None
li^v ^•'*^*%^^^^ '^'Pf:ii0*'! Tflc graved guard pai»ed behind the nyiiiphy&b, t>nit«loyinl to protcet the vc«&els and orgmns ftom the k u I ft^ 4uri rvg ibc i nei Altiti . ( » n a b kt' f. ) or ifxloform gauze into and around the wounds This dressing^ eau be re- tained in |XJsition by a firm, sterilr eautiin'tJaunel binder^ In faet» this pr<K.*ednr(^ serves several uther ends. Tlie i^iuze pijeking in the wouudj while Estopping oozingi or e\*en more antivo bleeding, ^ive^ at the same time considerable support of a yiehling ehariicter to the bladder, urethra, and anterior structures. The flannel binder serves to support the osm innonnnatn, and while preveijtinir the divided bones from separating too far, allows them to give enough to ]^riuit the pas^sage of the child. 752 OBSTETRIC SURGERY. Fl«. 441. Symphysiotomy. The division of the symphysis is Rccomplishe*! (1) by section between the recti muscles, to sever hh far ax jMwsible the hard, creaking bundles of the fibrous covering, and to XTtivw in front a line ('orrcK|N)ndiiit; to the groove of the guard, which is held firmly against the ridge corresponding to the articulation ludiind. (2) By means of a short, narrow blade with a n>undi*ii extremity the opi;rati>rthon cuts through the symphysis from aN>ve downward, with the cutting cdgo of tlu' bludc directed forward and under the protection of the grfH)ved guanl. (F.^rabkik.* Kxtnictioii with lorce[>?5 i.s ^nerally iidvi.sable if the child is not l)n)m[)tly <'xj)elli'<l s[>oiitaneoiisly. SYMPHYSIOTOMY. Fio. 442. 753 Nlodc of Introduction of sutures. These should be of strong silk, and should be inserted from c outer borders of the longitudinal bands, keeping close to the bones. It is best to begin on the ;ht side, which presents the greatest difficulty. (Farabeuf.) Fin. 443. Tying the sutures, while the bones are held in place by Farabeuf 's forceps. (Farabevf.) 48 754 OBSTETEIC SURG EH r. After doll very the wound should be clot^eil. Boue «;uturt'ifi are uii- necejssarv and ina*lvi!^iihli\ Retention m eiisuiTd by tiuturlng I he pre- pLibic fibrous struct un>s and applying a firm jielvie binder* especinlly if Cfiaptatinn h favored by the use of a lri>iigh bed or hatnnnielc sling d u r i I ig CO n v al osccn ce. A simple suture of silk-worm gut embraeiti^ all the stmctures dtmii to the Inrne^, or a enm^ t*r figuri^of-eig^lit sutrire of the ^larne lualerial may be employed. lu the latter plan the deep loop of the sutUR* brings together the fibrous structure.^, and the remainiug Ujnyp cloi^es tlie *in|K?'r- ficial portiou of the wr^uiid. If preferred, the aponeurotic i^truetures in fiOnt *if the lM>n<:^ may Fm. Ui. AyoTti' fyTn[']i>-i'! > ri^niiiniif k Rmijlyv, Hhowliii* nrmiiKt'mi^tit nf mnvifcUL**, bi»d!|¥in» etc. l>e brought togetlier with chrouiatetl aitgut ami the rt^i^t of the wound elotied in any of the metliods usually pmetist?d for the abd^^iiunal Wound. If tfie bhidik^r k ruptured, it slionhl lie suturc^il, and eart^JVd after- attention givtMi to Bee timt tlie viycns doe?* not brxNirne distended iind allow the c>eeurrenee of ex tm vacation td' urine. In surli oa^e the eoni- pk*te or iucotiiplete elo>iing of the external wound mu^t bt^ leJl to the judgment of tlie oj>eratf>r» After the wound lias been dressed nmvtiadly the jjelvis h enciri'lni with twoorlhrf*e firm straps of adhenive | blaster wlu'eh overlap p)8l«Tiorly. A ^tnmg eanvas binder is then ajqiUed, the Uiny prtmilnencefi beiug pro* t4«ted witli [Kidding. The biruler need* eoiit^taut attention to keep it tight. It shouhi be changed if ffotled. SYMPffYmOTn3rr. 7S5 'inarfl iise^ a gutter-s^happtl bed (jr rmiUiT*^,iiinl places cushions under the lateral halvej* <if the Uni]\\ Jt;wett uud utUers adopt pmotically the game met hod h, using an i^nhnary, rather hard mattrt\s*i and ket^pi ng the patient on two firm en.Hlnonri or smid-baicsj phiced under tlie lateral halves of the pelvi:^ and extending nearly to the i^honlders. When the Ijetlpan k ased the greatest eare should be excrei^'d by the nur^e to see that no inovemeat on eaeli t^tlier of tlie auterior ends of the Iwjnes i^ permitted It i^^ Ix'^t to have ready a stmng, intelligent as??istant to support the pelvis and gently lift the buttocks while the nurse slips the vessel beneath. An excenent appanitus ibr maintaining eoaptatinn of the pubic bones after syaiphysiotomy i^ A)'ers' !ianinioek~bed. This consists of a Fw. 415. Ayers' nyxrhphyslotomy bumtuock* showli^g patient, Pt'hiit is supfiCirU'd l>y uppt^r pok<«< f^&OiWer fkoles and hanimcM^k auppart hend, €li^Ht, UDd llmlia, Mid is ad^u?^t«d lo level of Uppflf Bm«K'k. canvas streteher supported as shown in Figs, 444 and 445. The stretcher may be made more or less trough-shaped by the adjustment at less or greater distance aimrt of the p(dcs on which it hangs, A canvas sling wide enough to r<.naOi well ab*)ve and liehnv the pelvis is su»- p'ndi'd Ijv It.^ endt^ fnaii a second pjiir of polt-s above tiie first. When adjuste*! tor use the hfup nf this jw^lvi*' sling ix^aehes the stretcher. The [xitient restB\yith her pelvis in tlie loop of the sling, whih? the remainder of her body is sup|w»rted by the strt4dier. It will be seen that the pnbic Ixaies are held firndy in apposition by the action of the sling, the body an ' furiaSily ii|M»n tlu:? stretcher. while t\w npjK^r portion of the body and the lower extremities lie com- iriaSily ii|M»n tlu:? stretcher. In the Dresden dime ptUieut# are provided with a (>elvic support. 756 OBSTETRIC SURGERY. and art* allowed to get up after three weeks. It would seem that this is too early to allow the patient to assume the erect {position ; in any ease, it is wiser to keep her fully six weeks in ImmI, treating the ease as one would a pelvic fracture or a fracture of the femur. The i>elvic support should not be discarded for several weeks after the woman leaves her bed. INDEX. ABDOMEN, ante-partum examination of, 213 contour of, in pregnancy, 131 enlargement of, in ectopic gestation, 377 examination of, in accidental hemor- rhage, 525 in placenta prsBvia, 518 in pregnancy, 131 in transverse presentation, 481 in uterine rupture, 510 value of, 219 general tenderness of, in ectopic gesta- tion, 372 palpation of, in pregnancy, 132 pendulous, with prolapsus funis, 498 preparation of, for coeliotomy, 738 size of, in pregnancy, 132 striae of, 132 tenderness of, in puerperal endometritis, 607 value of inspection signs, 132 Abdominal hinder, 247 in accidental hemorrhage, 526 in placenta prsevia, 52.3 in post-partuni hitniorrhage, 529 enlargement in ectopic gestation, 377 examination for abnormal conditions, 220 incision for Oesarean section, 739 indication for, 7.'r) intrafoptation, 491 muscles, action of, during labur, 158 pregnancy, 360 signs of, 131 section in rupture of uterus, 512 stalk, 85 wound, closure of, 742 Abortion, actual, tnratment of, .'