None
Capsular membrane, 727, 732. Caput succedaneum, 244, 304, 853. Carbamic acid, relation to eclampsia, 615. Carbolic-acid poisoning from intra-uterine douche, 1011. Carbon dioxid, increase of, in blood, cause of labor, 249. Carcinoma of cervix, cesarean section for, 497. 1050 INDEX Carcinoma complicating pregnancy, 638. of rectum, cause of dystocia, 778. Carcinoma syncytiale, 662. Cardiac lesions in pregnancy, 554. Care, prenatal, 227. Carneous moles, 707. Carunculae myrtiformes, 376. Caruncles of amnion, 132, 672. of placenta, 672. Catheterization during puerperium, 383. Caul, 275. Causation of labor, 248. Cell layer of chorion, 132. Cell mass, internal, 106. Cell nodes, 141. Cellulitis in puerperal infection, 989, 1013. Celom, 121. Central placenta previa, 928. tear of perineum, 367. Centrosome, 105. Cephalalgia, during pregnancy, 593. in threatened eclampsia, 593. Cephalic version, 483. indications for, 483. methods of, 484. Cephalometer, 863. Cephalotribe, 531. Cervical endometritis, 638. Cervical ganglion, 52, 249. Cervicovesical fistula, 854, 963. Cervix, 40. acute edema of, 649. anatomy of, 40. annular detachment of, 953. apparent shortening of, in pregnancy, 264. arbor vitae uterina, 41. atresia of, 768. carcinoma of, 638. changes in, during labor, 266. during pregnancy, 266. during puerperium, 375. circular detachment of, 953. condition of, in latter part of pregnancy, 266. dilatation of, during labor, 258, 273, 853. manual, 431. with balloon, 433. with Bossi’s dilator, 433. with forceps, 444. diseases of, during pregnancy, 638. ectropion of, 42. external os, 40. ganglion of, 52. glands of, 41. hypertrophy of supravaginal portion dur¬ ing pregnancy, 648. incision of, 443. infravaginal portion of, 40. in normal labor, 258, 273. internal os, 41. lesions of, during labor, 952. mucosa of, 41. myoma of, 773. rigidity of, 755, 769. stenosis of, 768. stricture of, 768. supravaginal portion, 40. tears of, 952. Cervix, vaginal portion, 40. Cesarean section, 493. cervical, 495. choice of operation, 509. cicatrix following, 515. conservative, 494, 499, 865. contra-indications for, 498. extraperitoneal, 506. following vaginofixation, 772. ventrofixation, 770. for carcinoma of cervix, 497. of rectum, 778. for contracted pelves, 496, 865. for myoma of uterus, 497, 774. for old extra-uterine pregnancy, 743. for ovarian tumor, 497, 776. for placenta previa, 936. history of, 493. hysterectomy after, 504. in brow presentation, 318. indications for, 495. in eclampsia, 497, 627. instead of induction of premature labor, 869. in transverse presentations, 534, 916. Porro’s operation, 494, 504. post-mortem, 516. prognosis of, 511. repeated, 514. rupture of uterus after, 514. sterilizing patients after, 510. suprasymphyseal, 495. technic of, 499. vaginal, 434. Chadwick’s sign of pregnancy, 216. Chamberlen forceps, 441. Champetier de Ribes’ balloon, 430, 433. Child. (See New-born Child.) Chill, during puerperium, 376. following normal labor, 376. Chloroform in labor, 359. Chloroform poisoning, in puerperium, 1031. Cholera complicating pregnancy, 546. Cholesterin, increase in, 193. Chondrodystrophia foetalis, 826, 907. Chondrodystrophic dwarf pelvis, 826. Chorea, 426. during pregnancy, 567. Chorio-angioma of placenta, 681. Chorio-epithelioma, 662. Chorion, 111. abortion, from disease of, 702. angioma of, 681. canalized fibrin of, 143, 679. cell layer of, 132. cystic degeneration of, 656. decidual islands of, 130. diffuse myxoma of, 667. diseases of, 656. epithelioma of, 662. epithelium of, 129, 132. fastening villi of, 130. formation of, in chicken, 111. in man, 114. frondosum, 130, 142. giant cells of, 129, 140. laeve, 130, 142. Langhans’ layer of, 128, 132. INDEX 1051 Chorion, membrane of, 128. myxoma fibrosum of, 667. myxoma of, 656. Plasmodium of, 132. stroma of, 128, 132. structure of, 128. syncytium of, 132. trophoblast of, 114. villi of, 130. Zellschicht of, 132. Chorionic villi. (See Villi, Chorionic.) epithelioma, 662. Chromosomes, number of, 102. reduction of, 100. sex, 177. Chronic infectious diseases in pregnancy, 549. Cilia of ovaries, 69. of tubes, 58. of uterus, 43. Circular sinus of placenta, 147. detachment of cervix, 953. Circulation in foetus, 167. in new-born child, 388. Circumcision, girl, 29. Circumvallate placenta, 677. Cleidotomy, 535, 902. Clitoridectomy, 29. Clitoris, 29. amputation of, 29. anatomy of, 29. Cloasma, 197. Closing plate of decidua, 143. Clothing during pregnancy, 229. Club-foot, effect upon pelvis, 897. Cocain anesthesia in labor, 364. Coccygeus muscle, 278. Coccyx, 2. Coffee ground vomit, 583. Coffin birth, 975. Cohn’s method of inducing labor, 430. Coiling of cord, 149, 357, 684. Coitus during pregnancy, 229. Collapse during labor, 972. Collargol in puerperal infection, 1015. Colles’ law, 551, 686. Collision of twins, 413. Colostrum, 191, 394. Colpaporrhexis, 951. Colpeurynter in induction of premature labor, 430. Colpohyperplasia cystica, 637. Columns of vagina, 36. Coma in puerperium, 630. Combined pregnancy, 742. examination, 245. Compound presentation, 917. Concealed accidental hemorrhage, 922, 940. Concealed hemorrhage, 922. Conception, date of, 96, 222. during amenorrhea, 215, 224. Conduct of normal labor, 341. Conduplicatio corporis, 912. Configuration of head, 855. Confinement, estimation of date of, 223. Congenital cystic kidneys, 907. ectropion, 42. Conglomerate glandular body, 81. Conglutinatio orificii extend, 768. Conjugate. (See Pelvis.) Conservative cesarean section, 499. Constipation during pregnancy, 229, 559. during puerperium, 383. Constrictor vaginae, 280. Contracted pelvis, cesarean section in, 496, 860. cause of difficult labor, 780. classification of, 798. congenital, 803, 826. course of labor in, 847. craniotomy in, 861. diagnosis of, 783. due to abnormal malleability of bones, 801. to bilateral lameness, 893. to diseases of the vertebral column, 874. to generalized and symmetrical anom¬ alies in development, 823. to localized and asymmetrical anoma¬ lies in development, 829. to localized and symmetrical anoma¬ lies in development, 833. to tumors, etc., 898. to unilateral lameness, 892. effect of, upon course of pregnancy, 847. frequency of, 780. history of, 1, 780. in new-born child, 808, 826. induction of abortion in, 421. of premature labor for, 424, 868. mechanism of labor in, 848. pelvimetry in, 784. position of uterus in, 847. prognosis of labor in, 857. size of foetus in, 848. treatment of labor complicated by, 860. X-rays in diagnosis of, 794. Contraction, center for uterine, 252. hour-glass, of uterus, 763. of Bandl’s ring, 762. painless, 254. ring, 243, 269. cause of dystocia, 762. in dystocia, due to contracted pelves, 854. in threatened rupture of uterus, 854, 956. uterine, 250, 254, 271. Conversion in brow presentations, 317. in face presentations, 314. Convulsions. (See Eclampsia.) Cord. (See Umbilical Cord.) Cornu of uterus, 38, 641. Corona radiata, 74. Coronal suture, 164. Corpulence simulating pregnancy, 219. Corpus albicans, 78. fibrosum, 78. luteum, 75. cystic, 80. cysts in chorio-epithelioma, 665. cysts in hydatidiform mole, 659. evidence of pregnancy, 81. false, 80. internal secretion of, 80. of menstruation, 80, 91. of pregnancy, 80. structure of, 75. true, 80. 