None
Maternal elements, 114 impressions, 253 structures, 123 Maturation, 83 Means of destroving the vitalitv of fcetus, 190 Measles in pregnancy, 227 Measurements of pelvis, 41 Mechanical advantage in turning, 415 Mechanism by which inversion of uteru- is produced, 464 •■if deliverv in head presentation, 2S2, 408 of shoulder presentations, 345 Meconium, 13S Medullary folds 102 groove, 102 Membrana granulosa, 79 Membranes, management of, in labor, 310 puncture of, 427, 470 Menstruation, 87 cessation of, 95 duration of, 89 during pregnancy, 152 influence of climate on, 87 of race on, 87 in monkeys and baboons, 92 quantity of blood lost in, 89 sources of blood in, 90 theory of, 83, 92 Mental peculiarities, 154 Mento-posterior positions, treatment of, 334 Mesoblastic somites, 103 Milk, artificial human, 5S1 ass's, 581 cow's, 581 defective secretion of, 576 excessive flow of, 577 fever, 560 goat's, 581 secretion of, means of arresting, 575 sterilization of, 5^3 sterilizer, Hawksley's, 583 transfusion of, 551 Miscarriage. See Abortion. Missed labor, 200 treatment of, 202 Mode in which placenta is naturallv ex- pelled, 279 of performing secondarv laparotomv, 198 Mole, fleshy, 258 tubal, 184 vesicular, 237 Mollities ossium, 231 Mons Veneris, 49 Monsters, double, 3S6 Morning sickness, 153 Mortality of childbirth, 557 Movements of pelvic joints, 38 Mucous membrane of uterus. See Uterus. Midler, canal of, 70 Multiparas, abortion most common in, 255 Multiple pregnancy, 174 diagnosis of, 177 frequency of, 1 74 Muriform body, 101 Muscular.fibres, fatty transformation of, 561 Mutilation of foetus, 493 Myxoma chorii. See Chorion, degeneration of. fibrosum, 241 VAKROWIXCr of transverse diameter, 11 405 Necessity of attending to first summons in labor, 296 Nerves of uterus, distribution and arrange- ment of, 69 G82 INDEX. Nervous system, changes in, during preg- nancy, 148 disorders of, 216 function of, 138 Neural canal, 102 Newborn child, apparent death of, 569 Nipple, 82 Nipples, depressed, 576 fissures and excoriations of, 576 Notochord, 103 Nurses, antiseptic rules for, 567 Nursing. See Lactation. women, diet of, 574 Nutrition of early ovum, 112 of foetus, 133 Nymphse. See Labia minora. OBLIQUELY contracted pelvis, 404 Obturator membrane, 37 Occipito-posterior .positions, difficult, 337 Occiput at pelvic brim in head presenta- tions, 294 at outlet of pelvis, 288 in cavity of pelvis, 287 rotation of, 292 Occlusion of os, 374 (Edema of lower limbs, 221 of vulva, 380 Oldham's vertebral hook, 513 Orifice of vagina, 52 Os innominatum, 33 uteri, artificial dilatation of, 472 villi of, 66 Osteomalacia, 397 Osteomalacic pelvis, 403 Osteophytes, formation of, 143 Ostium uterinum, 73 Ovarian gestation, 181 pregnancy. 683 Pelvis, deformities of, 396, 454 development of, 46 diameters of, 42 differences in the two sexes, 40 divisions into true and false, 34, 39 female, 40 funnel-shaped, 399 in different races, 4S infantile, 47 kyphotic, 405 planes of, 43 male, 41 measurements of, 41 obliquely contracted, 404 occiput at outlet of, 288 in cavity of, 287 outlet of, 40 osteomalacia, 403 rickety, 401 K >bert's, 406 scolio-rhachitic, 400 soft parts in connection with, 4S Perforators, craniotomy, 512 Perineum, 54 distention of, 303 examination of, 311 extreme rigidity of, 375 incision of, 304 relaxation of, 304 Period of day at which labor occurs, 2S1 Peripheral venous thrombosis, 659 Peritonitis, pelvic. See Pelvic cellulitis. puerperal. See Septic disease. Pernicious ansemia in pregnancy, 211 Phlegmasia dolens. See Thrombosis. Phenomena of labor, 268 Phosphatic condition of urine, 220 Phthisis in pregnancy, 228 Placenta, adherent, signs of, 443 treatment of, 443 at term, 121 battledore, 121, 247 double, 244 early, 112 entire separation of, 429 examination of, 310 expression of, 307 fatty degeneration of, 244 formation of, 112 functions of, 118 growth of, 119 membranacea. 