. ectopic, 395. See also Extra- uterine pregnancy. eczema in, 550 edema in, 109, 390, 550 effects of diabetes on, 518 of fibroids of uterus on, 539 of heart disease on, 505 of maternal syphilis on, 498 Pregnancy, effects of paternal syphilis on, 499 on diabetes, 518 on heart disease, 504 on otosclerosis, 110 on i^hilis, 498 elasticity of uterus in, 96 endometritis in, 532 catarrhal, 533 glandular, 533 gonorrheal, 533 interstitial, 533 polyposa, 533 syphilitic, 533, 535 tuberosa, 533 endometrium in, changes in, 34 Englehorn's test for, 263 enlarged and prolapsed kid- neys in, 548 enlargement of cervix in, 429 epistaxis in, 523 erosioas of cervix in, 532 erysipelas in, 493 eiythrocvtes in, 106 examnial, 490 exochorial, 490 exercise in^ 232 extra-utenne, 395. See also Extra-uterine pregnanqf. fainting spells in, 108, 115, 549 Fallopian tubes in, 99 . fetal heart-tones in diagno- sis of, 267 movements in diagnosis of, 266 souffle in diagnosis of, 268 fever of, 535 fibroids of uterus in, 537. See also Fibroids of uterus in pregnancy. fibroma molluscum in, 390 frequent urination in, 550 gait in, 112 gall-stones in, 509 gingivitis in, 110, 365 treatment, 365 glycosuria in, 112 gonorrhea in, 530 diagnosis, 532 treatment, 532 gonorrheal endometritis in, 533 Graves' disease in, 507 heart disease in, 503 prognosis, 505 treatment, 505 Hegar's sign in, 80, 260 hematuria in, 517 hemophilia in, 389 treatment, 389 hemorrhage in, 389 hemorrhoids in. 111, 393 hernia in, 511 herpes in, 391 hirsuties in. 390 history cara in, 238 husband and, 229 hydremia in, 106 hygiene, 230 and conduct, 228 hypertrophy of cervix in, 532 of heart in, 108 Pregnancy, icterus in, 508 gravis in, 384 ileus in, 511 impetigo herpetiformis in, 391 in retroverted uterus, extra- uterine pregnancy and, differentiation, 406 in rudimentary horn of uterus, 525 in uterus arcuatus, 527 bicomis duplex, 526 unicollis, 527 unolatere rudimenta- rius, 528 bilocularis, 527 subseptus unicollis, 527 unicornis, 528 infectious cuseases in, acute, 491 chronic, 496 influence, on quantity and quality of muk, 221 influenza in, 494 insanity in, 386, 387 treatment, 387 insomnia in, 549 instructions in, general, 236 intermittent uterine con- tractions in diagnosis of, 266 interstitial, 395, 397 intestinal indigestion in, ^08 intra-uterine and extra- uterine, combined, 402 ectopic gestation and, dif- ferentiation, 405 inverted nipples in, 235 irritability of bladder in, diagnosis of, 258 of uterus in, 96 i'aundice in, 508 ddney of, 112. See also Kidney of pregnancy. kidneys in, 231, 383 lactosuria in, 112 late, 117 length, 116 leukemia in, 388 leukocytosis in, 106 leukorrhea in, 91 lightening, 85, 86 in diagnosis of, 272 linea nigra in, 112 lines on abdomen in, 102 liver of, 359 local diseases incident to, 392 location of cervix at term, 93 malacosteon in, 520 malaria in, 493 mania in, 387 mask of, 113, 114 maternal impressions in, 233 measles in, 493 melancholia in, 387 menstruation and, 18, 229, 256 without, 256 mental occupation in, 233 metabolism in, 111 minor disturbances of, 549 moderately contracted pel* vis in, treatment, 731 1080 IMDEX ^^^ Pregnancy, raollitipsoBsimo in, Pregnancy, physiologic Iciiko- Pr^nancy. ragne of, 256 520 eytoais, 106 obietrtivp, in firM Inn morning aicknees in, 110 tcr. 258 diagnosis of, 257 physiology, 1 io second trimfster. pica in, 110 in third trimater, 23 273 pityriasis versicolor in, 5.50 subjective, io fim trim multiple, 477 placental Bouffle in diagno- ler. 2.