{52 cardiac disease a <'ause of, 563 caused by certain drugs, 343 complete, pathology of, 315 varieties of, .'i45 criminal, 340 curage r». curettage, relative merits of ' each, 354 curettage, technique of, .'{56 dangers attending, 350 I definition of, 340 diagnosis of, 349 | dilatation uf cervical canal in induction of, 669 diseases of decidua as cause of, 344 early, treatment of, .'{52 embryonic, 3^10 etiology of, 341 foetal, 340 causes of, 344 fkvqnency of, 340 habitaal, 343 treatment of, .350 | Abortion, hemorrhage at night, 347 incomplete, 345 varieties of, 345 in diabetic women, 562 indications for induction of, 662 induction of, 661 Cohen's method, 667 electricity in, (Hio Hamilton's method. 666 indications for, 662 Kiwisch's method, 665 Krause's method. 666 Scanzoni's method, 665 Scheel's method, 668 Tarnier's method, 6<»6 inevitable, treatment of, 352 involution of uterus after, 349 late, treatment of, 354 local causes of, 3^13 maternal cauws of, 342 method of inducing, 663 missed, 358 fate of retained child, a59 moles in, 347 treatment of, .'J59 ovular, 340 pati>rnal caust»s of, 341 pathology of, 31.'> ]»remonitory siirns of, 348 progntwis of, .'{50 prophylaxis in pregnancy, 351 protracted, 31H relative size of fontus, 347 sepsis following, JlVi symptoms and clinical course, 347 therajwutic, 340 threatened, treatment of. 351 time of oi'eurrence of, 341 treatment of, .'{."jO tubal, 3<)9 r». cervical iM)Iypus, differential diagno- sis of, .'{19 rj». ectopic ^estati(m. differential diagno- sis of. :U9 '* Abscess (le fixation." (^26 nianinuiry. in new-]>orn. 6.'{8 of broatl liganieiit. of (;Taafian folltdc, 52 ^^^H •m of liymen, t^ ^^^^H AllniGTitary ittvul, d<ntdopment of, 103 of i»;<'hio-ivctal fo^saa, 30 ^^^^1 ^alUblad<l«r* 107 of lab) 14 ni^orst 1^^ ^^^^| inrosliiits, 1(« mitiora. 19 ^^^^1 JiYi^r, im of Ii;;af}ient«, 17. r. ^^^^H 1 iinsseiitt*r>% 106 of nniiniuary glanilH. Hi ^^^^H ^__ moutb, Ht3 of meatus qrinarina, 21 ^^^^H ^^h {TBopha^DA. 105 of mom Vcni?m, 17 ^^^^H ^H |)]incr^ai^. 107 of ttiu&e1e», q. ^. ^^^H ^H pharynx, tiH of ovuritfs. 50 ^^^^1 ^H Btnmuch, IOj of paroophorou^ S3 ^^^^H ^^"^ toDgue, 105 of jjarovariniu, 53 ^^^^H AUautoifl, c1ev(?lr>imn?nt of, 83 of pelvic fai^ciff, 35 ^^^^H Anienorrlifwi, causi'S of, 127 door, 3^J ^^^H diagnostic value uf. 12<i of perineal l>ody, 41 ^^^^1 Amnion. an<nindt<'M atid dlisease^ of. 304 k^K^, 34 ^^^H devt^loiiuirtit fift S4 Hpact\ ^^^^H dropsy of, 3U5 of perineum, IH ^^H fala«, as of recto- vaginal pfiueb, 30 ^H formation of, S3 of rectum, «M) ^H true, S3 of round ligament of ntcTils, 18 ^H Amniotic biHuk, .106 of till* feitiftle pelvic orjgfttif, 17-7!l^H fluid, ebanjfc!! in cliaracter of, 307 of triangular ligntnciita, 34 ^H deftcititicy of. mj of nrf'tbra, ili ^H exceiw iifj in pro1np6U» fniii«t 496 of ut(?ru.^. 57 ^H iRVorsiim, 702,704 of %'agiT»u, SH ^H re in oval of^ to iiidnci^ abort ion » 0(18 of % ciiselh and m^rves ul pndeiidu^H srtCt pri.^rti*tire of, on cervix, I^ of ve^tilnile, 'il ^H AmpUiaster of ovum, 75 of vulvo-vaginal gbiiids^ 22 ^H Ampul lie of hicreiil ilnct%, (18 of ^'bjti? tint' of pelvic, 35 ^^M AHi^mm, tt^Pte* followinj^ prist -par turn hein- of Woim»n boitles. 44 ^M orrbape, tr*Mitnn?tit of, 53a A 11 1! n cv Til t »l 1) 34, llif^. 4lMi ^H signs nf, 518, ^*>S A 11 ouial i V 4 of atuii io i^ :%04 ^H trwitnieut of. Tvi^ of fu'lal appeiidagcv 303 ^^^^^| con train ill cation t^ nursin^t, *2fTi uf place uta> 311 ^^^^H in poift-partuni heniorrliajfe, trratmeitt Aliti'rior comn-J^ure, 18 ^^^^| of, 532 Atitevei^ion of uterus, 455 ^^^M in piwirnaney, -iOH AntiliHix, devdoptuent rC 103 ^H Anffisthesia, Afl mini strati on of aiwsJlirtic-. A ti t j .44 « pmm, chcuj ica 1 a^i- Hti»« t^3B ^^^H 239 choice of luctlioda of, 230 ^^^H clioio© of ana?*thetle, 239 effect of, oil puerperiuui, 4)06 ^^^^H for rotnoval of ad Keren t ii]ai^<*ntA, fl7A handa of ob^ctridan. clcim^lnSl^B in repair of vaifiiial laci'i-aticins, (I5:i mechanical aKcnts, t22H ^^M in reposition nf inv« rti^d ut^srus, 5«^t ithfi,xHrk\ 227 ^^^^1 in spinal fliialct*4<3a. 'i4l precautious, 232 ^^^^| in version, 702, 708 Antific>ptic priH.'aiitioiia« 232 ^^^^1 obstetric, 238 for tlui imntt, 292 ^^^^1 ISDEX. 759 Antiseptic precautions in version, 702 preparation in vaginal examination, 222 of obstetric patient, 233 Antitoxin, tetanus, (^3 Antitraji^us, development of, 103 Anus, anatomy of, :U) congenital malformations of, 629 development of, 106 malformations of, in new-bom children, 629 vaginalis, 4G0 Aorta, development of, 91 maternal, pulsation of, 136 Aortic bulb, 90 Apoplexy, diagnosis from eclampsia, 541 Appendages, foetal, anomalies and diseases of, 30:i Aqueduct of Sylvius, 97 Aqueous humor, development of, 100 Arbor vitsB uterini, 61 Arch, branchial, 104 visceral, 104 "Area vasculosa" in embryonic circulation, 88 of placenta, 88 Areola, 65 primary, in pregnancy, 128 secondary, in pregnancy, 130 wrinkling of, 130 Armamentarium, obstetric, 227 Arms, displacement of, in breech preseuta- ti(m, 473 upward displacement of, in breech pres- entations, treatment of, 476 upwardly displaced, release of, when head is below brim, 477 Arnold pasteurizer for milk, 287 Arsenic in puerperal insanity, 582 Arteria centralis retime, 100 Arterial tension in pregnancy, 123 Arteries, allantoic, 92 aortic arches, 92 per];nanent, 92 carotid, external, 92 internal, 92 carotids, common, 92 dorsal aorta, 92 ductus arteriosus, 92 hypogastric, 93 iliac, 93 of Fallopian tubes, 56 of mammary gland, 68 of ovaries, 57 of pelvic floor, 54 of uterus, 55 of vagina, 55 of vulva, 54 omphalo-mesent«ric, 91 subclavian, 92 verti'bral, 92 vitelline, 92 Ascites, cause of dystocia, 491 differential diagnosis from pregnane v, 147 foetal, obstructing labor, 491 V9. pregnancy, 147 Asepsis of the hands. 230, CA(\ permanganate method, %W means of securing, 228 Asphyxia in new-born child, causes of, 633 treatment of, (V.V.