243 praevia, 420 causes of, 420 definition of, 420 history of, 420 prognosis of, 425 symptoms of, 421 turning in, 423, 490 pathological changes in, 424 pathology of, 242 succenturia?, 243 usual method of removing, 308 uterine surface of, 121 velamentous, 121 Placental adhesions, 438 Placental attachments, 116 cotyledons, 121 polypus, 266 souffle, 163 Placentitis, 123, 243 Plasmodial layer, 113 Pleural births, 383 treatment in, 334 Plugging of vagina, 428 Pneumonia in pregnancv, 22S Polar globules, 100 Porro-Csesarean operation, 537 Porro's operation in missed labor, 202 in rupture of uterus, 459 Position in head presentations, 283 of child at brim, 318 of cranium in head presentation. See Head presentation, of patient during labor, 301 Post-partum hemorrhage. See Hemor- rhage, causes of, 435 curative treatment of, 441 frequency of, 434 injection of saline solutions in, 442 preventive treatment of, 440 secondary, 448 treatment of, 448 Precipitate labor less common than linger- ing, 367 Pregnancy, 139 abdominal, 174, 192 absence of menstruation a sign of, 151 albuminuria in, 211 appearance of areola in, 155 auscultatory signs of, 160 carcinoma of, 231 changes in cervix during, 143 in liver during, 149 in nervous system during, 148 in urine during, 149 in uterine parietes in, 142 in uterus during, 139 chorea in, 218 classification of, 151 composition of blood in, 147 continued fevers in, 227 diabetes in, 216 differential diagnosis of, 165 diseases coexisting with, 227 of eye in, 229 dress of patient during, 296 duration of, 168 epilepsy in, 229 eruptive fevers in, 227 extra-uterine, 180 treatment of, 1S9 fibroid tumors in, 233 foetal heart-sounds in. Ptyalism in pregnancy, 209 Puberty, changes occurring at, 88 Puerperal arterial thrombosis and embol- ism, 654 convulsions. See Eclampsia, fever. See Septic disease, insanity, 594 true, 597 laparotomies, 459 malarial fever, 632 mania. See Insanity, pleuro-pneumonia, 653 septic disease, defective sanitation as a cause of, 617 state, action of bowels in, 567 and its management, 557 attention to cleanliness in, 567 coogulation in, 644 diet and regimen in, 566 importance of prolonged rest in, 568 _ pulse in, 558 secretions and excretions in, 559 subsequent treatment of, 568 temperature in, 559 thrombosis and its results, 642 venous thrombosis and embolism, 642 Pulmonary obstruction, 650 causes of death from, 651 Puncture of membranes, 427, 470 QUICKENING, 140, 157 Quinine as an oxytocic, 361 RASCH'S sign of pregnancy, 159 Relaxation of perineum, 304 Respiration, commencement of, 568 of foetus, 134 Respiratory organs, affections of, in preg- nancy, 209 changes in, during pregnancy, 149 Retention of urine, 219 in utero of a blighted ovum, 266 Retinitis in pregnancy, 230 Retroversion of gravid uterus, 223 causes of, 223 diagnosis of, 224 progress and termination of, 224 symptoms of, 224 treatment of, 225 Rickets, 397 mode of production in, 400 Rickety pelvis, 401 Rigidity depending upon organic causes, 372 Ring, Bandl's, 143 Robert's pelvis, 406 Rosenmiiller, organ of, 70 Rotation forward of chin, 331, 333 in head presentations, 2S7 Roussel's method of transfusion of blood, 549 INDEX. G85 Rupture in tubal pregnancy, 1S6 of uterus. (See Uterus. of membranes in version, 487 of uterus, causes of, 453 general symptoms of, 456 Porro's operation in, 459 premonitory symptoms of, 450 prognosis of, 457 statistics of, 461 treatment of, 457 O ACRO-ILIAC synchondrosis, 37 O -sciatic ligaments, 37 Sacrum, anatomy of, 35 bony growth from, 406 displacements of, 398 flatness of, 402 mechanical relations of, 35 Saline solutions, injection of, 551 Salivary glands, excessive secretion from, 154 * Scarlet fever in pregnancy, 227 Schafer's direction for immediate trans- fusion, 554 method of transfusion of blood, 549 Scolio-rhachitic pelvis, 400 Scolioticpelvis, 398 Scybalous masses in