1052 INDEX Corpus uteri, 42. Corrosive sublimate. (See Bichloride of Mercury.) Cortex of ovary, 63. Cotyledons of placenta, 147. Coxarthrolisthetic pelvis, 896. Coxitis, 892. Cranioclast, 530. Craniopagus, 903. Craniotomy, 527. for old extra-uterine pregnancy, 743. in collision of twins, 413. in contracted pelves, 861, 870. in face presentations, chin posterior, 315. in hydrocephalus, 906. in rupture of uterus, 961. indications for, 527. Cranium. (See Head, Foetal.) Cravings in pregnancy, 217. Credo’s method of expressing placenta, 336. ointment, 1015. Cretin dwarf pelvis, 827. Criminal abortion, 420, 701. Crotchet, 482. Culbute, 238. Culdesac, incision in puerperal infection, 1013. of Douglas, 35. Cumulus oophorus, 71. Curettage, 539. in abortion, 712. indications for, 540. in puerperal infection, 1010. Cycle, menstrual, 87. Cystic degeneration of chorion, 656. Cystitis, during pregnancy, 565. during puerperium, 383, 1024. Cystocele, complicating labor, 777. Cyst, lutein, 659, 665. of umbilical cord, 686. of vaginal walls obstructing labor, 767. ovarian, 775. Cytolysis, 612. Dammerschlaf, 362. Date of confinement, estimation of, 223. Death of foetus during pregnancy, 221. of mother during labor, 972. during pregnancy, 687. Decapitation, 533. in locked twins, 414. in transverse presentations, 533, 916. Decapsulation of kidneys, 628. Decidua, 132. bacteria in, 653. basal plate of, 143. basalis, 132, 138. capsularis, 132, 138. cells of, 134. cervical, 132. changes in, cause of labor, 249. in abortion, 704. closing plate of, 143. compact layer of, 134. development of, outside of uterus, 138 diffuse formation of, 138. thickening of, 651. diseases of, 650. ectopic, 138. Decidua, fatty degeneration of, 249. giant cells of, 139. glandular hyperplasia of, 65 1^ layer of, 134. gonococci in, 653. hematoma mole of, 707. hyperplasia of, 651. in bicornuate uterus, 641. in extra-uterine pregnancy, 728, 732. in non-pregnant tube in intra-uterine pregnancy, 189. in ovaries, 138. in peritoneum, 138. inflammation of, 653. islands of, 130, 143. menstrual, 88. origin of, 136. polyposa, 651. pseudo-capsularis, 727, 730. reflexa, 132. reparation of, in puerperium, 374. serotina, 132. spongy layer of, 134. syphilis of, 693. tuberous subchorial hematoma of, 707. vera, 132, 134. Decidual cast in extra-uterine pregnancy, 732. cells, 134. endometritis. (See Endometritis.) islands, 130, 143. reaction in tubes, 189, 729. sarcoma, 662. septa, 143, 145. Deciduoma malignum, 663. in extra-uterine pregnancy, 740. Deformed pelves. (See Contracted Pelves.) Delivery, normal, 341. post-mortem, 975. Dental caries during pregnancy, 560. Deportation of chorionic villi, 143. in eclampsia, 608. Dermatitis herpetiformis, 569. Dermoid cysts of ovary, 775. Descent of foetus, causes of, 277. (See Me¬ chanism of Labor.) Deutoplasm, 75. Development of allantois, 125. of amnion, 110, 114. of chorion, 110, 114. of clitoris, 29. of cord, 151, 684. of foetus, 157. of hymen, 31. of ovaries, 66. of ovum, 105. of pelvis, 17. of placenta, 127. of tubes, 54. of uterus, 53. of vagina, 37. of vulva, 31. Diabetes during pregnancy, 561. during puerperium, 380. phloridzin, 174. Diagnosis, differential, of pregnancy. (See Pregnancy.) of life or death of foetus, 221. INDEX 1053 Diagnosis of presentation of foetus, 241. of sex during pregnancy, 207. Diameters of head, 165. of pelvis, 4. Diastasis of recti muscles in pregnancy, 650. in puerperium, 376. Dicephalus, 903. Dickinson’s sign of pregnancy, 211. Dietary alterations in eclampsia, 619. Diet during pregnancy, 228. during puerperium, 382. Differential diagnosis of pregnancy, 218. Dilatation of cervix, artificial, 422, 431. in normal labor, 273. Dilatation, acute, of stomach, 974. Dipagus, 903. Diphtheria, during puerperium, 1043. puerperal, 980, 984. Diprosopus, 903. Directions for obstetrical nurse, 342. for patients during pregnancy, 231. Disappearance of pregnancy, 714. Discus proligerus, 71. Diseases complicating pregnancy, 545. complicating puerperium, 1022. Disinfection of hands, 346. of vulva, 349. Displacements. (See Uterus.) Distinction between first and subsequent pregnancies, 220. Diverticula from tubes, 60, 721. from uterine cavity, 642. Dolichocephalic head, cause of face presen¬ tation, 309. Dolichokyrtoplatyspondylus, 887. Dolores praesagientes, 256. Double Naegele pelvis, 833. uterus, 639. Douche, intra-uterine, 538. prophylactic, 536. vaginal, 536. Douglas’ culdesac, 35. perforation of, 962. Douglas’ mechanism, 913. Dropsy of amnion. (See Hydramnios.) of foetus, 694, 906. of ovum, 706. Dry labor, 258, 756. Drying up breasts, 399, 1037. Duchenne’s paralysis, 1033. Duct3, Gartner’s, 48. lactiferous, 393. Mullerian, 54. para-urethral, 30. Skene’s, 30. Wolffian, 30, 48, 63, 66, 69. Ductus arteriosus, 168. venosus, 168. Diihrssen’s cervical incisions, 443. Duncan’s mechanism in extrusion of pla¬ centa, 331. Duration of labor, 262. pregnancy, 221. Duverney’s glands, 30. Dwarf, 826. pelvis, 826. Dyspnea during pregnancy, 557. Dystocia due to abnormalities of cervix, 768. to abnormalities of the expulsive forces, 754. to abnormalities of foetus, 900. to abnormalities of vagina, 766. to abnormalities of vulva, 766. to contracted pelves, 847. to contraction of Bandl’s ring, 762. to levator ani muscle, 762, 768. to old extra-uterine pregnancy, 743. to size of child, 900. to tumors of birth canal, 772, 774. to uterine displacements, 769. following vaginofixation, 770. following ventrofixation, 770. Dysuria from incarcerated pregnant uterus, 645. Ear presentation, 851. Echinococcus cysts complicating labor, 777. Eclampsia, 597. albuminuria in, 602. bacterial origin of, 610. bleeding in, 623. blindness accompanying, 602. cesarean section in, 497. clinical history of, 598. diagnosis of, 620. etiology of, 609. frequency of, 597. hemoglobinuria in, 602. hydatidiform mole in, 598. immunity to, 622. in extra-uterine pregnancy, 598. in new-born child, 581. mania following, 602, 1040. metabolism in, 615. pathology of, 605. prognosis of, 620. recurrence of, 622. treatment of, 622. urine in, 602. without convulsions, 600. Ectoderm, 111. Ectopic pregnancy. (See Extra-uterine Pregnancy.) Ectropion, congenital, 42. Edema of cervix, acute, 649. of foetus, 694. in pregnancy, 557. Egg nests, 66. Elastic ligatures in cesarean section, 501. Elderly primiparae, 262. Electricity in extra-uterine pregnancy, 742. Elephantiasis congenita cystica, 907. Embolism, air, 974. during pregnancy, 557. pulmonary, during labor, 973. . Embryo, 157. anatomy of, 157. development of, 108. nourishment of, 169. Embryonic area, 107. shield, 108. Embryotomy, 533. Emesis in pregnancy, 216, 578. Emphysema complicating pregnancy, 557. foetal, causing dystocia, 908. 1054 INDEX Emphysema of abdominal walls following rupture of uterus, 960. Encephalocele, 672. Enchondroma of pelvis, 898. Endarteritis, compensatory, during puer- perium, 375. Endocarditis during pregnancy, 556. gonorrheal, 548. Endocervicitis, 638. Endocrine disturbances in eclampsia, 617. Endometritis, acute decidual, 653. atrophic decidual, 652. cause of abortion, 704. cause of placenta previa, 929. cause of premature separation of pla¬ centa, 921. cervical, 638. decidua cystica, 652. glandularis, 651. diphtheritic, 986. in pregnancy, 650. post-abortum, 1026. postpartum, 1026. puerperal, 984. putrid, 987. septic, 988. Endometrium, 43. in old age, 45. in young child, 45. lymphoid nodules of, 45. menstrual cycle, 44, 87. regeneration of, after curettage, 43. during puerperium, 374. reticulum of, 46. structure of, 43. Engagement. (See Mechanism of Labor.) extra-median, 852. Enterocele, complicating labor, 777. complicating pregnancy, 648. Enteroptosis during pregnancy, 560. Entoderm, 111. Entrance of air into uterine sinuses, 974. Entypie, 115. Epilepsy during pregnancy, 567. during puerperium, 567. Epiphyses in syphilis, 689. separation of, during extraction, 483. Episiotomy, 357. Epoophoron, 48. Erb’s paralysis, 1033. Ergot in postpartum hemorrhage, 942. use of, in labor, 365, 