\ Byrd's method, 635 I^abordr's method. 636 Schultze's methrMl, iVXy Aspiration in spina bifida, 627 Asynclitism, 203 Atelectasis, 637 Atresia of cervix, 453 Atrophy of decidua, 304 Atropia, oleate of, indication for, 572 Auditory vesicle, 102 Auricular canal in embryonic circulation, 90 Auscultation of abdomen in pregnancy, 134 Auto-intoxication in eclampsia, 539 Auto-transfusion, 532 Axis, parturient, 174 Axis-traction forceps, 696 indication for, 691 with ordinary forceps, 690 BACILLARY sepsis, 589 in puer|)eral infection, 589 Bacillus acrogcnes capsulatus in puerperal infection, 587 coli communis in puerperal infection, 586 diphtherise in pnerperal infection, 587 of Doderlein, 29 typhosus in puerperal infection, 588 Bacteria in pueri)eral infection, 584 Bag of waters, hydrostatic pressure in labor, 198 Bags, dilating cervical, method of filling, 522 Ballottement, external, 133 in diagnosis, 133 in ectopic gestation, 378 after the fourth month, 378 internal, in diagnosis, 144 Bandl's ring, 511 Bands, amniotic, 308 Barley-water in diluting milk, 281 Barnes' bags, 522, 667 indication for, 473 in dilatation of cervix, 669 in placenta prsevia, 521 Bartley, incubator, 295 modificjition of milk, 282 te^st for urea, 212 Basiotribe, Tarnier's, 730 Bjisiotripsy, 723 Bath of new-born child. 272 Bathing in pregnancy, 153 Baudelocque, pelvimeter, 423 Benzoin, tincture of, for sore nipples, 570 Bichloride douche in puerperal endometritis, 621 Binder, abdominal, 247 breast, to prevent mastitis, 572 Birth palsies, 630 Births, plural, 493 complex eases, 494 Bladder, anat<miy of, 42 care of, following operations on pelvic floor, 655 conditions of, obstructing labor, 460 cystoc'-le, nius<' of dystocia, 460 development of, 109 dilatati(m of, in foetus, 491 distended, retention of placenta from, ()72 distention of, 460 after labor, 255 cauw of dystocia, 460 in f<rtus, 491 stMrondary honiorrhagi' from, 535 simulating pregnancy, 1 l.s ^M ^^^^^^^^^^M ^^M Bliiddert ectopia vesid«» iirinttHn, 330 Bre«icb df liveries, paralysis sometimes fol* ^M ^^M e vat.ru utiuu uC In 6ce.oud stage of labor, towiuf^. ii^il ^M ^^^. 67-' delivi^ry in flat pt^ivis, 434 ^M ^^^^^L jujurio^ tOf from rnrt.T|ks^u)ivnttiotii 681 itupAction of, trt^atment of, 475 ^| ^^^^^H irritability cif, in pregiiBiic>% V^ noii-engtLgenicnt Ht the brfni, manage- ^| ^^^^H U)i:iiDi«Dt« of; 37 njbut (if, 474 ^M ^^^^H nuilemalf distant ion of, 134 prcseutfllion, e^ctirnml \cr«iou in, 702 ^M ^^^^H of new 'born child , ^0 Bregma. See FontaiieHt*s, ^^^H ^^^^H over-ilistendod rt. at'tcr-tn:atnn'nt of, 742 ^^^H ^^M Boric iu.4d in i^re of uipplen, 5f6S for cjtrdooma of cervix witk |»reg- ^H ^H IkitalU, duct of, &■> nuncy. 458 ^M ^^M JVmgi^ii in induction of labor, 670 for fibnimyiuna of utf^ru^ with ^H ^^^ Bowi'li^ after labor. 255 pregnmicy, 458 ^| ^^^^_^ care of, dnrittjr pui'r^ierium, 255 for tnnuirs of vtigina obistnicling ^| ^^^^H foMi ^ w1 n v: t>perfit ton on (»e ri n en m , 655 labor, 4.^> ■ ^^^^^ in pre- i'ri in optica ntikl'^, 544 bi story of, T36 ■ ^ i^Hj^HtklO of. in anfcmia, mO ill bkHiruitte u(i!m^, 4^1 ^M ^H i ri ec 111 ni ]mn. 'ui ] indlc;itinnj!t for TSl ^M ^H Bmlu, aqnethict of 8ylviui«, liT in c^rdinr dj»c»ts4* complicating ■ ^H ct'tvtiollum, fi7 pre^osiHcy. ^m ^M ^^^^ eerebfum, U7 in ocluniiw^iii. o47 ^M ^^^^^ coriKim (jimitrii^emimi, \Yt in tlut TK^Iviii, 13li ^H ^^^^H cmro ci?n4»r), if? in " rnnne|-sba|»t'd " pclTia, 430 ^H ^^^^B devtflopmeut of, $i^ in kyphotic pelvis. HH ^H ^^^1 fore-, U6 ju nlubuu^^tl^ln peUi*., 411 ^H ^^^1 hind^. m i n ob 1 i q ti c 1 y t oi 1 1 nu' ted pt'l v is, 4SS ^M ^^^^H i n j y rie8 1 n i u Btrti m en tal t1 u1 i Very , 877 lu hca\ I ot ic^ |K^ 1 % i A. 4 in ^M ^^^H tnednlla, 98 in sp&smodic etm traction of ulertts, H ^^^B mid-, 96 4ie ■ ^^^H optir ^ta}k^, ITT in tnmors of pelvis, 4iri ^H ^^^^r Vi>j^lck'«, li?l in viigiual I'nlcrocck obatrtictins ^^^H ^^V }mix^ VaroJii, 07 labor, 460 ^^M ^^L Bmncbiiil iirch, slrtictures furniMl breach. n(ort4 1 i t y in. 736 ^^^H ^^^m o|H.' rAl i 1 1 u, T3* ^^^H ^^^^B arebi^, dev^'lopoji nt of, 104 i nst 1 11 men ts for, 73!* ^1 ^^^^V cti^ft, ftlructnrvs Turnu'd by e;vcb, jni |ioi n r SI i n tr c l m i q u r o f o|ii*rii t i on , 742 ^^^^H ^^f dlefts, doYclopmcnt of. IU4 prt^jHiration fui, 738 ^^^H ^H itoni'bm, Idl reliitivi.- indimtionK for, 737 ^^^H ^H BrftJtt*nj-ITick!i iucUhkI *jf Vi^rsiont 4h5 tioKT ftjr jii rfuriuHnec ol 738 ^^^^| ^H Breiij^t'i. S*v Munnntvry (jlands. Cid c i flc«t t i on of kv ( n ^ . 'XH ^^^H ^^^^^ antimuliea and di^^invc^ of, Z^iiT Ctal c n 1 1 i s, v vm ca 1 , d v^t ih hi tVoni , 461 ^^^H ^^^^^L CATV of, ill proj^nancy, 153 L^iml of Nuck, nnutoiny of. 54 ^^^H ^^^^P change's in, in ectopic gestation nftor jiarturient^ cnlurgi-ment of, in eyiii*^^^^| ^^^^^ fourth mouib, 371 | pby^lotomy, 747 ^^^H ^■^ erbirgement of, during prepnuncy, V2S Oftput sutiM^dHticnm^ 17f^ 206 ^H ^V evltk-nce of provioM* pn*gnaucy in, 151 iibi^cocc ttf, with dcttd fcptua, 334 ^M nuistiti*, etiology of, 57t) in brow prc«ciitiition. 4«lll ^M symptoms of, 571 in fnt**' pn»3i«ntatioii, iCS ^H treatnicnt of, UTi rarboUc Acii) stolutttui afi an uutiseptic* 229 ^H Hborli vt\ r»7'2 t'arbnii dioxidf. excess of, jit bloo^l a raii«« H of dupjinnition, 573 of labor, im H prr»pbybirtic, 572 Ctarcinoma of ct^rvii obstructing lulior, 458 ^1 normul ^trncturo of, 5Cf7 of n^ctniii cause of dystociw, 4(iO ^^^H v<?ius iif, 128 of utoruK causi- of dyi<tmn*it^ 45^ ^^^H INDEX. 761 Carcinoma of ntems, hemorrhage from, 534 Oardiac disease complicating pregnancy, 563 symptoms and treatment of, 564 in pregnancy, hygienic treatment of, 564 lesions an indication for induction of abortion, 662 GaruncuIsB myrtiformes, anatomy of, 23 Gasein, effect of excess of, in milk, 289 of sterilization upon, 287 human vs. cows' milk, 279 in milk, 283 action of, 280 method of reducing, 283 Cnse records, method of keeping, 224 CSatharsis in eclampsia, 551 Gatheterization following repair of vaginal lacerations, 655 indication for, following labor, 259 method of, 260 OMida equina, development of, 99 Oavity of Retzius, anatomy of, 43 Oephalhnmatoma, 333, 630 treatment of, 630 with large foetus, 487 Cephalic prominence, foetal, location of, 217 Oephalotribe, 729 Cephalotripsy, 729 Oerebellnm, development of, 97 Cerebral vesicles, primary, 96 Cervical canal, micro-organisms of, 601 lacerations, reasons for immediate repair of, 660 Cervix, atresia of, obstructing labor, 453 carcinoma of, 458 danger of rapid dilatation of, 549 deep incision of, in eclampsia, 548 dilatation of, in eclampsia, 547 in forceps operations, 683 in labor, 198 in uterine inertia, 413 to induce abortion, 669 immediate repair of lacerated, 660 impaction of, 454 imperfect dilatation of, 555 incisions of, in rapid delivery, 550 iiVJuries to, from forceps operation, 681 lacerated, immediate repair of, 660 laceration of, method of oi>eration for, 660 progressive softening, 198 rapid dilatation of, in eclampsia, 547 rigid, treatment of, before rapid deliv- ery, 557 rigidity of, in eclampsia, 550 in spasmodic contraction of uterus, 417 obstructing labor. 