% anomdiee of, 487 m» of, 269 characteristics of. 479 pneumonia in, 494 in third 1riinest*-r. T clinical course, 480 polyglobulism in, 389 skin di«^as*s in. 3SB. S30 diagnwiB of, 4S2 difTerential, 484 polyneuritis in. 387 pi^cocious, 117 sleepiness in, 549 smallpox in, 492 etioi(^, 477 prescn-ation of figure aft<T. softening of bonea in. 52( frequency of, 477 235 of cer\-ii, 89 prognosis of, 4B4 and vaeina in iliagii- symptoms of, 480 386 of. 260 treatment of, 485 pride of, 112.230 miuriou?. 256 myoma of ut«rua in, 537. projection, pelvic floor in. Btriie in. 102. 104 See also Pibroidt nf uierut 99 Btigar in urine in. 112.51 in pregnancy. prolonged, 488 nausea and vomiting in, 110 diagnosis of. 257 trimcsster. 258 labor in, 1051 in second trimeter. nephritis in, 383. 512 treatment of, 489 in third triinesltr. t after twt'nty-eighth week, subjective, in first trie pniritus in, -389 ter. 256 before child is viable, of\-ulvain, treatment, 389 in cec^ind triro»tff. treatment, 514 psychoses in, 386 in thinl triemslcr, 7 ptyalism in, 365 syphilis in. 498 parenchymatous, 512 treatment, 3ti5 treatment, 503 diagnosie, 513 puberty and, 229 in eclampsia. 372, 369 535 primar>- acute, 512 496 taste in. 110 prognosis, 514 treatment, 497 teeth in, 110, 3<^ pulse in, 108 tetany in. 388 neuritis in. 387 pyelitis in, 514 time of. diagnosis. 274 treatment, 388 diagnosis, 515 tingling in, 549 Dumbnesa in, 649 treatment, 516 tooUiache in, 366. 50S nurse in, 253 pyelo-ureteritis in, 515, 516 toxemia of. 3JH obe«tyin, 619 quadruplets, trequencv of. optic neuritis in, 521 477 9j-niptomat<ilog\-. 3» osteomalacia in, 520 quickening in diagnosis of, treatment. .155 symptoms, 520 265 treatnipnl, .'521 traumatism in. .i23 ovarian, 400 477 triplets, frequencv of. \~ tubal. 396 tumors in. 54,';. See also rectal stricture in, 548 Ofiri^n l-mon in prtg- reclocele in, 428 course of, 396 nanry. relation of cervix to lower hematocele in. 397 ovarira in, 90 uterine sejnneni, 93 hematoma in. 390 ovario-abfiominol, 395 relaxation of pelvic joints rupture of tube in. 39) pain in abdomen in, 549 in, 393 treatment. 110 parametritic abscess in, 548 respiration in, 110 tubo-abdominal. 395 classifiiaUon, 352 retinal hemorrhage in, 521 tulKxivarian. 395 retinitis in, 522 tubo-uterine. 395 pelvic congestion in diagno- albiiniinurica in, 522 tumors of, 537 of bloilder in. 51S sis of, 258 retractility of utenis in. 90 floor in. 99 ringing in ears in, 110 oi uterus in, 537 projection. 99 round ligaments in. 96 twin, 477 girdle in, 101 niles for women in, 237 anomiUies of, 487 joint* in, 101 rupture of uterus in, 778 characteristics o*. 479 meamiremenla in, 239 clinical course, 778 clinical coutsr. 480 internal, 243 diagnosis, 779 diagnosis ri. 4.'t2 technie, 244 treatment, 779 diffemitial, 484 pcnditlouH abdomen in, 85 salivary secretion in, 110 otiologj- of. 477 treatment, 413 Balivation in, 365 fibtwmaofiitfnp.«id.d peptonuria in, 112 ferentiation. 4.M peritoneum in, 97 salpingitis in, 536 peritonitis in. 636 Bcarlfttinain. 492 interlocking in. 487 pemtcious anemia in, 388 sensibility of uterus in, 96 polvhvdramnion in, 4^ phtbisis in, 49« sepsis in, 493 im treatment, 497 septate vagina in, 528 prognoeds of. 484 physician's examination in, seralogic diagnosis of. 262 symptoms of, 4S0 238 scrolls plethora in, 106 treatment of. 485 physics of abdomen in. 103 shape of breasts in. 105 typhoid fever in. 490 physiologic diubetea of, 112 shock in, 523, 524 ureteritis in. 514 INDEX 1081 Ptegnancy, ureteritis in, diag- nosis, 515 treatment, 516 ureteropyelitis in, 514, 515 ureters in, 101 urinalysis in, 232 urination in, frequent, 550 urine in, 111 urticaria in, 550 uterine souffle in diagnosis of, 269 utcrosacral ligaments in, 97 vaccination in, 492 vagina in, 99 vaginal douches in, 233 enterocele in, 428 vaginitis in, 530 vagotonia in, 115 varicose veins in, 108, 236, 392 treatment, 393 variola in, 492 vesical