759. Erysipelas in pregnancy, 548. relation of, to puerperal infection, 993. transmission to foetus, 548. Esbach’s albuminometer, 595. Escutcheon, 26. Estimation of date of confinement, 223. Ether, 359. Eustachian valve, 168. Evisceration, 533. Evolution, spontaneous, 912. Examination, combined, 245. final, 384. preliminary, during pregnancy, 232, 326. rectal, 344. vaginal, during labor, 348. pregnancy, 243. Exanthemata in pregnancy, 545. Exercise during pregnancy, 229. Exostosis, producing pelvic deformities, 898. Expression of placenta, 336. Expression, Ritgen’s method of, 356. Expulsion. (See Mechanism of Labor.) Extension. (See Mechanism of Labor.) External generative organs, 26. External os, 39, 40. External rotation. (See Mechanism of Labor.) External version, 323, 484. Extraction, 471. in breech presentations, 471. indications for, 471. in frank breech presentations, 477. Mauriceau’s maneuver for, 475. Prag maneuver for, 477. Extra-uterine pregnancy, 719. abdominal, 738. abortion of, 732. anatomy of, 727. associated with intra-uterine, 742. attachment of ovum in, 727. broad ligament, 737. cause of dystocia, 741. chorio-epithelioma in, 740. decidual reaction in, 723, 732. diagnosis of, 741. eclampsia in, 740. effects upon subsequent childbearing, 743. etiology of, 719. fate of foetus in, 736, 739. frequency of, 719. hematoma mole in, 734, 740. hematocele in, 734, 741. hydatidiform mole in, 740. hydramnios in, 740. interstitial, 726. lithopedion formation in, 739. migration of ovum in, 722. multiple, 742. mummification in, 739. ovarian, 724. placenta in, 731. repeated, 742. • rupture of, 735, 741. symptoms of, 740. terminations of, 732, 738. treatment of, 745. tubal, 726. Eyes of child, 391. Face presentations, 236, 307. abnormal mechanism in, 310. causation of, 308. complicated by contracted pelves, 867. craniotomy in, 315. diagnosis of, 307. frequency of, 307. mechanism of, 309. prognosis of, 312. prolapse of cord in, 965. treatment of, 313. Facial paralysis following forceps, 469. Fallopian tubes, 56. accessory, 59. lumina of, 59. INDEX 1055 Fallopian tubes, accessory, ostium of, 59 anatomy of, 56. changes in, during pregnancy, 189. ciliary current in, 59. decidua in, 189, 729. diverticula of, 60, 721. glands of, 59. False labor, 742. False promontory, 808. Fascia, pelvic, 280. perineal, 280. Fastening villi, 141. Fat in abdominal walls simulating preg¬ nancy, 220. Fatty degeneration of placenta, 677. Feces of infant, 392. Fecundation, 96. Feeding, artificial, 400. Female pronucleus, 101. Ferments in eclampsia, 617. Fertilization of ovum, 96, 103. Fever in eclampsia, 600. in labor, 756, 854, 1004. in puerperium, 376. Fibrin, canalized, 143. Fibromyomata of uterus, complicating labor, 772. Fiddle bag, Barnes’, 430. Fillet, 482. Fimbria ovarica, 57. Fimbriated extremity of tube, 56. Fissure of nipple, 398. Fistulae, production of, 854, 963. Flat, non-rhachitic pelvis, 801. rhachitic pelvis, 808. Fleshy mole, 706. Flexion. (See Mechanism of Labor.) Floating kidney during pregnancy, 564. spleen, 565. Foetal circulation, 167. diseases, 686. dropsy, 694. dystocia, 900. heart-beat, 207. leukemia, 568. membranes, 147. monstrosities, 902. peritonitis, 907. syphilis, 686. Foetus, abnormalities of, obstructing labor, 900. active movements of, 208. aneurysm of, 907. ascites of, 906. at full term, 161. attitude of, 234. bladder, distention of, 908. calcification of, 708, 739. centers of ossification, 161. circulation of, 167. compressus, 409. cranium of, 164. cystic kidneys of, 907. death of, 221. deformities of, 903. due to amniotic adhesions, 672. due to oligo-hydramnios, 672. development of, 157. Foetus, diameters of head of, 164. diet, effect upon size of, 228. digestive functions of, 176. diseases of, 686. dissolution of, 707. distention of bladder of, 907. dropsy of, 694, 906. edema of, 694. emphysema of, 908. enlargement of abdomen of, 907. estimation of age of, 160. excessively large, 162, 900. extraction of, 740. general dropsy of, 694, 906. habitual death of, 427. habitus of, 234. head of, 164, 304. headless, 903. heart-beat of, 207. heart sounds of, in asphyxia, 968. in pregnancy, 207. hydrocephalus of, 904. infection of, with Bacillus ^aerogenea capsulatus, 908. in foelu, 908. lanugo of, 161. length of, 160. lesions of, in eclampsia, 581. maceration of, 707. malformations of, 902. meconium of, 392. metabolism of, 169. monstrosities, 903. movements of, in pregnancy, 208. mummification of, 707, 739. negro, 161. nutrition of, 167. over-development of, 162, 900. papyraceus, 409. passive movements of, 208. peritonitis of, 907. physiology of, 166. position of, 236. inesentation of, 234, 847. pressure marks on head of, 856. respiration of, 176. sanguinolentus, 687. sex of, 176. signs of maturity of, 161. size of, in contracted pelves, 848. size of, in various months, 157, 160. syphilis of, 686. tuberculosis of, 549. tumor of testicle of, 907. of liver of, 907. of body of, 907. urine of, 174, 389. vernix caseosa of, 161 warmth of, 176. weight of, 160. Follicle, Graafian. (See Graafian Follicle.) Follicular atresia, 79, 188. epithelium, 69. Fontanels, 164. Footling presentation, 236. Foramen ovale, 168. Forceps, 439. application of, 448. 1056 INDEX Forceps axis traction, 463. cephalic application of, 450. Chamberlen’s, 441. choice of, 444. conditions necessary for application of, 446. contrasted with version, 868. delivery in oblique occipitoposterior posi¬ tion, 459. with head at vulva, 452. with high, 463. with mid, 455. with occiput in hollow of sacrum, 455. description of, 439. facial paralysis following, 469. functions of, 444. high, 448, 463. history of, 440. in breech presentations, 467. in brow presentations, 318. in collision of twins, 414. in contracted pelves, 867. in eclampsia, 624. in face presentations, 315, 466. in frank breech presentations, 467, 481. in heart disease, 445, 556. in occipitoposterior presentations, 459. in prolapse of cord, 966. in protracted second stage of labor, 759. in rupture of uterus, 961. in vertex presentations, 452. indications for, 441. Kielland’s, 462. Levret’s, 443. long, 443. low, 448, 452. mid, 448, 455. Osiander’s maneuver, 464. ovum, 422. Pajot’s maneuver, 464. Palfyn’s, 442. paralysis after, 469. perineal tears due to, 468. preparations for operation, 447. prognosis of, 467. prophylactic, 445. Saxtorph’s maneuver, 464. Scanzoni’s maneuver, 461. short, 443. Simpson’s, 439. Smellie’s, 439. Tarnier’s, 464. to aftercoming head, 467, 481. upon floating head, 463. Forces concerned in labor, 276. Formalin injections in puerperal infection, 1015. Fornix, vaginal, 35. rupture of, during labor, 951, 962. Fossa navicularis, 30. ovarica, 61. Fourchette, 28. Fractures of pelvis, 898. of skull. (See Skull.) Freezing point of blood, 170. Frenulum clitoridis, 28. Frontal suture, 164. Fundal incision in cesarean section, 502. Fundus uteri, 38. Funic souffle, 208. Funis. (See Umbilical Cord.) Funnel-shaped pelvis, 838. Galactocele, 1040. Galactogogues, 396. Galactorrhea, 1035. Gall stones in pregnancy, 559. Ganglion, cervical, 52. Gangrene of lower extremities during puer- perium, 1024. of puerperal uterus, 988. Gartner, ducts of, 48. Gas anaesthesia, 361. Gas bacillus. (See Bacillus Aerogenes Capsulatus.) Gasserian fontanel, 165. General metabolism in pregnancy, 198. Generally contracted, flat, rhachitic pelvis, 810. contracted pelvis, 823, 852. enlarged pelvis, 823. equally contracted rhachitic pelvis, 811. Germ layers, 106. inversion of, 115. Germinal epithelium, 66. spot, 70. vesicle, 70. Giant cells of decidua, 139. of placenta in lungs, 608. placental, 143. Gingivitis in