intestine, 380 Secondary abdominal pregnancy, 192 areola, 154 Segmentation nucleus, 100 of ovum, 100 Semen, 97 Septic disease, puerperal, 605 administration of food and stimulants in, 636 bacteria in, 623 channels of diffusion in, 623 through which septic matter may be ab- sorbed, 610,* 624 conduct of practitioner in re- gard to, 607, 621 cold water in treatment of, 640 conveyance of infection in atmosphere in, 616 curetting the uterine cavity in, 635 description of, 628 difference of opinion as to, 605 division into autogenetic and heterogenetic forms, 611 duration of, 630 epidemics of, 60S history of, 606 importance of antiseptic pre- cautions in, 621 infection from ervsipelas in, 614 influence of zymotic disease in causing, 614 internal antiseptic remedies in treatment of, 641 Septic disease, purperal, laparotomy in, 641 local changes in, 623 medicinal treatment of, 63S micro-organisms in, 622 mode in which the poison may be conveyed to pa- tients in, 620 modern view of, 606 mortality in Iving-in hos- pitals," 606 nature of septic poison, 622 pathological phenomena in. 625 pysemic forms of, 632 prevention of, 621 sewer-gas as a source of in- fection in, 616 sources of auto-infection in, 612 of hetero-infection in, 613 theory of an essential zymo- tic fever, 609 of its identity with sur- gical septicaemia, 609 of its local origin, 608 treatment of, 632 by antistreptococcic se- rum, 637 turpentine in treatment ofr 640 Warburg s tincture in treat- ment of, 640 use of evacuant remedies in treatment of, 640 venesection in, 636 Sex, discovery of, of fcetus during preg- nancy, 161 of child, determining, 161, 175 of foetus as influencing size of skull, 129 Shape of head, alteration in, from mould- ing, 294 ( Shows, 276 j Siamese twins, 388 j Signs and symptoms of pregnancy, 151 of recent delivery, 172 Simpson's axis-traction forceps, 498 basilyst, 523 cranioclast, 515 forceps, 496 Size of uterus at various periods of preg- nancy, 140 Somatopleure, 103 Spermatin, 97 Spermatozoa, transit in, 9S Spermatozoon, 99 Splanchnopleure, 103 Spondylolisthesis, 298, 401 Spondylolizema, 403 Spantaneous evolution, 346 version, 345 Spurious abortion, 266 pregnancv, 167 Sterilized milk, 583 Stroma, 113 686 INDEX. Subperitoneo-pelvic gestation, 180 Superfoetation aud superfecundation, 177 Symphyseotomy, 541 history of, 541 limits of operation, 542 Symphysis pubis, 37 Syncope in pregnancy, 210 Syphilis in pregnancy, 229 as a cause of abortion, 259 rTAKNlER'S forceps, 498 1 Tetanoid falciform constriction of uterus, 374 Tetanus in pregnancy, 219 Thermostatic nurse, Hearson's, 477 Thorax, partial rotation of, 320 Thrombi, changes occurring in, 663 Thrombosis and embolism, distinction be- tween, 645 conditions which favor, 643 history of, 647 peripheral, changes occurring in thrombi in, 663. condition of affected limb in, 659 detachment of emboli .in, 663 history and pathology, 660 period of commencement, 660 progress of disease in, 660 symptoms of, 659 treatment of, 663 venous, 659 puerperal, causes of, 659 phlegmasia dolens a consequence of, 646 results of post-mortem examina- tions in, 645 symptoms of, 655 pulmonary, cardiac murmurs in, 650 post-mortem appearances of clots in, 651 treatment of, 652 symptoms of pulmonary obstruction in, 647 Thrombus, formation of, 381 symptoms of, 381 treatment of, 381 Toothache in pregnancy, 209 Toxaemia in pregnancy, 213 Traction in forceps delivery, 507 on groin, 326 Transfusion, 448 of blood, Aveling's method, 548 cases suitabte for operation, 552 dangers of operation, 552 description of operation, 553 history of, 546 nature and object of, 547 Roussel's method, 549 Schafer's directions for immedi- ate, 544 method, 549 secondary effects of, 556 statistical results of, 551 of milk, 551 Transit of spermatozoa, 98 Transverse presentations, 349 True pains, 277 in labor, 299 Trunk, presentation of. See Shoulder presentations. Tubal