453 treatment of. 454 rings of, 199 softening of. ^^■^ OKHcHd^] fi^ni^, im urn ^^^^^^ CireuliUlon, diaugt-^ m, at birth* tMJ insiTvimvntAl incth ^^^^^B diHorrl(M^ of, in pri<guiitic3% 405 **d, 501 ^^^^H etubryouic, i^, 1»5 m&niiiLt m^tbd, ^^^^H fo^Ul, ^ 500 ^^^^^H JuiLlerual, cbaugi^a iii, dQe id pregtiatief, before ruptarc of mm ^^^H bninee, 500 ^^^^^H primitive (.imbrvimii:^, !)1 imoiliiou af, iDstni mental mi^tliod, ^^^^^f Aecoudnry embryunie, 91 500 ^^^^^^ utero-iiliifeiital, 8T inanuHl methctd, 50«) ^^^H CiiivicLu, fmr-turi' at nl hitilh tlBO shortne;*.^ of, a can»t? of d VBtuCil* 4*1 ^^H Cleft palati% roniiiitioiL of, \!;^ a etinsfl of iiivensioo, 503 ^^^^H CiUoriB, El [1 atomy of, ^^4 dingiHcsiii i»f, 4^ ^^^^H dovtdo|miL'iit of, 113 tre»tmi;nt of, 4bT. ^^^^B doiiciit, Auati^my of, 44 atetJ u«i« o f V ^'f&v 1 ^, 3 HI ^^M ^^^H fijrn^nthiti ot\ HVT. 1^1 fitn-ngth of, 4^ ^^M ^^^^H Clothing in prvjgnuucy, l^ torsion ot 316 ^^H ^^^M »^ new-born i: h i Id, v^3 trt'i^tmeiit of, in twin birthii, 40$ ^^^| ^^^^H Coae:Li lilt ion ft^micntc in oclnifipftia, 538 Cords of paiiger, 111 ^H ^^^^H CocikiD^ in rif^idity «if os <ind cerylx, 418 Cornea^ di-vflnprnrnt of, liN) ■ ^^^^H CVjuhlea, dcvGioprnt'iit of, Uht CoTOUjtl pregnaneyj 360 1 ^^^M Coitus diirLiJgpreKnutH\v« 154 symptoms, course, and tpe»*ment *^ 1 i^^^l ovi^r-frequent, !^ causf of abcrtloDr 343 302 1 ^^^^1 CoU<^ In new-born ebibU 645 Corpora quadrigemiian, dcvetopioei^t of, ^ J i^^^H diagrifi^is of, UA6 Corpuscles^ cologtruni, 1275 ^^H ^^^M tn-titnirnt of, (MO red, number and aiv^ of, at birth, 2(19 ^^H ^^M Cdle«* law, lli:i Corpus luteutih 2^ ^^H ^^^^1 CoUyer, fit; U'i metier, 22U anatomy of, 53 ^^H ^^H Colotitrnm, im, tua spurium, format ion ot 73 ^^| ^^^H action of, on child, 257 verum, formal ion of, 73 V ^^^1 com po«ii lion of, 'iT5 CotyledoUB of jducentA^ 86 1 ^^^H C'dlpiinrynter, &.tt% Craniiil Horifs* fmrrurr ui\ hi infant, 830 ^^M ^^^H ill cervical dilututiot>, 671 Cmnhjcl^i^ TiO ^^1 ^^^1 tV>lpoeystorf.'lt\ im Oraniwlvat, ~M* ^^M ^^^H OdymuR] vai^im^, 2H Cmn i ot um y , 725 ^^M ^^^1 €otoa in eeluttipsta, 537 and ^yniphymotomy* 7^ ^^H ^^^^1 CouJ u n ctiy i t i !a i n ii e w- ho m eh i Id , 64 1 extrsLi tion following, 73 ^^H ^^^H Con.sciou!«ne!is, losc<t of, in eclumpda, 537 jiidkjktiiin for, 'ill, 7'^( ^^H ^^^^1 Con^tijmtlou during prtA^inincy, i^h'y JN jt ju'itih^iblv on living eliifd, 728 ^^H ^^^M Goa»rittitioiial dii^eiiiieit a^ aauM' of abort icm, met t) od of o pe rati n le, Tils ^^H ^^M 342 ou after-couiiug head. T34 ^^1 ^^^H Contnnr of abdomen in pre^timu-y, 131 teehntqni^ of. 725 ^^H ^^^H Con t met 1 un ^, i n Wrm \ 1 1 <ni t, in d i ugnosi^, 1 33 Cmnium uf new born child, 2tTt ^^H ^^^^_ uterine, im, 142, UI5 Creaiii mixtures, Gartner, 3B6 ^^M ^^^^^ can^ of pain. of retoira'd placenta, liTi 1 ^^^H (VjoptT, ligiiment9> of. <K{ of expelling plm-eMta, f?lftf 1 ^^^1 Ctjrd, uoihilieaK iiWnt the neek> eomplicating of ejcpres.'^ion of pJatHuta, ^H 1 ^^^B version, 71H Creolin ^hition an an utitiseplic, '^£30 I ^^^^^^ anotmiliea of, itlH C riii ti¥* vag i nie , 2n ^^B ^^^^^H aaphy3£ia from couiprcMioD of, 6^13 Crura crerebri, development of, IC ^^H ^^^^^^H eare of^ 272 Cru ffih i n g ope* m t lo n^, 7rt:i ^^H ^^^^^^H roil of, nhiHit the ncrk, 315 Cul-de-sac of I><iugltts, HonttiniV <^r 30 ■ ^^^^^^^H roinpn'^ion of. iNfi Cultures of Imt terin from utertjs. *iVS I ^^^^^^ d&nger of tnuiion on, tTTsi fnun vaj^ina, *iOl 1 ^^^^V irijuiT to, it) for4H>)i^ opetation, ^1 Cur»ge in abortion. ai3 I ^^^H insertion of, 015, 517 Curettage for abiirtion^ danger* of, 357 ■ ^^^B interlneini; of, in tmu birtba, 486 in abortion, Sfjil ■ ^^^^H kiioU i 11 , 31 5 operation of, techniqtie of, 35*? 1 ^^^H length of, 315 Cnrette in piM^rjieral cndoro«trltis» San ^^1 ^^^^B ligation of, 271 (^virr, duet£ of, 93 ^H ^^^^H pfKiif^ion of, 31.'i Cvaucistis neonatorum, eansv vtt P^ ^^^ ^^H ^^^V prolapse of, 4BS C>at, cause of dyflt^x^in, 4fiU ^H INDEX. 763 Cyst, ovariaii, resembling pregnancy, 147 C^stocelc, 460 Cysts of Morgagui, 50 of placenta, 314 DEATH, foetal, diagnosis from asphyxia, 637 of large foBtus, indication for embry- otomy, 7*23 Decapitation, 730 -hook, Brann's731 indication for, 497 in transverse presentations, 486 Decidua, atrophy of, 304 diseases of, 303 a cause of abortion, 343 imperfect development of, 304 in ectopic gestation, 365 menstrualis, 71 reflexa. formation of, 86 serotina, formation of, 86 vera, formation of, 85 loosening of, in labor, 194 Decollation in locked twins, 733 Decollator, Braun's, 731 Deformities, pelvic, detection of, 220 in different races, 172 Delivery after embryulcia, 479 rapid, bimannal method, 557 dangers of, with rigid cervix, 558 in pre-eclamptic state, 545 methods of, in eclampsia, 547 recent, positive signs of, 265 probable signs of, 266 uncertain signs of, 266 Dental caries in pregnancy, 405 Development of alimentary tract, 103 of clitoris, 113 of external genitals, 112 of foetus, at various months, 114-116 of heart, 89 of nose, 105 of penis, 113 of parovarium, 111 of pulmonary organs, 107 of sexual organs, 44 of skeleton, 113 of urogenital system, 107 of uterus, HI of vagina. 111 of vulva, 113 Diabetes complicating pregnancy, 562 diagnosis, prognosis, and treat- ment of, 562 Diagnosis of pregnancy, 126 Diameter, of Baudelocque. 221 bisischial. of pelvis, 170 diagonal conjugate, measurement of, 223 external conjugate, 170, 221. in spondylolisthetic pelvis, 443 f(Btal, hi mastoid, 178 hi parietal, 178 » bitemporal, 178 cervico-bregmatic, 178 fron to- mental, 17H occipito-frontal, 178 occi pi to-mental, 178 suboccipito-bregmatic. 