pregnancy, 560. Giraldes, organ of, 48. Glands, Bartholin’s, 30. cervical, 41. decidual, 135. Duverney’s, 30. interstitial, of ovary, 64. mammary, 191. Montgomery’s, 191. pituitary, 196. puberty, 64. salivary, changes of, in pregnancy, 560. thyroid, cause of face presentation, 308. changes of, in eclampsia, 618. in pregnancy, 195. foetal, cause of dystocia, 909. tubal, 58. uterine, 44. vaginal, 36. vestibular, 30. vulval, 30. Globulin, increase of, in eclampsia, 603, 617. Gloves, rubber, use of, 347. Glycerin, use of, in inducing labor, 430. Glycogen in decidua, 167. Glycosuria during pregnancy, 561. during puerperium, 380. Goiter in pregnancy, 567. Gonococcus in Bartholin’s glands, 637. in endometritis decidua, 653. in mammary abscess, 1038. in ophthalmia neonatorum, 391. in puerperal infection, 979, 998. Gonorrhea in pregnancy, 548. in puerperium, 979. INDEX 1057 Gonorrheal endometritis, 998. ophthalmia, 391. Goodell’s cervical dilator, 422. Graafian follicle. (See Ovary.) atresia of, 79, 188. degeneration of, 79. rupture of, 75. Gravitation theory as to production of presentation, 238. Greater fontanel, 165. Guerin’s line, 688. Gumma of placenta, 692. Gut, primitive, 111. Gynecomastia, 1034. Habitual death of foetus, 427. Habitus of foetus, 234. Hair of pubis, 26. Halisteresis, 816. Hand disinfection, 346. Harris’ method for the dilatation of the cervix, 431. Head, foetal, changes in shape of, in brow presentations, 317. in face presentations, 312. in vertex presentations, 304. circumferences of, 166. diameters of, 165. estimation of size of, 861. fontanels of, 165. of new-born child, 164. scalp tumor on. (See Caput Succeda- neum.) sutures of, 164. Headache in pregnancy, 593. Head folds, 109. lever in face presentations, 309. in vertex presentations, 292. Heart, diseases of, in pregnancy, 426, 554. in pregnancy, 192. foetal, 207. means of diagnosing sex, 207. palpation of, 208. hypertrophy of, in pregnancy, 192. Hebostotomy, 518. Hebotomy, 518. Hegar’s sign of pregnancy, 211. Heine and Hofbauer’s ovum, 113. Hematokolpos, 42. Hematocele, diffuse, 741. pelvic, 734, 741. solitary, 741. Hematoma, of abdominal walls, 570. of broad ligament, 737. of decidua, 707. of liver, in eclampsia, 607. of placenta, 678. of sternocleidomastoid muscles, 483. of umbilical cord, 686. of vagina, 1026. of vulva, 1026. mole, 740. puerperal, 1026. subperitoneal, 958. Hematosalpinx, 734. Hematuria during pregnancy, 563. Hemianopsia following eclampsia, 602. Hemicephalus, 904. Hemoglobinuria in eclampsia, 602. Hemolysis in eclampsia, 611. Hemorrhage, accidental, 920. antepartum, 920. concealed, 922, 940. curettage in, 711, 1026, 1029. due to atony of uterus, 939. to inversion of uterus, 944. to paralysis of the placental site, 939. to placenta previa, 927. to premature separation of normally implanted placenta, 920. to retention of placenta, 939. to rupture of umbilical cord, 939. during normal labor, 335. puerperium, 1025. ergot in, 942. from velamentous insertion of cord, 684. in abortion, 709. in cholera, 547. in multiple pregnancy, 413. intraperitoneal, 736, 741, 959. intra-uterine douche in, 538, 943. pack in, 943. manual removal of placenta for, 942. pituitrin in, 942. postpartum, 938. puerperal, 1025. transfusion in, 944. unavoidable, 932. use of salt solution in, 944. Hemorrhagic hepatitis, 606. Hepatization of placenta, 677. Hepatotoxemia, 610. Heredity, explanation of, 104. Hermann’s forceps, 464. Hermaphroditism, 30. Hernia, abdominal, 650. congenital, of foetus, 672. inguinal, 649. of pregnant uterus, 649. umbilical, 649. vaginal, 777. Herpes gestationis, 569. Hicks’s sign of pregnancy, 212. High forceps, dangers of, 463, 866. Hilum of ovary, 61. Hirst’s pelvimeter, 792. Hodge’s inclined plane of pelvis, 3. parallel planes, 8. Holme’s packer, 542. Hook, blunt, 534. Hour-glass' contraction of uterus, 763. Hubert’s forceps, 464. Hunger blockage, 229. Hyalin in ovary, 75. Hydatidiform mole, 656. destructive, 661. in eclampsia, 598. in extra-uterine pregnancy, 740. malignant, 661. ovaries in, 659. pathology of, 657. relation of, to deciduoma malignum, 658. treatment of, 662. Hydramnios, 667. eclampsia in, 598. in single-ovum twins, 407, 669. 1058 INDEX Hydramnios, in extra-uterine pregnancy, 740. treatment of, 671. Hydremia of pregnancy, 192. Hydrocephalus, 904. Hydrorrhea gravidarum, 651. Hydrosalpinx, 58. Hygiene of pregnancy. (See Pregnancy, Management of.) Hymen, 31. absence of injury at childbearing, 33 atresia of, 42, 767. carunculae myrtiformes, 33. development of, 31. imperforate, 31, 42. cause of difficult labor, 767. injuries at coitus, 32. injuries following childbearing, 33. operations upon, 32. structure of, 31. Hyperemesis gravidarum, 420, 578. Hyperplasia of chorionic villi, 667, 681. Hypertrophic elongation of cervix during pregnancy, 648. Hypertrophy of uterus during pregnancy, 183. Hypnotism in labor, 365. Hypophysis cerebri, 196, 618. Hypoplastic dwarf pelvis, 828. Hysterectomy during pregnancy, 773. for chorio-epithelioma, 667. for myomata, 773. for puerperal infection, 1023. supravaginal, after cesarean section, 504. total, after cesarean section, 504. Hysteria, cause of nausea of pregnancy, 582. in pregnancy, 566. Hysterotomy, abdominal, 423, 504. vaginal, 423, 434. Ice, use of, in hemorrhage, 943. Icterus of child, 393. during pregnancy, 559. gravis, 587. Identical twins, 404. Ileus due to retroflexed pregnant uterus, 645. Iliopectineal line. (See Linea terminalis.) Ilium, 3. Imaginary pregnancy, 219. Impetigo herpetiformis, 569. Implantation of ovum, 111. Impregnation, 95, 103. Incarceration of prolapsed pregnant uterus, 647. of retroflexed pregnant uterus, 645. Incisions of cervix, deep, 443. Inclination of pelvis, 8. Indigestion during pregnancy, 559. Induction of abortion. (See Abortion, In¬ duction of.) of premature labor. (See Premature Labor, Induction of.) Inertia uteri, 755. Infant. (See New-born Child.) Infantile paralysis, effect upon pelvis, 895. pelvis, 17, 826. Infarcts of placenta, 677. Infectious diseases complicating pregnancy, 545. Inferior strait, 5. contractions of, 793. Infibulation, 28. Influenza during pregnancy, 547. Infundibulopelvic ligament, 47, 61. Infundibulum, 56. Injuries to birth canal, 950. Inlet, pelvic, 5. Innervation of uterus, 52. Innominate bone, 21. Insanity, 1040. Insertio velamentosa, 683. Insufflation of lungs in asphyxia neonato¬ rum, 971. Interglandular tissue of uterus, 45. Intermittent contraction of uterus, 212. Internal cell mass, 107. Internal os, 39. Internal rotation. (See Mechanism of Labor.) Internal secretion of ovaries, 65, 80. Internal version, 485. Interstitial gland of ovary, 63. Interstitial pregnancy, 726. Intervillous blood spaces, 141. Intestinal obstruction, 572. Intrapartum eclampsia, 600. infection, 854, 1004. Intratubal rupture, 732. Intra-uterine douche, 538. indications for, 538. in postpartum hemorrhage, 943. in puerperal infection, 1010. pack, 542. pressure, 276. Inversion of germ layers, 107. of uterus, 944. Inverted yolk sac, 115. Involution of uterus, 373. Ischiocavernosus, 280. Ischiopagus, 903. Ischiorectal fossa, 280. Ischium, 3. spines of, 3. Isoagglutination, 611. Isthmic pregnancy, 726. Isthmus of tube, 56. Isthmus uteri, 39. Jaundice of child, 393. of mother, 559, 589, 602. Joints, motility of, during pregnancy, 11. pelvic, 11. pubic, 11. relaxation of, during pregnancy, 570. rupture of, during labor, 854. sacro-iliac, 11. Justo-major pelvis, 823. Justo-minor pelvis, 823. Kerr, impression of head, 862. Kidney, changes in, during pregnancy, 194. in eclampsia, 605. cystic, of foetus, 907. dislocation of, during pregnancy, 