abortion, 184 gestation, 180 diagnosis of, 188 mole, 1«4 pregnancy, 183 progress of, 186 symptoms of, 186 termination of, 186 Tubo ovarian gestation, 180 Tumors, deformity from, 406 fibroid, 233 ovarian, 232 of ovaries, 377 Tunica fibrosa, 79 propria, 79 Turning, 478 anaesthesia in, 483 antiseptic precautions in, 483 by combined external and internal manipulations, 484 choice of hand to be used in, 483 history of operation, 478 in abdomino-anterior positions, 491 in placenta prsevia, 428, 490 mechanical advantage in, 415 period when operation should be per- formed, 483 statistics and dangers of, 479 Twins. See Plural births. Carolina, 390 Hungarian, 390 locked, 385 UMBILICAL arteries, 136 cord, 120 _ dystocia from shortness of, 395 knots of, 121, 246 pathology of, 246 prolapse of, 349, 407 vein, 136 vessels, 106 Urethra, 52 Urinary system, disorders of, 219 Urine, changes in, during pregnancy, 149 incontinence of, 220 of foetus, 138 phosphatic condition of, 220 retention of, 219 after delivery, 565 Uterine contractions at commencement of labor, 272 promotion of, after birth of child, 306 fluctuation as a sign of pregnancy, 159 hydatids, 237 mucous membrane, changes in, 562 parietes, changes in, 142 pressure, special value of, in pro- tracted labor, 364 INDEX. 687 Uterine souffle, 163 surface of placenta, 121 vessels, changes in, 502 Utero-gestation, table for calculating the period of, 170 retention in, of a blighted ovum, 200 -sacral ligaments, 72 Uterus, 53 alterations in tissues of, 453 and fu?tus in abdominal pregnancv, 192 and appendages in an infant, 59 anomalies of, 09 arteries of, 07 bifid, 09 blood supply of, 67 changes in, 139 condition of, in extra-uterine preg- nancy, 185 contraction of, after delivery, 560 dimensions of, 60 extreme distention of, 269 fibroid tumors of, 375 gestation in bilobed, 199 gravid, anteversion of, 223 displacements of, 222 pressure by, 212 retroversion of, 223 inversion of, 462 irregular contraction of, 437 ligaments of, 70 lining membrane of, 63 anatomy of, 63 lymphatics of, 6$ mucous membrane of, 64 muscular fibres of, 62 nerves of, 69 prolapse of, 222 rupture of, 452 size of, at various periods of preg- nancy, 141 state of, in protracted labor, 356 structures composing, 61 tetanoid falciform construction of, 374 transverse section of, 59 value of anaesthesia in relaxing, 492 villi of, 60 YAGIXA, 55 bands and cicatrices in, 375 contraction of, 563 lacerations of, 460 orifice of, 52 plugging of, 423 right half of virgin, 55 structure of, 55 Vaginal and uterine douches for inducing labor, 474 dangers of, 475 cvstocele, 379 Vaginal examination, 298 mode of conducting, 299 laceration, treatment of, 462 pulsation, 159 section in extra-uterine pregnancv, 189 signs of pregnancy, 158 Value of anaesthesia in relaxing uterus, 492 Vectis, 509 action of, 509 cases in which it is applicable, 509 Veins, laceration of, 222 Velamentous placenta, 121 Venous transfusion, direct, 554 Ventral stalk, 106 Vernix caseosa, 126 Version, bi-polar, 484 by external manipulation, 4S0 cephalic, 478, 481 method of performing, 482 completion of, 490 rupture of membranes in, 487 spontaneous, 345 statistics of operation, 479 Vesical calculus, 379 Vesico-uterine ligaments, 72 Vesicular mole, 237 Vestibular band, 51 Vestibule, 51 Villi of os uteri stripped of epithelium, 66 of uterus, 66 Viscera, modifications of certain, 143 Vitality of foetus, means of destroying, 190 Vomiting, excessive, in pregnancy, 203 Vulvo, hematoma of, 380 oedema of, 380 vascular supply of, 54 Vulvo-vaginal glands, 53 WEANING, period of, 575 Wet-nurse, selection of, 573 Wharton's jell v, 240 White infarcts, 123 leg, 059 Wilmot's fillet, 510 Wolffian bodies, 09 Wounds of foetus, 251. ELK, SO, 99 ZEIGLER'S forceps, 495 Zona granulosa, 99 radiata, 79, 99 Zymotic disease affecting the foetus, 249 as a cause of septicaemia, 014 ^ ^ \<vv\. 