calculi in, 548 vomiting in, 110 diagnosis of, 257 pernicious, 355. breech, 179, 181, 619 abnormal rotation of back in, 625 asphyxia in, 629 cephalic version in, 969 clinical course, 626 complete, 181, 621 descent in, 622 deviated, 631 diagnosis, 628 double, 621 etiology of, 619 external restitution in, 623 flexion in, 622, 623 footling, 6121, 624 prolapse of cord in, treatment, 650 frequency of, 183, 619 incomplete, 181, 621 internal anterior rotation in, 622 lateroflexion in, 623 mechanism of, 619, 621, 622 Presentation, breech, mechan- ism of, unusual, 624 molding in, 628 plastic ch£Uiges in, 628 prognosis, 629 sin^e, 181, 621, 626 symptoms, 626 treatment of, 630 manual aid, 631 wry-neck in, 628 brow, 181, 605 correction of, 958 De Lee's method, 959, 960 diagnosis of, 607 forceps in, 1008 frequency of, 605 mechanism of, 605, 606 molding in, 608 prognosis, 616 treatment of, 608 cephalic, 179. See Pres- entntioriy head. definition of, 177, 595 degree of engagement in, 182 diagnosis, by abdominal ex- amination, 287 by vaginal examination, 297 divisions, 179 ear, posterior, 715 face, 181, 608 changing of, to occipital, 956-959 clinical course, 612 correction of, 958 De Lee's method, 959, 960 diagnosis of, 613 forceps in, 1007 frequency of, 183, 608 mechanism of, 60i8, 609 plastic changes in, 616 prognosis of, 616 treatment of, 616 after engagement, 617 before engagement, 617 footling, 624 prolapse of cord in, treat- ment, 650 forehead, 605 mechanism of labor in, 605 frequency, 183 head, deviated, 631 frequency of causes, 183 Paiot's law of accommo- dation in, 183 prolapse of arms and feet in^ 650, 651 version in, 966 conditions necessary for, 967 double manual method, 968 indications, 966 methods, 9iS7 Wright's method, 962 in inlet, 182 location in, 182 oblique, 631 occipital, descent of head, 188 disengagement of head, 192 1062 INDEX I t. '.I Presentation, occipital, engage- ment of heiad, 186 extension of head, 192 external restitution of head, 193 flexion of head, 18S mechanism of labor in, 1S6 observations on, 196 shoulders. 194 rotation of head, 18S internal anterior, 189 occipitodextra posterior, findings in, 202 mechanism of labor in, 202 parietal bone, in flat pelvis, 714, 715 pelvic, 179, 181 frequency of, 183 period of disengagement, 182 point of direction, definition, 178 shoulder, 181 , 631 . Sec also PresentatioTiy transverse, station in, 182 transverse, 179, 181, 631 anterior, 633 attitude in, 633 bimanual version in, 962 Braxton Hicks' method of bipolar version in, 641 cephalic version in, 640 clinical course, 632 contraction-ring in, 637 course of, 634 diagnosis of, 638 abdominally, 638 vaginally, 638 etiology of, 631 frequency of, 183 mechanism, 632 of labor in, 631 neglected, 637 treatment of, 641 physoinetra in, 638 posterior, 633 prognosis of, 639 prolai)se of arm in, 642 retraction-ring in, 637 rupture of bag of waters in, 640, 641 tetanus uteri in, 638 threatened rupture of ute- rus in, 637 treatment of, 640 tympania uteri in, 638 version in, ()40, 961 Wright's method of ver- sion in, 6U vertex, ISl frenuency of, 183 median, (U)3 clinical course, 604 diagnosis of, 604 mechanism of labor in, 603 treatment, 60') Presenting part. 177. See also Presnitdtiori. Pressure necrosis of bladder in labor, 784 of scalp of fetus, 725 Pride of pregnancy, 112, 230 I Primiparse, young, labor in, 666 Primoridal follicles, 3 Private houses, operations in, arrangement of room, 925 preparation, 924 of patient, 925 provisions for complica- tions, 930 Processes of syncytium, 39 Prochownick's diet to restrain growth of fetus, 733 method of resuscitation in asphyxia neonatorum, 828, 829 Procidentia of pregnant uterus, 428 Profeta's law, 499 Progamy, 69 