564. dislocated, complicating labor, 777. INDEX 1059 Kidney, floating, during pregnancy, 564. of pregnancy, 194, 605. removal of, 564. tumor of, complicating labor, 564. Klien’s pelvimeter, 797. Knee presentation, 236. Knots of umbilical cord, 149, 685. Krause’s method of inducing labor, 429. Kyphorhachitic pelvis, 881. Kyphoscoliorhachitic pelvis, 884. Kyphoscoliotic pelvis, 883. Kyphosis, 874. Kyphotic pelvis, 874. Labium majus, 27. commissures of, 27. development of, 28. edema of, 557. hernia into, 28. Labium minus, 28. fossa navicularis, 30. fourchette, 28. frenulum clitoridis, 28. laborium, 28. infibulation, 28. nymphae, 28. preputium clitoris, 28. Labor, abdominal contractions during, 277. action of expellent forces in, 272, 276. acute dilatation of stomach in, 974. albuminuria in, 379. anesthesia during, 359. arterial pressure in, 192, 256. asepsis in, 346. bed, preparation of, for, 351. caput succedaneum, 304. cause of onset of, 248. changes in arterial tension during, 256. in perineum during, 280. in pulse during, 256. in rectum during, 282. in respiration during, 201, 256, 259. in shape of head in, 304. in temperature during, 256, 376, 756, 854. in uterus during first stage of, 271. in uterus during second stage of, 274. in vagina and pelvic floor during, 278. chill after, 376. clinical course of, 248, 256. collapse after, 972. complicated by bony tumors of pelvis, 898. by compound presentation of foetus, 917. by concealed hemorrhage, 922, 940. by coxalgic pelvis, 892. by deformities of foetus, 903. by eclampsia, 597. by enlargement of abdomen of foetus, 906. by excessive size of child, 900. by foetal monstrosities, 902. by flat pelvis, 801. by flat rhachitic pelvis, 807. by funnel pelvis, 838. by generally contracted pelvis, 823. by generally contracted, flat rhachitic pelvis, 810. by generally enlarged pelvis, 823. Labor, complicated by heart lesions, 554. by hydrocephalus, 904. by injuries to cervix, 952. by injuries to vagina, 950. by intra-uterine asphyxia, 967. by inversion of uterus, 944. by kyphotic pelvis, 879. by myoma of uterus, 772. by Naegele pelvis, 830. by osteomalacic pelves, 816. by ovarian tumor, 776. by paraplegia, 253, 565. by pelvis spinosa, 810. by placenta previa, 927. by postpartum hemorrhage, 938. by premature separation of placenta, 920. by prolapse of placenta, 925. by prolapse of umbilical cord, 855, 965. by rhachitic pelvis, 848. by Robert pelvis, 833. by rupture of the uterus, 515, 761, 854, 955. by split pelvis, 818. by spondylolisthetic pelvi3, 884. by transverse presentation of foetus, 909. by tumors of foetus, 907. by tumors of pelvis, 898. conduct of, 341. first stage of, 345. second stage of, 351, 353. third stage of, 336. contraction of uterine ligaments during, 48, 255. course of, in contracted pelves, 853. death during, 972. delivery of shoulders, 357. dilatation of cervix, 273. dry, 258, 756. duration of, 262. entrance of air into uterine sinuses during, 974. episiotomy in, 357. ergot during, 365, 759. examination in, 348. false, 742. first stage of, 257, 345. force exerted during, 253. forces concerned in, 266, 276. formation of contraction ring during, 267, 956. of lower uterine segment, 267. hand disinfection in, 446. hemorrhage during, 335. hypnotism in, 365. in elderly primiparae, 262. in young primiparae, 262. intra-uterine pressure during, 276. laceration of perineum during, 354, 369. mechanism of, in breech presentations, 321. in brow presentations, 316. in face presentations, 309. in vertex presentations, 285, 287, 300. mental depression, during, 973. missed, 764. molding of head in, 304, 312, 317. metabolism in, 252. nervous influences during, 252. 1060 INDEX Labor, normal, 256, 341. obstructed. (See Dystocia.) painful, 755. painless, 254. pains of, 253. palpation in, 287, 299. perineal tears in, 365. phenomena, clinical, of, 256. physical changes during uterine contrac¬ tions, 253. physiology of, 248. pituitrin in, 760. placental period, 326. precipitate, 761. prediction of date of, 223. premature, 714. preparations for, on part of patient and nurse, 341. on part of physician, 344. prolonged, 754. protection of the perineum in, 354. pulmonary embolism during, 973. repair of perineal tears, 365. respiratory exchange, 252. rubber gloves, use of, during, 347. rupture of membranes in, 258, 352, 758, 853. second stage of, 259. shock during, 972. stages of, 256. syncope during, 972. tardy, 754. temperature in, 756, 854, 1004. third stage of, 262, 327. time of, 263. tying of cord in, 358. vaginal examination during, 350. Laborde’s method of resuscitation, 969. Lactation, 393. atrophy of uterus, 1029. Lactational insanity, 1040. Lactiferous ducts, 393. Lactosuria during pregnancy, 562. during puerperium, 380. Lambdoid suture, 164. Langhans’ layer of chorion, 132. Lanugo, 161. Laparo-elytrotomy, 495. Laparotomy, for colpaporrhexis, 951. for deep cervical tears, 955. for puerperal infection, 1013. for rupture of uterus, 962. in extra-uterine pregnancy, 745. in treatment of retroflexed pregnant uterus, 646. Lateral curvature of spine, 881. displacement of pregnant uterus, 647. placenta previa, 928. plane presentations. (See Transverse Presentations.) Laxatives in puerperium, 383. Lead poisoning during pregnancy, 568. Leg-holder, 419. Leopold’s ovum, 122. Leukocytosis in puerperium, 193, 378. Leukemia during pregnancy, 568. Levator ani muscle, 278. dystocia due to, 768. Levator injuries to, during labor, 950. Levret’s forceps, 443. Lex regia, 493. Life, 216. perception of, 216. Ligaments, broad, 47. cardinal, of Kocks, 48. iliosacral, 21. infundibulopelvic, 47, 61. of uterus, 47. ovarian, 61. pubic, 10. recto-uterine, 48. round, 49. sacrosciatic, 8. suspensory, of ovary, 47, 61. uterosacral, 49. Ligamentum arcuatum pubis, 11. latum, 47. ovarii, 61. teres, 49. transversale colli, 48. Linea terminalis, 3. Linzenmeier’s ovum, 114, 117. Lipoids in eclampsia, 614. Liquor amnii, 133, 667. folliculi, 71, 74. Lvthopedion, 708, 739. Little’s lochial tube, 1007. Liver, acute yellow atrophy of, 587. changes in, in eclampsia, 606. in pernicious vomiting, 580. cystic, in foetus, 907. in pregnancy, 194. syphilitic, 687. Lochia, 378. bacteria in, 379. bacteriological examination of, 1006. in puerperal infection, 1006. retention of, 1001. Lochia-metra, 1029. Locked twins, 414. Longings in pregnancy, 217. Loops in umbilical cord, 685. Lott’s dilator, 434. Lower uterine segment, 267. during puerperium, 375. history of, 268. palpation of, 243. Lumbar anesthesia, 364. puncture in eclampsia, 628. Lungs, changes in, during pregnancy, 194. lesions of, in eclampsia, 608. Lutein cells, 73, 76, 79. Lutein cystoma, 659, 665. Luxation of femur, effect upon pelvis, 894, 896. Lymphatics of ovaries, 62. of tube, 58. of uterus, 45, 52. of vagina, 36. Lymphoid nodules in endometrium, 45. Macdonald’s sign of pregnancy, 212. Maceration of foetus, 687, 707. Macula embryonalis, 107. Malacosteon disease, 816. INDEX 1061 Malaria during pregnancy, 551. in puerperium, 1041. Male pronucleus, 103. Mammae. (See Breasts.) Mammary toxemia, 618. Management of pregnancy, 227. Mania. (See Insanity.) Manual dilatation of cervix, 431. Manual removal of placenta, 339, 543, 937. Marginal insertion of cord, 683. placenta previa, 928. Margo placentae, 678. Markstrange, 62. Martin’s pelvimeter, 784. Masculine pelvis, 825. Mastitis, 1037. Maturation of ovum, 100. Maturity of foetus, signs of, 161. Mauriceau’s maneuver, 475. Measles during pregnancy, 546. during puerperium, 1043. Meatus, urinary, 30. Mechanism of labor, complicated by foetal monstrosities, 903. in breech presentations, 321. in brow presentations, 316. in contracted