178 suboccipito-frontal, XlH intercristal, moasureuioiit of. 222 pelvic, external conjugate, 170, 221 oblique, 170 intercristal, 170, 222 Diameter, pelvic, internal conjugate, meas- urement of, 742 interspinal, 170 pubo-coccygeal, measurement of, 223 sacropubic, measurement of, 223 ti'ansverse, measurement of, 223 true conjugate, measurement of, 222,223 Diameters, external, of pelvis, 170 in spondylolisthetic pelvis, 443 of foetal head, 178 Diaphoresis in eclampsia, 551 in pre-eclamptic state, 544 Diarrhoea in pregnancy, 405 Diet in pre-eclamptic state, 543 in pregnancy, 152 in preventive treatment of eclampsia, 542 in vomiting of pregnancy, 404 mother's, while nursing, 274 Digestion, changes in, during pregnancy, 124 disturbances of, in pregnancy, 399 following labor, 257 of new-born child, 269 Digestive juices at birth, 270 organs during pregnanc3% 152 maternal, changes due to pregnancy, 124 system in new-born child, 269 Dilatation of cervix, digital, 671 of OS uteri, rapid methods of, 559 Dilator, Barnes', in rigid cervix, 454 for cervix, 669 Diseases, constitutional, affecting placenta, 524 contagious, during pregnancy, 155 of amnion, 304 of chorion, 308 of foetal appendages, 303 Disinfection of hands, 616 Dislocation of femora affecting pelvis, 444 Diuresis in eclampsia, 551 in pre-eclamptic state, 544 Douche, bichloride, death from, 621 during puerperium, 619 hot, in delayed labor, 416 in puerperal endometritis, 620 intra-uterine, indication for, 674 in post-partum hemorrhage, 531 in puerperal infection, 620 vaginal, following repair operations, 659 Drainage in Csesarean section, 742 Dropsy, amniotic, dyspnoea from, 124 Drugs as cause of abortion, 343 during pregnancy, 155 for induction of premature labor, 670 in nausea and vomiting of pregnancy, 404 in puerperal insanity, 582 Duct, cystic, mnl formations of, 640 galactophorous, 67 of Botalli, 93 of Cuvier, })3. 94 of Gartner, HI of Miiller. 41, 10f» of Wolff, 107. HO Ducts, hepatic, development of, 107 MiilhTian, 109 Ductus arteriosus, 92, 269 Botalli. fife Ductus arteriosus. communis choledochu.s, development of, 107 malformations of, 640 venosus, 95 H ^^^^^HI^^^^^^H ^H Bntie-ii, flnul, of phyfiiciAU after Iftbor, 247 Ecbimpsiu i» twin pi^j^naucT, 'Mi^ ^^^^| ^H Dvi^urik, jK'lvit^ ill. 427 IMitbidogy of. 540 ^^^H ^^t^^ I>5 ^piHwi d u r ill >^ ]irtig aau cy * J 23 prodmnml imtuhI of. 7)36 ^^^^^ ^^^^^ ill bydraiUDim, 3^1.1 pm^gnosis oC 541 ^^^^^ ^^^^B in prt.'g»aiicy, 407 sti^ge of c^omjL, T^{7 ^^^^| ^^^^^ from ]R'Art Ic^ioii^, 5G1 of iiivo^iou. 5^ld ^^^^1 ^^r Pjitoda. iMU^etl Ijy &sL'iU-», 4^ of touii^ jtiol c)iini€ convtilsioiia, 53S ^^^^H ^^^^ by hlndder ili^ttmyoii, Am iymptonmtubigy of. 531* ^^^^| ^^^^^L hy brow jircst^iitalioii, 46^1 t1ie<iri*:<» cotK'vriiiuM v»use of, 3^7 ^^^^M ^^^^^^ by ralr.'ulus, venieal, 4(1] treiitmiMit of^ 54 1 ^^^^| ^^^^^^^H^ bj cervix « atrr^iM uf, 433 curativt\ 545 ^^^^| ^^^^^^^M impact 101} -lo4 preventive, 542 ^^^^| ^^^^^^^H EetM}«rni, devobprnt^tit of. Td ^^^H ^^^^^^^H by encephflloi'i'k^ 4Bd of ovum, 76 ^H ^^^^^^^^^H by enU^n^cckv 430 tifisui'S d*»velo7*ird from, 70 ^| ^^^^^^^^^^B by Tuvi^ pn\st'nt:tiion, 46S Eetopta t'ordk, r'nuw of, in di^veloptuent, 3:27 H ^^^^^^^H by fit'tu^, a U01 II Allies ofi 46S, iSB Ectopic gestalicjo, ^i(} ■ ^^^^^^^^^^ tUDphyAi'iii!! r»f litnitl, 4^ ftbdominiiJ enUirgemrnt, :C7 ^M ^^^^^^^H cnlftrgcmeiit!^ tir dilntiitiDtia^ 432 prejfiia»ciea without rupture, ^M ^^^^^^^H of betMl ot bodv bv dis^MOe, :i76 ■ ^^^^^^H anomalotis vim l^: lies of, 360 ^^^^H ^^^^^^^^^H largi* sizo of. 487 haJ bit 1 1 ^ uiui) tin, :J7ii ^^^H ^^^^^^^^H by lieni la, i u p tt i im 1 or c ru ml , 462 vbungi.'^ In brr^ti^t.^ 377 ^^^^^ ^^^^^^^^^H by ttydromenhigoci'kt 48B in plHC^niJV. 'Md ^H ^^^^^^^^^H by liydroUitirAtL, 4^*1 eoocumnit ^vitii uterine gestatioa, ^H ^^^^^^^^H by kiiltkt y, ib»sttiri»«, 462 3f)l ^^^M ^^^^^^H by lirnb^, ]M<il:i|im' of, 486 denniii&n of. :i4fO ^^^H ^^^^^^^^^1 ditt^iosb of, :^;i ^^^^1 ^^^^^^H ilfmhlL% ttfCi r fomtb month, 376 H ^^^^^^^H by pi: 1 V ic p ri'iteii 1 at ions, 470 of ititmporiioiK'ui ru|iliir«, ^7t H ^^^^^^H by phi nil birMts 4e:'« prii>r lo foil nil niotiTb, li7l ^M ^^^^^^^^H fay rtM:t iitii rir colon , cii^tciiCioii of, 460 diffc^TfntiiLl dmt^iiwii^ ftrotii iitiortion, H ^^^^^^^H bytikirtl. iiuiliily titj^ilicfl, 4h7 :un ■ ^^^^^^^H by tmn:^vrT^f pn^nttJit km, 4^ distnHmncca of meiiMrtiiition, 371 ^M ^^^^^^H by tript^t.H^ enrlv priiuar%^ nipt ore, IreHlmeut ^^ ^^^^^^^H b V t u morK, iiol i d , u f v Agi iiu or vn 1 v^ of, 3H3 ^^^1 ^^^^^H ttioUif:y of, 3b7{ ^^^H ^^^^^^H by n tern A, autevor^ion of, 455 cxtra|M'rit£itit:w1 rupture, 374 ^^^^H I^^^^^^^H fibririiiyoinn, 4iVl fAlse or spurious labor in. 3H} ■ ^^^^^^^^^H iiiTiiijil *su^^ 455 gcnerAl efiii<!lti.*iionft, coiiecrtimg » ■ ^^^^^^^H ktero-Teribiti, 45t} ffiirns and d iA^nf^isis, 'ITS M ^^^^^^^L polypms of, 4.^ huMiiatiJcele. 372 ^^ ^^^^^^^^ prolntife of, 455 litrmnloma in broad lij^mcrnl, 374 ^M ^^^^^^^B surcubitittii of, 4H6 iDtniperitoiie^l rupture, 3^i ^M ^^^^^^^1 bj VUlvik, ab9Ci*€>i of, 460 trejvtiiient of, 3R'J ■ ^^^^^^^1 ni o ve men t » of fa' t us , 377 H ^^^^^^H titar full tpnu, trtatnituit of. 38fi ^1 ^^^^^^" vnrico«itii-« of. 459 p«itholog^' of, 3tj5 ^^H ^^^^V t^lai^iflt.at ion of, aitiist.^ of, 400 pelvic pftin ill. 371 ^^^H ^^^f ih'i]miUm at 4U9 placent&l «<niDl(% 37B ^^^H ^ prtn'fiitioH of. 452 pn^wnce of iiia*» in in^lvi^ 371 ^H primary estra'ptritonejil rupture, ^M ^H T?AR, dovi'lopmctit of. 102 ^H Jj cxti'tiutl, drvobtjmifiit of, ](^ IjM-umtoum, 374 H i n tni- pe r h on enl r o pi u rt ^ 372 H ^H Tri1ddU% (1 1 %^id opinion t of, 102 prior to foil rill »v on tU, general con- ^^^B ^m Ecboljca, mil sidomtiftii^ 371 ^^^H ^^ EclHm[tsbi, tu\im» of, cjtcitlnfir, 540 rt'fH'Jited, 391 ^^^H ^^^B nf fiptiil di^titb in. 5^11 at^undnry rupture, 375 ^^^H ^^^^B f»f niiiU'nml dc-jit]i in, 54J fiejKi!* in, trriiiiiient of, 385 ^H ^^^^H prc*d i sprHi 1 n £, o4n »nl^p.'rttutienl ru lit ore. 765 Ectopic gestation, treatment of, prior to fourth month, after rupi- urc, extra-peritoneal, 384 before rupture, 382 general considerations, 382 intra-peritoneal, 383 secondary rupture, 385 after rupture, 383 before rupture, 382 twin, 391 unruptured tubal pregnancy, 376 utero-abdominal or traumatic, 392 vaginal incision in, 382 in septic cases, 385 varieties of, 360 with fcBtus in abdominal cavity, treatment of, 389 in unruptured tube, treat- ment of, 388 subperitoneal, treatment of, 390 Egg-albumin in milk foods, 290 Electricity in inducing abortion, 665 Embolism following induction of abortion, om Embryo, at different periods of development, 114 circulation of, 95 development at first month, 114 folding off of, 82 head-folds. 