Projection, pelvic floor, 99 Prolapse of arm in shoulder presentation, 642 of arms and feet with head, 650, 651 treatment, 650 of placenta, 454 of pregnant uterus, 428 of umbilical cord, 642. See also UmbiUcal cord, pro- lapse. of uterus in labor, 758 Pronucleus, female, 6 Prophvlactic version, 866 Prostitutes' colic, 396 Prurigo gestationis, 389 Pruritus in pregnancy, 389 of vulva in pregnancy, treat- ment, 389 Pseudo-corpus luteum forma- tion, 9 Pseud ocyes is, 256 Pseudohelminths, 560 Pseudo-menses, 16 Pseudo-menstruation in new- bom infant, 347 Pseudo-osteomalacic pelvis, 683 Psychoses, exhaustion, in puer- periiim. 921 in pregnancy, 386 Ptyalism in pregnancy, 365 treatment, 365 Puberty, 1 pregnancy and, 229 Pubic segment in labor, 168 Pubiotomy, 947, 949. See also Hchosteotorny. Pubococcygeal portion of leva- tor ani. 165 Puborectal portion of levator ani, 165 Pubovesical ligaments, 784 Puerpera, 133, 209. See also Puerjy^rium. Puerperal arterv, 76 fever, 840 abscess of fixation in, 905 air-borne, S4S antistreptococcus .serum in, 905 autoinfection in, 844 bacillus tetanus in, 854 typhosus in, 854 bacteremia in, 851, 876 853 brushing surface Puerperal fever, bttctei metastatic, 81 pathology, 877 symptoms, 878 bacteriology, 841 bactenum ooli o in. i ■usni domenthum in, cla^fication of fo clinical t^^iics, 857 ooUargol in, 904 colon bacillus in. : Credo's ointment curage of uterus i curative treatmen cureta^ of uteni* definition, 840 diagnosis, 889 differential, 892 diet in, 904 diphtheria in, 888 draina^ of utera emptying uterus i enaometritis in, 8 diagnosis, 863 patholog>% 859 symptoms, 862 etiolo|pr, 843 preai^x>8ing eai exogenous inifect 847 gas^forming bad 854 general treatment gonococcus in, 85^ gonorrhea in, 887 treatment, S88 hetero-infection in hi<tor>', 840 hysterectomy in. { intramural ut<n sc<*ss in, 8^7 intra-uterine dou' 901 late, Sk)7 leukocytosis in. Si hgation of pehic ' 1K)7 local treatment. *> lochi<x"oli>o> in. s' lochionietra in, S?* mercury in, 904 met:istatic bact«n Rsl metritis chviccan* milk theory. Ml milk-leg in. sM, ^ mcxles of tnmsmi genital tract. n4 morbidity, VHi mortality, VA'> nervous toni|H'ni: 892 packine uteni- wit in, IMI-J parametritis in. v'« diagno>i£5, s»'i9 etiolog>', 8*>4 late, S<\8 patholog>'. *^o prognosi.s, Ni'J symptoms, >*u treatment, N)9. : INDEX 1083 Hierperal fever, pelveocniral cellulitis in, 885 pelvic cellulitis in, 864. See also Parametritis, perimetritis in, 870 diagnosis, 874 etidogy, 870 patholo^, 871 prognosis, 874 symptoms, 873 treatment, 875 peritonitis in, treatment, 875 phlegmasia alba dolens in, 884 treatment, 886 prognosis, 893 prophylaxis, 898 pyemia in, 855, 877, 881 diagnosis, 883 symptoms, 882 pyococci in, 853 reaction of organism against, 850 salt solution in, 904 Bapremia in, 851, 854, 855, 863 symptoms, 863 Semmelweis' theory, 841 sepsis in, 876 septic endocarditis in, 881 septicemia in, 855, 876 pathology, 877 symptoms, 878 septicopyemia in, 881 serum treatment, 905 silver in, 904 sources of infection, 844 specific infections in, 887 treatment, 904 staphylococcus in, 852 streptococcus pyogenes in, 852 surgical teratment, 905 swabbing out uterus in, 901 tetanus in, 888 theories of, 841 thrombophlebitis in, 884 thrombo.sis of saphenous and femoral veins in, 884 toxinemia in, 855, 863 treatment, 898 by transfusion, 905 curative, 900 general, 903 local, 900 of bowels, 903 of chills, 904 of fever, 903 of mental state, 904 of meteorism, 903 prophylaxis, 898 specific, 904 surgical, 905 vaccine treatment, 905 vaginitis in, 857 treatment, 858 vulvitis in, 857 diagnosis, 858 treatment, 858 hemorrhage. See Hemor- rhagCf postpartum. Puerperal infection, 840. See also Puerperal