pelves, 848. in face presentations, 309. in occipitoposterior presentations, 300. in transverse presentations, 910. in vertex presentations, 287. Meckel’s diverticulum, 152. Meconium, 392. Medulla of ovary, 63. Medullary cords, 63, 67. groove, 108. ridges, 109. Membrana granulosa, 71, 73. Membranes, foetal, 111, 114, 147. method of rupturing, 352. rupture of, 258. premature, 258, 758, 853. in contracted pelves, 853. Membranous placenta, 676. Memory, loss of, in eclampsia, 602. Menopause, 85. Menses, cessation of, in pregnancy, 215. persistence of, in pregnancy, 215. Menstrual cycle, 87. decidua, 90. wave, 92. Menstruation, 85. after ovariotomy, 92. after puerperium, 374. amount of blood lost in, 86. anatomical changes in, 86. causation of, 89. cessation of, in pregnancy, 215. in extra-uterine pregnancy, 740. in infants, 85. participation in, by tube, 90. persistent, 85. precocious, 85. relation of, to ovulation, 89. Mental and emotional changes during pregnancy, 217. depression during labor, 9/3. derangement following eclampsia, 602. Mental derangement'in pregnancy, 197, 217. Mento-iliac presentation. (See Face Pres¬ entations.) Mercurial poisoning from intra-uterine douche, 1011. Mesoblastic somites, 110. Mesoderm, 108. Mesodermic area, 108. Mesosalpinx, 48, 60. Mesovarium, 62. Metabolism at time of labor, 252. general, in pregnancy, 198. in eclampsia, 615. in puerperium, 380. of foetus, 169. Metritis dessicans, 988. in pregnancy, 653. Metritis, puerperal, 988. Meyer’s conjugate, 9. Michaelis’s rhomboid, 787. Migration of ovum, 93, 722. Milk, anatomy of, 394. corpuscles of, 394. cow’s, 400. drying up, 399, 1039. fever 376 1005. human 394. leg. (See Phlegmasia Alba Dolens.) modified 400. Miller’s ovum, 114 117. Miscarriage, 701. Missed abortion, 713. labor, 764. Modified milk, 400. Moellendorf’s ovum, 124. Mole, 707. blood, 707. carneous, 707. destructive, 661. fleshy, 707. hematoma, 707. hydatidiform, 656. tubal, 735. uterine, 707. Molecular concentration of blood, 170. Mollities ossium, 816. Monsters, 903. Mons veneris, 26. Montgomery’s glands, 191. Morales’s forceps, 464. Morning sickness, 216, 420, 578. Morula, 105. Movements of foetus during pregnancy, 209. Mulberry mass, 105. Mullerian ducts, 54. Muller’s method of impression of head, 861. Muller’s ring, 266. Multiple placenta in single pregnancy, 674. Multiple pregnancy, 402. acardia in, 407. course of labor in, 412. diagnosis of, 411. eclampsia in, 412. etiology of, 402. experimental production of, 405. foetus papyraceus in, 409. frequency of, 402. hemorrhage in, 413. 10G2 INDEX Multiple hydramniog in, 407. in tubes, 742. mummification of foetus in, 409. relation of placenta and membranes in, 406. treatment of, 413. Murray’s forceps, 465. Muscle fibers of pregnant uterus, 184. rhomboids of uterus, 186. Muscular contractures in osteomalacia, 818. palsies in osteomalacia, 818. Musculature of non-pregnant uterus, 46. of pregnant uterus, 184. of tube, 56. Myocarditis during pregnancy, 556. Myoma of uterus, cesarean section in, 497, 774. complicating labor, 772. in pregnancy, 219, 421. Myomectomy during pregnancy, 774. Myxoma chorii, 656. fibrosum of placenta, 681. Nabothian follicles, 42. Naegele pelvis, 829. Naegele’s obliquity, 290. Nausea and vomiting in pregnancy, 216. Negro foetus, characteristics of, 161. Nephrectomy and pregnancy, 564. Nephritis, chronic, during pregnancy, 590. in acute yellow atrophy, 588. in eclampsia, 605. in toxemic vomiting, 583 Nerves of clitoris, 29. of ovaries, 63. of uterus, 53. Nervous system in pregnancy, 197, 565. Neuralgia during pregnancy, 565. Neurenteric canal, 128. Neuritis during pregnancy, 565. puerperal, 1032. Neurotic vomiting of pregnancy, 579. New-born child, artificial feeding of, 400. asphyxia of, 967. care of, 388 eyes of, 391. circulatory changes in, 388. ductus arteriosus of, 388. feeding of, 396. foramen ovale of, 168, 388. head of, 164. icterus of, 393. jaundice of, 393. length of, 161. loss of weight of, 393. meconium, 392. nursing of, 396. ophthalmia of, 391. sex of, 176. stools of, 392. umbilical cord of, 389. urine of, 392. weight of, 162, 393, 900. Nipples, abnormalities of, 1034. care of, during pregnancy, 230. . during puerperium, 383, 1034. cracked, 398. depressed, 1035. Nipples, fissures of, 398. Nipple shield, 230, 398. Nitrogenous partition of urine, 581, 589, 604. Nitrous oxid analgesia in labor, 361. Nomenclature of presentation, 236. Nuchal presentation, 917. Nuck, canal of, 28. Nucleus, segmentation, 103. Number of sperinatoza, 95. of ova, 69. Nursing, 396. Nymphae, 28. Obliquely contracted pelvis, 829. Obstetrical outfit, 344. paralysis. (See Paralysis, Obstetrical.) Obstetrical surgery. (See Operations, Ob¬ stetrical.) Obstructed labor. (See Dystocia.) Obstruction, intestinal, 572. Occipito-anterior presentations. (See Ver¬ tex Presentation.) Occipitoposterior presentations. (See Ver¬ tex Presentation.) Oligohydramnios, 671. Omphalomesenteric vessels, 152. Oocyte, 68, 70. Oogenesis, 67. Oogonia, 67, 69. Oophoritis, puerperal, 989. Operations, obstetrical, 417 accouchement force, 431. cesarean section, 492. cervical dilatation, manual, 431. cervical incisions, 443. cleidotomy, 535, 902. craniotomy, 527. curettage, 539. decapitation, 533. douche, 536. during pregnancy, 571. embryotomy, 533. evisceration, 533. extraction in breech presentations, 470. forceps, 439. hebotomy, 518. hysterectomy, 504, 773, 1023. hysterotomy, abdominal, 423. vaginal, 434. induction of abortion, 419. premature labor, 424. intra-uterine pack, 541, 943. laparo-elytrotomy, 495. manual removal of placenta, 542, 943. preparations for, 417. pubiotomy, 518. surgical, in pregnancy, 571. symphyseotomy, 517. tampon, 541. vaginal cesarean section, 434. version, 483. Braxton-Hicks, 485. cephalic, 483. combined, 485. external, 484. internal, 485. podalic, 485. Potter, 487. INDEX 1063 Ophthalmia, 391. neonatorum, 391. Organ of Giraldes, 48. of Rosenmtiller, 48. Os externum, 40. innominatum, 2. internum, 39. tincae, 40. Osiander’s maneuver, 464. Ossification, of pelvis, 17. of child, 161. Osteochondritis syphilitica, 689. Osteomalacia, clinical history of, 816. pathology of, 817. pelvis in, 819. Osteomalacic pelvis, 817, 870. Osteophyte, 197. Outlet of pelvis, 6. contractions of, 793. Ova, early human, 113. Ovarian, artery, 51. epithelium, 65. fimbria, 57, 93. pregnancy, 724. tumors, cesarean section in, 497. complicating pregnancy, 219, 421, 774. Ovaries, 61. abscess of, 989. accessory, 64. anatomy of, 61. changes in, in pregnancy, 188. corpus luteum of, 75. cortex of, 63. cysts of, 774. decidual cells in, 138. development of, 66. epithelium of, 63. ganglion of, 64. Graafian follicle, 63, 70, 73. hilum of, 62. in osteomalacia, 818. internal secretion of, 65. interstitial glands of, 64. in young child, 69. ligament of, 62. medulla of, 63. medullary cords of, 63. microscopic structure of, 69. nerves of, 64. peritoneum, relations of, to, 62. position of, in pregnancy, 188. relation of, to wolffian body, 63. removal of, pregnancy after, 92. rete of, 63, 67. theca, 73. transplantation of, 64. Ovariotomy during pregnancy, 776. Ovate pelvis, 829. Over-rotation in breech presentation, 310. Ovula Nabothi, 42. Ovulation, 89. during pregnancy, 188. relation of, to menstruation, 89. Ovum, 74. abdominal pedicle, 123. allantois of, 125, 151. amnion of, 111, 114. area opaca of, 107. Ovum, area pellucida of, 107. Bauchstiel of, 123. blighted, 706. blastodermic vesicle, 106. body stalk, 123. Bryce and Teacher’s, 118. celom of, 126. centrosome of, 105. chorion of, 110, 114, 128. chromosomes of, 100. cleavage of, 105. corona radiata of, 