82 lateral folds, 82 nourishment of, 86 size of, at second mouth, 115 at third month, 115 stages in development of, 114 tail-folds, 82 Embr>'otome, 723 Embryotomy, defined, 723 indication for, 511 in spasmodic contraction of ntems, 418 or CVesarean section, 735 prognosis of, 724, 735 technique of, 725 Embryulcia, 486 for tumors of vagina obstructing labor. Am in bicomate uterus, 453 in breech presentations, 479 indications for, 468, 475, 487, 495 in flat pelvis, 43f> in funnel-sha|)ed pelvis, 430 in obliquely contratrted pelvis, 438 in tumors of pelvLs, 446 Eminence, ilio-pectineal, 162 Emotional influtMices in labor, 201 Emphysema of dead fetus, cause of dys- tocia, 487 EncephaltK'cIe, 627 cau.s(> of dystocia, 488 Endocarditis in foetus, 336 Endometritis, chronic, adherent placenta from 672 diff\ise decidual, 303 " diphtheritic," 591 during puorperium, 265 ! gonorrliGcal, 622 | mixed infection, 599 puer|H.*ral, 591 treatment of, 619 , putrid fonn, symptoms of, 608 septic, 507 ' Endometrium, formation of, aftt?r labor, 253 Enema, administration of, following opera- tions on perineum, 659 saline, in eclampsia, 551 Enterocele, cause of dystocia, 460 treatment of, 460 vaginal, 460 Entoderm, development of, 110 of ovum, 78 tissues develo|>cd from, 80 Epididymis, development of, 110 Epiglottis, development of, 107 Epilepsy a contraindication to nursing, 274 diagnosis from puerperal eclampsia, 540 Episiotomy in cedema of vulva, 459 operation of, 24.3 Epoophoron. i^e Parovarium. Ergot a cause of abortion, 343 of uterine rupture, 509 after removal of adherent placenta, 674 ecbolic action of, 663 in abortion, 663 in accidental hemorrhage, 526 in delayed labor, 416 indication for, 565 in placenta prsevia, 524 in post-partum hemorrhage, 529 in uterine inertia, 416 use of, in third stage of labor, 245 Esbach's test for albumin, 211 Eustachian tube, development of, 102 Eustachius, value of, 95 Eutocia, definition of, 192 Evisceration, indication for, 492 in locked twins, 73;j in transverse presentations, 486 Evolution, spontaneous, in transverse pres- entations, 483 Examination, abdominal, in abnormal con* ditions, 220 in labor, 235 method of 136 record of, 225 ante-partum, 213 record of, 225 bimanual, in ectopic gestation, 378 in pregnancy, steps of, 126 obstetric, abdominal, 213 objects of, 155 pnq>aration for, 131 of child, new-born, 272 pelvic, during puerperium, 265 method of, 138 rectal, during labor, 618 vaginal, 222 during labor, 237 during pregnancy, 153 in labor, 2.T> frequency of, 236 in uterine inertia, 414 pnisence of mass in ectopic gesta- tion, 371 record of, 225 Exercise in pregnancy, 153 Exhaustion fn)m prolonged labor, a cause of I>ost-partum hemorrhage, 527 Exomphalos. 4})2 Exostostni as cause of pelvic deformity, 445 Expelling powers in labor, 157 Expulsion of fu'tus, mechanism of, 201 External genitals, clianges due to pregnancy, 122 Extraction in craniotomy, 728 in sympliysiot<miy, 752 76G INDEX. Extra-uterine pregnancy. See Ectopic ges- tation. Extremities, development of. 113 first appearance of, 114 Eye. development of, 99 Eyelids, development of, 101 FACE presentations, 46.5 abnormal conditions in, 467 diagnosis of, 466 from breech, 472 etiology of, 465 frequency of, 46.5 head moulding in, 468 management of, 468 mechanism of. abnormal, 467 normal, 467 mento-)>osterior, indication for sym- physiotomy in, 746 positions, relative frequency, 465 prognosis of, 466 Facial paralysis, from forceps operation, 681 in new-born child, 630 Fainting in pregnancy, 40(> Fallopian tubes, anatomy of, 45 blood -supply of, 56 changes in ectopic gestation, 365 development of, 111 fimbria} of, 48 mucosa in ectopic gestation, 363 mucous lining of, 50 nerves of, 57 pathological conditions favoring ec- topic gestation, 364 vessels of, 56 Fallopius, tubes of, 111 Faradism for tardy involution, 265 in birth paralyses, 631 in post-partum hemorrhage, 532 Fascia, anal, 40 obturator, 'xVS pelvic, 35 vesical layer of, 35 recto- vesiail, 35 function of, 650 superficial, of perineum, 33 Fat, comparison of, in human and cows' milk, 279 deficiency of, in milk, 290 human va. cows' milk, 279 in milk, eflect of sterilization on, 286 method of increasing, in milk, 282 Feces of the infant, 2i)2 Feeding of infant, amount of, 290 artificial. 278 bottle. 278 cream mixtures, 284 forced, 291 frequency of, 290 mixed, 278 modified milk, 281 nursing-bottle, 290 peptonized milk, 284 requirements of substitute food, 279 tabic of age interval and amount, 291 of fncpiency and quantity, 277 variation of food-elements in milk, 2H9 of new-born child, precautions in, 647 prenmture child, 2J)7 substitute, 278 Fertilization of ovum, 75 Sibroid, submucous, resembling pregnancy, 144 tumor of uterus resembling pregnancv, 147 Fibroma, uterine, secondary hemorrhage from, 534 Fibromyoma of uterus, a cause of dystocia, 456 obstructing labor, 456 treatment of, 457 with pregnancy, diagnosis of, 457 Filum terminale, 98 Fimbria ovarica, 49 Fissures of nipples, 568 treatment of, 568 Flexion of foetal head in labor, 202 FoBtal anomalies, production of, 335 appendages, anomalies and diseases of, 303 development of, 82 death, 637 development, anomalies of, obstructing labor, 486 exhaustion an indication for use of for- ceps, 680 head, abnormal occipito-posterior posi- tions of, 463 approximate diameters of, 179 bones of, 175 changes in diameters of, in labor, 180 circumference of, 179 compression of, with forceps. 677 detached from trunk, deliver^- of, 696 determination of position of. 767 'oetusy auomalies of, developmental, absence of interual organs, 321 or malformation of pelvis and extremities, 321 or stunting of largo sections of body, 317 of separate parts, 317 partial, of heart, 323 acardiacus amorphus, 317 aeephalus, 317 acheilia, 321 acormuH, 317 acrania, 317 acromegalic, 329 aglossia. 321 agnathia, 319 anielus, 321 amorphus, 317 amyelie, 321 anomalous position of parts or organs, 3.'I0 aprosopus, 320 apus, 321 arrested development, meta- morphosi.s, 323 arrest of development, 325 atresite, I^23S causes of dystocia, 462 cleavage, 325 cranial and vertebral, 326 intestinal, .'