None
^M Bbow, 2<X» 527 ^H tliiiiiiiii): of cervix, 201 seqticlit^of, 412 ^^^^ ^^m followiug cjpenitious for uterinw di»- treat niiint of, 412 ^^^^M ^^M pla^emi'iits, loll predict ion of date of, 150 ^^^^H ^H geiK^ral nil^w in mjinag^iwewt of, 237 pri'Uialtire, XiS ^^^^H ^^B li€ii>ijrrhH^'r> in, ,>H> causes of, ti'ie ^^^^H ^V li jk' d rrjH t u t i < ' 1 n ss 1 3 r e i 11. 1 96 dcfiniiion of. 340^ mi ^^H iDiiuatnr(?4 treaUui^iit of, 354J in d uei i on of, m 1 ^H in bictirnatti nieru5, 45a in oliliiincly contract«d p^^| ia coniprcsj^i d pelvis, 440 4,1"^ ^H i nd m-tr'iu 1. r. i n n mT*ni isi, 406 in multiple prcfinancy, iMf2 ^H in c< l5im|Hii*^ 547 lUt^thodEi of inducinff, IfTO ^H In tiyclranndtiN. 3(V5 0|wr4tion of induction ttf, tSTO ^H ill prtiH^dkiiiptic stilt e, 544 treutnicnt of, 35^ ^.^^B. K muse s 111 t: t li^id , 520 prematurity of, in plural birthi, 4Sil^H inHtienctr (if contT!ic!ted pel Vim qh^ 428 prcpunition for, 2ri3 ^H m kypliutic peh Ir, 1-lH of iK'd for, 234 ^M in scoliotic pelviSt 449 of patient for. 23Q ^H in twin liirths, 493 of room for, 2^i3 ^^M irrejfulurity of action of utcnia in, 417 prepunUury tieatmt'nt for, 211 ^H Mianflu* iiifTit nf, 211 prohublu date of, Mil ^^M ^rst T^tiii^Q in, 2'U pro^^iiwis. ill nurami, 23t» ^^H in birth of trunk, 243 prolonged, cent ml piLniJjdla fnHn, €^H 1 in bnav |m"StntHtiont 470 record ot 225 ^^M in f!M!i* i>rrsenttiticjn, 4fEf4 retraction of petvir flot*r in. 2O0 ^H ] n ui u 1 1 i pi e pri^ic i ( un cy , .302 second Mnj*v *>f, 2ihi ^H i n oci' i p i t o- pruite r i or easi^s, 464 cllnieul phenomena ot 2*-Hj ^H in pijlvje pn^eritntion. iTS dclivcr>'of Inink in, t'CNt ^M in placenta popvia, 520 dc.»eeiit in, nieelKinisni of, ^1 ^H m phi ml births. i\m exiimi nation during, i!:»7 ^H ia Hc^'ond sta>ix\ 2.T7 exlc>n:iiou in, niriltaniim of, 204^H in tniiisversti presotitntion, 484 extt^nmi rotation in, merbauiii^^l mecbaiik^al elonii'ubi of, 157 ^y ^H mecbiinism of, 192 fjt'xhin in, nieclmnti^nj of« 2tB ^H anomsiiits, 40'J njaoagcnicnt of, 'Si7 ^^ i^f f X pi- 1 Ian t forces, 411 nHiuldinif of head in, 207 in lirfiw presentation, im reatitntion in, mechanism of. 773 lAbor, spasm of aterus in, diagnosis of, 417 prognosis of, 418 treatment of, 418 spurious, changes after, 380 in ectopic gestation, 380 stages of, 192 third stage of, clinical phenomena of, 209 management of, 244 uterine retraction in, 196 vaginal examination in first stage, 235 walking about in first stage, 236 with contracted pelvis, 420 treatment of, 429 with foetal monstrosity, 497 with " funnel-shaped " pelvis, 430 with justo-mt^jor pelvis, 427 with justo-minor pelvis, 428 with pelvic anomalies, 430 with spondylolisthetic pelvis, 444 Laceration of })erincura, immediate suture of, to prevent infection, 619 repair of, 652 vaginal, 649 complete, 656 immediate repair of, 649 walls, 251 vulvar. 649 complete, 656 immediate repair of, 649 superficial external, 651 Lact^ktiou, 257 during puerperium, 257 length of period of, 258 termination of, 263 Lactose in urine, 125 during pregnancy, 562 Lanugo, disappearance of, 116 Larynx, development of, 107 Laxatives for use in pregnancy, 154 Lead-poisoning a cause of abortion, 342 Lecithin in milk, 2S() Ltmion juice in i>ost-partum hemorrhage, 5;u Levator ani, action of, 649 Ligament, auo-coccygeal, .'^2 broad, development of. 111 (mesosalpinx), anatomy of, 46 greater 8acro-s(;iatic, 163 iiifundibulo-pelvicuni, 46 interosseous, 160 lesser sacro-sciatic, 163 of bladder, IY7 of Cooper, 6($ of ovaries, 53 of pelvis, 160 of uterus, 62 pubic. 161 round, of uterus, 53 rigidity of, 134 sacro-iliac, KJO sacro-sciatic, greater, 1(J3 lesser, 163 relation to ^tvU'w outlet, 163 suspensoriuni ovarii, 46 triangular, 31 anatomy of, .'H" uterine, anatomy of, 5.3. 774 UiDEX. Mttnaffoinent of labor, 234 Manual dilatation in eclampsia, 552 in placenta praivia, 522 extraction in i>clvic presentations, 478 Massjige in birth paralyses, G32 nianmiary, 572 Mastitis. 570 etiology of. 570 forms of, 572 in new-born child, 038 treatment of, (>38 prophylactic treatment of, 572 symptoms of, 571 treatment of, 572 8U])pu ration in, 573 Masturbation, changes in breast from, l.'tO Manricean method of manual extraction, 478 Maxilla, inferior, development of, 104 frsicture of, at birth, G30 Maxillary pn)cess. 104 Mcl-»ean's bag in placenta ])rtevia, 522 Meatus urinarius, anatomy of, 21 Meconium, 21>2 in diagnosis of breech ciLses, 471 MiMlulia ol)longata. development of, 98 MeduIIarv groove, 80 plat4.