74. deutoplasm of, 75. development of, 105. discharge of, from ovary, 75, 93. diseases and abnormalities of, 421. dropsical, 706. ectoderm of, 111. embryonic area of, 107. embroyonic shield of, 108. entoderm of, 111. entypie, 115. female pronucleus of, 103. fertilization of, 103. germinal spot, 75. germinal vesicle, 75. head folds of, 109. Heine and Hofbauer’s, 113. implantation of, 111, 727. impregnation of, 95, 103. internal cell mass of, 106. in transit through tube, 93, 112. inversion of germ layers of, 107. Leopold’s, 122. Linzenmeier’s, 114, 118. macula embryonalis of, 106. maturation of, 100. mature, 74. medullary groove of, 108. medullary ridges of, 109. mesoblastic somites of, 110. mesodermic area of, 108. mesoderm of, 108. migration of, 93, 722. external, 94. internal, 95. Miller’s, 113, 117. Moellendorf’s, 124. morula of, 105. neurenteric canal of, 128. parietal zone of, 109. parthenogenesis of, 104. perivitelline space of, 75. Peters’s, 118. physiology of, 89, 100. place of meeting with spermatozoa, 95. polar bodies of, 102. premature expulsion of. (See Abortion.) primary segments of, 110. primitive folds of, 108. primitive streak of, 108. primordial, 66. pronucleus, 103. protovertebrae of, 110. segmental layer of, 109. segmentation nucleus of, 103. segmentation of, 105, 106. sex of, 176. 1064 INDEX Ovum, size of, 74. somatopleure of, 110. Spee’s, 124. splanchnopleure of, 110. Streeter’s, 124. trophoblast of, 114. tuberculosum, 707. umbilical vesicle of, 118, 121, 151. vitelline membrane of, 72. with double nuclei, 70, 404. yolk of, 75. yolk-sac of, 118, 121, 151. zona pellucida of, 74. Oxytocics, indications for use of, 716. Pack. (See Tampon.) Painless labor, 254. Pajot’s maneuver, 464 Palfyn’s forceps, 442. Palpation, 241. in occipito-anterior presentations, 287. in breech presentations, 318. in brow presentations, 316. in face presentations, 308. in occipitoposterior presentations, 299. of cephalic prominence, 242. of contraction ring, 243. of foetal heart-beat, 208. of lower uterine segment, 243. of outlines of foetus, 209. of round ligaments, 243. through perineum, 352. Palper mensurateur, 863. Pampiniform plexus, 51. Paradoxical incontinence, 645. Paralysis, Duchenne’s, 1033. during pregnancy, 565. during puerperium, 1031. facial, following forceps, 469. obstetrical, 1031. of placental site, 939. Parametritis, 989. Parametrium, 48. Paraplegia complicating labor, 253, 565. during pregnancy, 565. Parathyroids in eclampsia, 618. in pregnancy, 195. Para-urethral ducts, 30. Parietal layer, 110. Parietal presentation, 849. Paroophoron, 48. Parovarium, 48. Parthenogenesis, 104. Partial placenta previa, 928. Parturient paresis, 618. Parturition. (See Labor.) Pathology of labor, 754. of pregnancy, 545. of puerperium, 977. Pelvic abscess, 989. axis, 10. cavity, 3. cellulitis following puerperal infection, 989, 1013. fascia, 280. floor, 278. anatomy of, 278. changes in, during labor, 278. Pelvic hematocele, 734, 741. joints, relaxation of, in pregnancy, 570. outlet, 3, 8, 793. peritonitis following puerperal infection, 989. Pelvigraph, 791. Pelvimetry, by use of X-ray, 797. external, 784. in pregnancy, 232. internal, 788. of outlet, 793. Pelvis, 1. acanthopelys, 898. anatomical conjugate, 6. anatomy of, 1. articulations of, 11. assimilation, 835. axis of, 10. bilateral luxation of femora in, 893. cavity of, 3. changes in size of, 11. child, 17. chondrodystrophic dwarf, 827, club foot, 897. coccyx, 2. comparison of, 12. conjugata diagonalis, 8, 789. conjugata vera, 5, 790. conjugate, anatomical, 6. contracted. (See Contracted Pelvis.) coxalgic, 892. coxarthrolisthetic, 893. cretin dwarf, 827. development of, 17. diameters of, 4. dolichopellic, 16. double luxation of femora, 896. double Naegele, 833. dwarf, 826. enchondroma of, 898. exostosis of, 898. external conjugate of, 786. false, 3. fibroma of, 898. flat non-rhachitic, 801.. flat rhachitic, 806. fractures of, 898. funnel-shaped, 838. generally contracted, 823. flat rhachitic, 810. generally enlarged, 823. generally equally contracted rhachitic, 811. history of, 1. hypoplastic dwarf, 828. inclination of, 8. inclined planes of, 3, 295. infantile, 17, 826. paralysis, 895. inferior strait, 5, 793. inlet of, 5. innominate line, 3. ischial spines, 3. ischium, 3. joints of, 11, 570. justomajor, 823. justominor, 823. kyphorhachitic, 877. kyphoscoliorhachitic, 884. INDEX 1065 Pelvis, kyphoscoliotic, 883. kyphotic, 874. ligaments of, 11. k linea terminalis, 3. male, 13. masculine, 825. mesatipellic, 16. middle flat rhachitic, 808. movements of, in joints, 11, 570. muscles of, 278. Naegele, 829. nana, 827. new-born child, 17. nimis parva, 823. normal conjugate of, 9. oblique conjugate of, 8. obliquely contracted, 829. obstetrical conjugate of, 7. obtecta, 875. ossification of, 17. osteomalacic, 816. outlet of, 3, 8, 793. ovate, 829. plana Deventeri, 801. plana osteomalacica, 819. planes, 4, 5, 8. platypellic, 16. pseudo-osteomalacic, 812. pubis, 4. racial differences in, 16. rhachitic, 804, 849. dwarf, 828. Robert, 833. sacrocotyloid diameter of, 6. sacro-iliac synchondrosis, 11. sacrum, 3. scoliorhachitic, 882. scoliotic, 877. second parallel of, 8. separation of, during labor, 1. sexual differences in, 13. simple flat, 801. soft parts of, 278. spinosa, 810, 898, 963. split, 834. spondylizeme, 877. spondylolisthetic, 884. straits of, 5. superior strait of, 5, 791. symphysis, absence of, 834. symphysis of. relaxation in, 570. symphysis pubis, 11. terminal, length of, 20, 809, 814. transformation of foetal into adult, 19. transversely contracted, 833. true, 3. conjugate of, 5, 790. dwarf, 827. walls of, 3. tumors of, 898. unilateral luxation of femur, 894. variations in, 12. Veit’s main plane of, 8. with imperfect development of sacrum, 835. Pendulous abdomen, 220, 847. Perforation. (See Craniotomy.) of Douglas’s culdesac, 963. Perforation of uterus, 962. Perineal fascia, 280. gutter, 282. muscles, 282. tears, after-treatment of, 369. central, 367. frequency of, 354. prevention of, 354. repair of, 365. Perineum, anatomy of, 280. changes in, during labor, 281. lacerations of, 354, 365. protection of, 354. rigid, 755. Peritonitis, foetal, 907. puerperal, 989. Peri-uterine inflammation in pregnancy, 653. Perivitelline space, 25. Pernicious anemia during pregnancy, 568. vomiting of pregnancy, 578. Perret’s cephalometer, 863. Pessary in treatment of retroflexed preg¬ nant uterus, 646. Peters’s ovum, 118. Pfluger’s ducts, 66. Phantom tumors, in diagnosis of pregnancy, 219. Phenolsulphonephthalein test in toxemia, 591. Phlebitis, femoral, 990. Phlebotomy in eclampsia, 623. Phlegmasia alba dolens, 556, 990, 1004, 1023. Phloridzin diabetes, 174. Phthisis of placenta, 677. complicating pregnancy, 549. Physiology of foetus, 166. of labor, 248. Physometra, 854. Pigmentation, changes in, during pregnancy, 197, 217, 570. in negro baby, 161. Pinard’s maneuver, 480, 863. Pituitrin in postpartum hemorrhage, 942. use of, in labor, 365, 758, 760. Pituitary gland, in pregnancy, 196. Placenta, 140, 142, 144. abnormalities in size of, 673. abnormalities in weight of, 673. adherent, 683. anatomy of, 127, 140. angioma of, 681. annular, 673. apoplexy of, 678, 923. artificial separation of, 543. at full term, 147. atrophy of, 679. autolysis in eclampsia, 614. basal plate of, 142. battledore, 683. bipartita, 674. bruit of, 208. calcification of, 682. canalized fibrin of, 142. cell nodes of, 141. changes in, in eclampsia, 613. chorio-angioma of, 681. circular sinus of, 147. circumvallata, 677. 