^7 of chest and abdomen, 327 of lii)s, jaw, and i>alate, 326 vesical. 327 cloaca formation, with abdom- inal and vesical cleavage, 327 with closed bladder, 327 with vesical cleavage, :J27 club-foot, varieties of, 328 congenital luxations, 328 craniopagus, 329 cranioschisis« 326 cretinismus, 318 cryptorchisnius, 328 cyclopia, 31 rt dextrocardia, 330 dicephalus, 329 diprosopus, 329 dipygus, :i2J> diverticula, 328 diverticulum, Meckel's, 328 duplication of upper and lower ends of bodies, 329 dwarfs, 323 dy^topiie of separate organs, 330 ectopia cordis, 330 vesicai urinarise, 330 engiustrius, 3.30 epigastrius, 330 epignathus, 'XVi e pi spud ills, 327 fistula coli (-(Migenita, 326 ftetus in f(rtu. :j:W) from arnsted development, 323 fusion of kidnoys, 323 gastroschisis, Ifc/? genital organs, arrested develop- ment of. ;{2l giants. \V*S) hare-lip. 326 heniicruuia. 317 FoBtos, anomalies of, developmental, her- maphroditism, 324 hermaphroditites, 324 hernia peritonealis congenita, 327 hydrencephalocelo, 326 hydrencephalus, 329 hydrocephalus, 329 hypertrichiasis, 329 ischiopagus, 329 janiceps, 329 luxations, congenital, 328 macrocophalus, 329 macrodactylia, 329 macroglossia, 329 macrosomia, 329 malformations of face, 320 of vertebral column, cord, chest, 320 microbrachius, 321 microcephalus, 317, 323 micromelus, 321 micropus, 321 microsomia, 323 monobrachius, 321 monopus, !^21 monstra duplicia, 329 per defectum, 317 per excessum, :i29 per fabricam alienam, 330 triplicia, 330 mylacephalus, 317 nausomia, 323 of heart, 323 organs, absence of, 321-323 over-large development, 329 pathology of, 317 perobrachius, 321 l)eromelus, 321 peropus, 321 phocomelus. .321 polydactylie, 3.'K) polymelia, .'i.30 prosopothonicopagus, 329 l>arasiticus, 320 pyopagus, 329 rachifiagus, 330 rachischisis, .326 single parts, abnormallv small, 323 situs transversus, 330 spina bifida, 326 supernumerary extr«»mities, 330 formation, 32J> organs, 3.30 ^ polydactylie, 330 polymelia, 'XVS sympns. 321 synci phalus, 329 syren formation. 321 tali])o-nianns, 32f< teratu anacutadidyma, JJ29 uiiadidynia, 329 cutadidynia. :^29 thorac<ipagus (Siamese twins), thoraropns parasiticus, 330 uterns duplex, 325 unicornis. .'J25 appendaui's of, d<'V<'lopnient of, H2 at dirt'erent |M>nods of development, 114 attitude of. 1!»1 calcification after spurious labor. 381 768 INDEX, FoDtus. cerebral hemorrhages iu, 333 circulation, 88 circuuifereiice of head of, 179 coutlitious of, iudicatitig forceps, 680 dead, altsorptioii from, 487 a contraindication to use of forceps, 679 emphysema of, 487 death of, 637 an indication for induction of abor- tion, 662 calcifi<>ation, maceration, mummifi- cation, putrefaction, 334 diagnosis of, 334 in placenta pnevia, 519 delivery of trunk of, 206 descent of, in labor, 120, 201 development of, at first month, 114 diagnosis of death of, 334 diseases of. 3:^2 cephallisematonia, 333 classification of, 332 fa^tal infection, 333 heredity, Ii,'J2 infiammation of, 333 prinne via», 337 eff*ect of eclani])$iH upon, 537 enlargement of head or body of, by dis- ease, 488 errors in development of, 334 flexion of head of, in labor, 202 head, circumference of, 179 diameters «)f. 177 measurements of, 177 mobility of. 1H() moulding of, 179 in labor, 207 obstetric anatomy of, 175 planes of, 179 heart, auscultation of, 218 diagnosis of location of, 218 heart-sounds of, 13-1, 136 hemorrhage of, 333 hereditary disease of, 332 in fe<'t ions diseases of, 333 infiammation of. 'XVi in uterine inertia, 414 large size <)f, cause of dystocia, 487 length of. in liust months of pregnancy, 151 loc-ation of back and small parts of, 213 malnutrition of, .3,'M mal)K)sition of head of, obstructing labor, 4(>2 manaigement of birth of trunk, 243 mature, length of, 180 weight of, ISO mensuration of, in determining date of labor. I.'jO method of expulsion, 201 mortality of. in precipitate labor, 412 moulding of. in breech preseutations, 473 movements of, in diagnosis, 133 in ectopic gestation, 377 muinniiticjition after spurious labor, 381 palpation of, in pregnancy, 144 papymceus, oernrnrnce of. 300 parts of, in diagnosis, 132 ]»atliology of. 317 rotation of head of. in labor. 203 size of, at different stages. 769 Forceps, obstetric, indications for use of, 679 Jewett's, 677 lever action of, 678 Levret's, 677 lock of. 676 material of, 676 Naegele's, 677 Plot's, 677 pelvic curve of, 676 prerequisites to use of, 678 rotative action of, 678 shanks of, 676 short, straight, 676 Simpson's, 677 Wallace's 677 operation, 684 amount of tractile force in, 691 cephalic application, 687 dangers of, 681 extraction in, 687 general rules in, 692 high, 684 introduction of first blade, 685 of second blade, 686 line of pull in, 690 locking, 686 low. 684 median, 684 posture of patient in, 683 preparation for, 682 steps of, 685 traction in, 688 Palfyn, 675 paralysis caused by pressure of, 631 pelvic application of, 685 PouUet's, 696 rupture of symphysis pubis from, 512 shanks of, 676 Smel lie's, 675 to after-coming head, 695 value of, compared with symphysiotomy and version, 721 with malacosteon pelvis, 441 Fore-gut, development of, 82 Fornix of vagina, 26 Fossa, ischio-rectal, anatomy of, 30 navicularis, anatomy of, 20 Fourchette, anatomy of, 20 rupture of, 651 Frssnulum, anatomy of, 19 of labia minora, 19 pudendi. See Fourchette. Freeman pasteurizer for milk, 287 Frontal protuberance, 177 Fundus uteri, anatomy of, 5S location of, by abdominal examina- tion, 132 Funis, presentation of, 498 reposition of, 500 Fnrbringer method of disinfection, 231 GAIT, changes in, due to pregnancy, 124 Galactocele, 574 treatment of, 574 QalactorrhoBa, 574 Gall-bladder, development of, 107 Gartner, duct of, 111 modification of milk, 286 Gavage in infant food in k, 2J)1 Gclatin-watcr in diluting milk, 279 Genital fold. 110 groove, 112 49 Genital labium, 112 organs, diseases of, in foetus, 338 tubercle, 112 Genitalia, care of, in puerperium, 261 diseases of, in fcBtus, 338 Genitals, cleansing of, for forceps operation, 682 external, development of, 112 during pregnancy, 122 Germinal epithelium, 110 spot, 74 vesicle of ovum, 74 Gill arches. See Branchial arch. clefts. See Branchial clefts. Glands, Bartholin's, anatomy of, 21 Duverney's, 21 mammary, anatomy of, 64 of Montgomery, anatomy of, 64 Skene's, anatomy of, 44 thymus, development of, 104 vulvo- vaginal, 22 Glandulfe vestibuli minores, 21 Glaus clitoridis, anatomy of, 24 Glonoin in eclampsia, 551 Glottis, development of, 107 Gloves, operating. 