fever, insanity, 386, 387 neuritis, 388 osteophytes, 107, 112 sepsis, 840. See also Puer- perid fever, state, 209. See also Puer- perium. wounds, 215 Puerperium, 133, 209 abdominal binder in, 339 acne in, 391 after-pains in, 336 asepsis in, 333 bladder in, 226 care of, 334 catheterization of, meth- od, 334 blood in, 225 bowels in, care of, 334 breasts in, care of, 335 carunculae myrtiformes in, 215 changes in abdominal walls in, 217 in bladder in, 226 in blood in, 225 in breasts in, 218 in cervix in, 213 in endometrium, in 213 in external genitalia in, 214 in, general, 223 in intestinal tract in, 227 in kidneys in, 226 in, local, 209 in nervous system in, 223 in placental site in, 213 in pulse in, 224 in respiration, 225 in skin in, 225 in temperature in, 223 in urinary apparatus in, 226 in urine in, 226 in uterine serosa in, 213 vessels in, 213 in uterus in, 210 in vagina in, 214 weight in, 227 chiU in, 223, 336 colostrum in, 219 conduct of, 333 constipation in, 227 diagnosis of, 340 diastasis recti in, 218 diet in, 333 difficulty of urination in, 921 diseases of breasts in, 909 of nipples in, 915 of skin in, 391 drug eruptions in, 391 eczema in, 391 enlargement of breasts in, 218 erythema multiforme in, 391 examination in, final, 339 exercise in, 338 exhaustion psychoses in, 921 fever from constipation in, 921 final examination in, 339 fissure in ano in, 921 Puerperium, foods to be avoided in, 334 functional disturbances of breasts in, 909 furunculosis in, 391 gall-stone colic in, 921 general changes in, 223 getting up in^ time of, 338 heart disease in, 504 high stomach in, 218, 235 ileus in, 921 instructions to nurse during, 253 intestinal tract in, 227 involution in, 210, 217 kidneys in, 226 lactation in, 218 atrophy in, 217 lactosuria in, 226 leukocytosis in, 225 local changes in, 209 lochia in, 215 alba in, 215, 216 bacteriology, 216 purulenta in, 215 quantity, 217 sanguinolenta in, 215, 216 sources, 217 massage in, 338 milk-sugar in urine in, 226 nervous chills in, 336 pathology of, 840 peptonuria in, 226 physician's visit in, 336 physiologic chill in, 223 physiology, 209 pityriasis versicolor in, 391 pulse in, 224, 336 respiration in, 225 secretion of milk in, 218 skin in, 225 diseases in, 391 sleep in, 337 Soldier's heart in, 921 sudamina in, 391 sundry complications, 921 supennvolution of uterus in, 217 tape-worms in, 921 temperature in, 223, 330 time of getting up. Retroplacental hematoma, 205 Retroversion of pregnant uterus, 418. See also Preg- RhcumatiHm of uterus, 533 Rhomboid of MichaUis, 241 Ribs, dislocation of, in labor, treatment, 663 in labor, 593 of pehnc floor, dv-^tocia Ring, closing, of Nitabuch- Winkler, 36 of Waldeyer, 43, 48 Ringing in ears in pregnancy, 110 Ripe placenta, 45 Ritgen's manceuver in forceps delivery, 999 in labor, 688 Robert pelvis, 694 Roederer'8 method of i^wnta- neous evolution, 635 Room in labor, 2S5 Rotation, abnormal, in bre«cb delivery, 9S4 during fourth act, 986 during third act, 985 arrested, of chin, forceps in, 1007 in occipital presentation, 188 internal anterior, 189 over-, in occipital presenta- tion, 196 super-, Internal, 600 Round ligamcntii in pregnancy, Rubber gloves in labor, 282 pelvis, 520 Ruilford's forceps, 988 Rudimentary horn of uterus, Rupture of circular a placentB. 459 of pcU-ic joint? in lat of st^moclridiHiuria cle of fetus io Ubo of svmphysis pubi* ii 786 nano', 3t*> treatment. 4|i of umbilical eord. 57 of utcTu.'^, 765 abruption of yiaan dilTerentisticn, < in labor, 765 aft er-t reat tnnit. diafDo^, ~~~ diffenxitial, 7 etiolog>'. 785 frequency, TW incomplpte, tn of, 777 patholo^. T«8 prognosis, 772 symptoms, 770 the rupturt, ; threat euMl, diaf 772 treatment, 77S after ruplur*. 