1066 INDEX Placenta, closing plate of, 142. cotyledons of, 147. cysts of, 680. decidual islands of, 142. development of, 127, 140. diagnosis of position of, by palpation of round ligaments, 243. dimidiata, 674. diseases of, 677. duplex, 675. edema of, 674. epithelium of, 132. expression of, 336. by author’s method, 338. by Credo’s method, 336. expulsion of, by Duncan’s method, 331. by Schultze’s method, 331. fastening villi, 141. fatty degeneration of, 677. fenestrata, 674. fibroma of, 681. functions of, 146, 169. giant cells of, 129, 140. gumma of, 692. hepatization of, 677. in albuminuria, 679. in eclampsia, 613. in extra-uterine pregnancy, 731 in latter half of pregnancy, 144. in multiple pregnancy, 406. in syphilis, 690. infarcts of, 677. inflammation of, 682. intervillous blood spaces of, 141, 145. lipoids of, in eclampsia, 614. manual removal of, 339, 543. marginata, 677. margo, 678. mechanism of separation of, 327. membranacea, 676. membranes of, 147. mode of delivery of, 330. mode of extrusion of, 330. multiple, in single pregnancy, 674. myxoma fibrosum of, 681. new growths in, 681. osmotic pressure in, 170. phthisis of, 677. polyp of, 1026. premature separation of, 498, 920. previa, 677, 927. prolapse of, 925. red infarcts of, 678. reflexa, 930. retention of, cause of hemorrhage, 339, 939. sarcoma of, 682. schirrus of, 677. senility of, 678. septuplex, 675. site of, postpartum, 374. situation of, in utero, 326. spuria, 676. succenturiata, 675, 939. syncytium of, 132. syphilis of, 690. transmission of substances through, 169. triplex, 675. trophoblast of, 114. Placenta, truffS, 678. tuberculosis of, 549, 682. tumors of, 681. velamentous, 683. vessels of, 147. vicious insertion of, 929. villi of, fastening, 141. weight of, 147. Placental bacteremia, 756. forceps, 402. period, 262, 326. amount of blood lost during, 335. clinical picture of, 334. hemorrhage during, 335. management of, 334. mechanism of separation of placenta, 327. mode of extrusion of placenta, 330. normal situation of placenta in utero, 326. polyp, 1026. souffle, 208. space, 142. transmission, 169. Placentitis, 682. Planes of pelvis, 4. Plasmodium, chorionic, 132. Pleurisy in puerperal infection, 990. Plexus, hypogastric, 53. pampiniform, 52. Plicae palmatae, 41. Pneumococcus in puerperal infection, 981. Pneumonia alba, 886. during pregnancy, 547. during puerperium, 1042. Podalic version, 485. indications for, 486. Potter, 487. technic of, 488. Polar body, 102. Polygalacia, 1035. Polymastia, 1034. Polypus, fibrinous, causing hemorrhage, 1026. Porro-cesarean section. (See Cesarean Sec¬ tion.) Portio vaginalis of cervix, 40. Position of foetus, 236. of uterus, 49. Positive signs of pregnancy, 206. Postmortem cesarean section, 516. delivery, 975. Postpartum hemorrhage, 938. Posture, in first stage of labor, 258, 350. in second stage of labor, 259, 353. Potter version, 487. Preputium clitoridis, 28. Prague maneuver, 477. Precipitate labor, 761. Pre-eciamptic toxemia, 593. Pregnancy, Abderhalden’s reaction in, 213. abdominal, 738. enlargement during, 210. abnormalities of pigmentation in, 570. abortion, 701. acardia in multiple, 407, 903. accidents during, 570. acute edema of cervix during, 649. INDEX 1067 Pregnancy, acute endometritis during, 653. acute infectious diseases in, 545. acute yellow atrophy of liver in, 587. after removal of kidney, 564. after removal of ovaries, 92. albuminuria during, 194, 591, 593. albuminuric retinitis, 592. amaurosis in, 592, 602. amenorrhea during, 90, 215. ampullar, 726. anemia, pernicious, in, 568. anomalies and diseases of ovum, 656. anteflexion of uterus during, 642. anteversion of uterus during, 642. anthrax in, 548. apoplexy in, 567. appendicitis in, 571. areola in, 191. asthma in, 557. atrophic endometritis decidua during, 652. auto-intoxication in, 610, 629. ballottement in, 209. bladder and rectum, changes in, 194. blood changes in, 192, 217. blood pressure in, 192. bowels in, 229. Braxton-Hicks’s sign of, 212. breasts, care of, during, 230. broad ligament, 736. changes in, during, 188. carcinoma of cervLx during, 638. cardiac lesions in, 426,' 554. cephalalgia in, 593. cervix in, 212. Chadwick’s sign of, 216. changes in abdominal wall during, 190. bladder during, 194. blood during, 192. blood serum during, 217. breasts during, 191. cervix during, 212, 266. digestive tract during, 194. ductless glands during, 194. heart during, 192. hypophysis, 196. kidneys during, 194. liver during, 194. lungs during, 194. maternal organism during, 183. metabolism, 198. nervous system during, 197. ovaries during, 188. pigmentation during, 197, 217, 570. respiratory tract during, 193. size, shape, and consistency of uterus during, 182, 210. skeleton during, 196. skin during, 197. teeth during, 196. thymus, 196. thyroid during, 195. tubes during, 188. urinary tract during, 194. uterus during, 183. vagina during, 188. voice, 194. weight during, 198. cholera in, 546. Pregnancy, chorea in, 426, 566. chorio-epithelioma, 662. chronic infectious diseases in, 549. chronic nephritis in, 590. cloasma in, 197, 570. clothing during, 229. coitus in, 229. colpohyperplasia cystica during, 637. combined, 742. constipation during, 194, 229, 559. corpus luteum of, 78. cravings during, 217. cystitis in, 564. cytolysis, 612. death of foetus during, 427. decidua polyposa during, 651. dental caries in, 560. depressed nipples in, 1035. dermatitis herpetiformis in, 569. diabetes in, 426, 561. diagnosis of, 206. differential, 218. of death of foetus in, 221. diastasis of recti muscles during, 650. diet during, 228. diffuse thickening of decidua during, 651. directions for patients during, 231. disappearance of, 707. discoloration of mucous membrane in, 216. diseases of alimentary tract and liver in, 559. of blood in, 568. of cervix during, 638. of circulatory and respiratory systems in, 554. of decidua during, 650. of kidneys and urinary tract in, 561. of nervous system in, 565. of ovum during, 656. of skin in, 569. of vulva and vagina during, 637. dislocation of kidney in, 564. displacements of uterus during, 643. distinction between first and subsequent, 220. disturbances of vision in, 231, 567. duration of, 221. dyspnea in, 557. eclampsia in, 597. ectopic. (See Extra-uterine Pregnancy.) edema in, 557. emesis in, 216, 420, 578. emphysema during, 557. endocarditis in, 556. endometritis decidua cystica during, 652. endometritis during, 651, 653. enteroptosis in, 560. epilepsy in, 566. erysipelas in, 548. estimation of date of confinement, 223. estimation of duration of, 222. examination, preliminary, during, 232. exanthemata during, 545. exercise during, 228. extraperitoneal, 738. extra-uterine. (See Extra-uterine Preg¬ nancy.) floating spleen in, 565. 1 INDEX 1068 Pregnancy, floating kidney in, 564. foetal heart in, 207. formation of lower uterine segment, 267. funic souffle in, 208. gall stones in, 559. gingivitis in, 560. glandular hyperplasia of decidua during, 651. glycosuria in, 561. goiter in, 567. gonorrhea in, 548. hematoma of abdominal walls in, 570. hematuria in, 563. hemoglobin during, 192. heart, hypertrophy of, in, 192. Hegar’s sign of, 211. hepatotoxemia in, 610. hernia during, 649. herpes gestationis in, 569. hydatidiform mole in, 656. hydramnios in, 427, 667. hydremia in, 192. hydroplasmia in, 193. hydrorrhea gravidarum during, 651. hymen in, 31, 767. hyperemesis in, 578. hypertrophic elongation of cervix during, 648. hypertrophy of cervix in, 212, 266. hypophysis cerebri in, 196. hysteria in, 566. icterus in, 559, 587. imaginary, 219. impetigo herpetiformis in, 569. incarceration of uterus during, 645. incontinence of urine in, 645. indigestion in, 559. induction of abortion in, 419. in diverticula from uterine cavity, 640. 