232 Glycosuria during pregnancy, 562 Gonococcus in puerperal infection, 585 Graafian follicle, anatomy of, 52 development of, 72 H HEMATOCELE in ectopic gestation, 372 HsBmatoma of broad ligament, 374 of vagina, 513 of vulva, 573 of vulva and vagina, 513 cause of dystocia, 459 symptoms and treatment of, 514 Hsematometra, 134 simulating pregnancy, 148 Hemophilia, post-partum hemorrhage caused by, 5-27 prenatal, 333 Haines' method of computing urinarv solids, 211 Hammock-bed, Ayres, 513, 755 Hand, prolapse of, 482 Hands, cleansing of, 230, 682 disinfection of, 616 Hare-lip, formation of, 326 Hart's law, 467 Hoad-b«'nd, primary, 96 Head, constriction of, by uterus in breech presentation, 477 delivery of, in podalic version, 719 extraction of, in breech cases (Smellie method), 478 forceps extraction of, in breech presen- tation. 478 impaction of. in breech presentation, 473. 478 mal rotation of, in breech presentation, 480 manual extraction of, in breech pres- entation, 478 -moulding, absence of, in ossified skull, 487 in brow presentation, 469 in contracted pelvis, 429 in face presentation, 46H in justo-minor pelvis, 429 in occiput-posterior cases, 463 occiput posterior, cause of dystocia, 462 770 INDEX. Heads, foetal, detection of, in mnltiple preg- nancy, 'Jit2 Heart, anomuliea of development, 323 auricular canal of, 90 cardiac disease, complicating pregnancy, 5m treatment of, 564 changes in, during pregnancy, 123 development of, 89 of foramen ovale, 91 of septum inferius, 91 supcrius, 90 of truncus arteriosus, 91 disea.ses of, in foetus, 336 embryonic, size of, at first month, 115 fcKtal, causes of inaudibility of, 136 examination of, 136 heart-sounds in pregnancy, 134 location of, 21 H sounds of. 134 infantile, congenital malformations of, G2S lesions of, in pregnancy, r)63 malformation of, in new-born, 628 of new-born child, 26f< palpitation of, in hydrnmnios, 305 physiological hypi^rtrophy of, 563 -sounds, feebleness of, 306 fwtal, 115 in pelvic preset n tat ion, 471 in transverse prt»sentation, 482 two, in plural pregnancy. 302 stimulants, use of, in cardiac disease complicating pregnancy. r»<J."> symptoms of valvular diseus4> of, 564 valvular disease of, complicating preg- nancy, 56^) Heat, dry, for antisei)sis, 228 moist, for antisepsis, 22H Hegar's sign in diagnosis. 140 Helix, development of, 103 HcniicephaluA, 489 Hemiplegia, from force]»s oi>eration, 681 in newborn infant, 632 Hemisphen*s, cerebral, development of, 97 Hemorrhage, accidental, 516, 524 appanMit, 52.") diagnosis from placenta prajvia, 518, 525 diagnosis of, 525 525 etiology 525 prognosis of, 525 treatment of, 5!25 varieties of, 521 concealed, 525 as cause of abortion, 345 at night only in certain cases of abor- tion, 317 cerebral, in newborn infant. 632 following abortion, 350 fr«»ni <*ircular artery, r»<JO from utfriin' contractions, 194 in abortion, 'M7 in ectopic testation, 36S, 379 in f(!»tu<. 3:53 in f(Ptal diM>aso, 336 in hydraninios, 30() in pla<u*nta pnvvia, 516 c<nitrol of, 520 in thrombosis of vulva, 513 intracranial, at birth, (J.30 from forceps operation, 681 Hemorrhage of placenta prsevia, 516 post-partum, 529 etiology of, .527 frequency of, 527 in placenta pnevia, 523 in twin births, 493 preventive treatment of, 529 relation to pi'lvic deformity, 452 secondary treatment of, 533 symptoms and prognosis of, 528 treatment of, active, 529 }»rophylaxis, 529 with justo-miyor pelvis, 427 with tumors of uterus, 457 renal, in foetus, 338 secondary post-partum, 533 source of. 516 umbilical, in child, 638 unavoidable, 516 uterine, 516 demanding use of forc4»p6, 680 following precipitate labor, 414 in false labor. treatment of, 356 Impregnation of ovum, site of, 75 Incubation for premature children, 294 period of, ^)7 Incubators, 294 temperature of, 294, 295 Inertia uteri, 413 indication for forceps in, 680 in twin births, 493 retention of ))lacenta from, 672 Infant mortality with prolapsus funis, 499 new-born, cyanosis of, 628 over-fee<ling of, 291 premature, care of, 293 feeding of, 297 stools of, 292 weight-chart of, 292 weight of, at birth, 292 Infarcts of placenta, 312 Infection, auto-, 599 intra-partum, 610 maternal, from dead fcetus, 334 puerperal, 581, 583 from gas bacillus, report of a case, 567 umbilical, 640 Infectious diseases as cause of abortion, 34 2 during pregnancy, 155 Inferior stmit, 162 Infundibular pregnancy, 3iH) Infusions, saline, after post-partum hemor- rhage, 5.'i2 Insanity, puerperal, 576 etiolo;;y of, 57() forms and symptoms of. ,557 prcMlnnnal jK-riod of, 57^ prognosis and treatment of, .580 Inspection of abdomen in diagnosis, 131 Instruments for repair of vaginal lacera- tions, 6,'»4 sterilization of, 228 Insufflation, direct, in asphyxia, 634 Intercourse, sexual, during pregnancy, 154 Interstitial pregnancy, 360 Intestinal fermentation in newborn child, 646 I Intestine, development of, 106 ! Intestines of newborn child, 270 Intraspinal cocainization, 241 Intravenous ii\jection of salt solution in post-partum hemorrhage, 532 Introitus vaginae, 21 Inversion of uterus, complete, 501 frequency, 501 partial, 501 prognosis and treatment of, 504 Involution, in abortion, 349 tardy, 264 lodoform-gauze tam}>on of uterus, 531 I Iris, development of, 100 Iron in pre-eclamptic state, 544 in puerperal insanity, 582 Ischio-rectal fossa, anatomy of, 30 Ischium, spine of, as an obstetric landmark, 103 tuberosities of, 163 Islands of Pander, 88 Isolation in treatment of puerperal insanity, 581 JACXiUEMIX sign in diagnosis, 139 Jaundice, 641 Jewett sign in diagnosis, 140 Joints, ]>elvic, mobility of, 162 sacro-coccygeal, 160 sacro iliac, 160 symphysis pubis, 161 KARYOKINESIS, 76 Kidney, development of, 109 Kidneys, diseases of, in foetus, 338 in puerperal eclampsia, 537 floating, cause of dystocia, 462 horse-shoe formation, 323 of newborn child, 270 Kiestein, 125 Knee-chest iwsition in threatened abortion, 352 Knife of Farabeuf, 749 of Galbiati, 749 LABIA majora, anatomy of, 18 develoi)nient of, 113 minora, anatomy r)f, 19 changes produced in, 20 development of, 113 fnennlum of, 19 l>rtpputium of, 19 labium, absct'ss of, 4<>0 Labor, abdominal examination in, first stajic, 2.'{r» actidrntjil, complications of. 