\ K) Melancholia, puerp<'nil. 578 Membrana granuh»Ka of (Graafian follicle, 53 Membrane, itseudo-diphtheritic, in puerperal vaginitis, 51 »2 Membranes, adhesion of. 208 caution in delivery of, <)72 conditions of, for application of forceiw, «7!> detachment of. 208 early rupture of. 198 exam i nation of, 215 in premature labor, (wl in face presentations, 4<)8 in multiple pregnancy. 3(K) premature rupture of. a cause of pro- lapsus funis. 498 rupture of. 201. 2:J8 during lalM)r, 2158 • in accidental hemorrhage, 52f» in partial detachment of placenta, 520 in uterine inertia, 41<) gepanition of. in induction of labor, (»71 uterine development of, 82 with twins, .300 Meningeal ap< ])lexy in newborn child. 6,32 Meningitis, diairnrwis from eclampsia, 541 Meningocele. ♦127 Menstrual discharge, 71 Menstruation, apparent, during ]>regnancv, 127 caus«'s of, 71 character of discharge, 71 coincident with ovulation, 73 disturbjiiices of, in wtopic gestation, 371 dunition of, 71 in pregnancy, 12(> normal. 71 occurrence of. 71 physiolotry of. "i 1 return of, after labor. 240 suppH'ssion (»f. diagnostic value, 126 Mental affections in pregnancy, 407 condition, care of. during puerperium, 261 during pregnancy, 155 Mental impressions a cause of onset of labor, 195 rest in puerperium, 260 Mercurial oiutmout in congenital syphilis, 644 Mercuric chloride as an antiseptic, 229 iodide as an antiseptic, 229 Mesenchyme, 79 Mesentery, development of, 106 Mesoderm, development of, 78 of ovum, 78 tissues developed from, 80 Mesogastrium, 105 Mesorectum, 32 Mesot helium, 79 Metritis, chronic, 146 pueri»eral, 595 Metrorrhagia, a contraindication to nurs- ing, 274 Milk and cream mixtures. 284 changes in, from sterilization, 287 condensed, 288 cows', dilution of, 281 mtKlifying of. Mons veneris, anatomy of. 17 Monsters, double, obstructing labor. 497 fa»tal. diagnosis of. 467 relation of, to lalM>r, 497 Monstrosities in multiple pregnancy, 301 obstructing labor. 496 Montgomery, follicles of, 130 glands of. 65 Monti modification of milk, 285 INDEX. 775 Morbus Cffiruleus, causes of, 96 Morgagni, cysts of, 50 Mortality in eclampsia, 543 maternal, in concealed *' accidental hem- orrhage," 524 in placenta prsevia, 31H in podalic version for placenta prsevia, 523 in rapture of uterus, 511 Morula of ovum, 77 Mother, examination of, after labor, 246 dangers to, from vei*sion, 714 Moulding of festal head, 207 excessive, 629 Mouth, development of, 103 Mnller, ducts of, 44 Mummification of foetus, 334 Murphy binder, 572 Muscles, abdominal, action of, in labor, 158 coccygeus, 40 compressor urethras, anatomy of, 44 constrictor vaginte, anatomy of, 34 corrugator cutis ani, 30 erector clitoridis, anatomy of, .'i4 Guthrie's, 44 ii\juries to, in newborn child, 530 internal sphincter ani, anatomy of, 31 ischio-bulbosus, 34 ischio-cavernosus, 34 levator ani, anatomy of, 37 obturator internus, anatomy of, 35 relation to parturient canal, 173 plates, development of. 81 pyriformis, anatomy of, 35 relation to parturient ciinal, 173 sphincter ani externus, anatomy of, 32 internus, anatomy of. 31 vaginflB, anatomy of, 21, 34 transversus iM>rinei, anatomy of, 34 Muscular system, diseases of, in fcetus, 338 Myomata, uterine, with prolapsus funis, 498 Myotomes, development of, 81 NABOTHIAN follicles, 61 Naegcle's rule, 150 NfiBvi, :i.37 Xaphthalin internally, indication for, 582 Nasal passages, development of, 105 pits, 105 proce^ss, 105 Nausea and vomiting, diagnostic value of, 127 during pregnancy. :«)9 Navel, protrusion of, 131 Neck-bend of embryonic brain, 96 Nephritis, acuti\ an indiciition for induction of abortion, ()62 Nerves of Fallopian tubes, 57 of mammary gland, 70 of ovaries, .57 of pelvic floor, 54 of pudendum, 54 of uterus, 57 of vagina, 55 Nervous system, brain, neck-bend, 96 primary heud-berid, J)6 Varolian bend, 1)6 central, development of. 96 changes in, during pregnancy, 125 diseases of, contraindication to nursing. OATMEAL-water in diluting milk, 281 Obesity vh. pregnancy, 146 Obstetric examination, objects of, 155 surgery, 649 Obstetrician, armamentarium of, 227 duties of, during labor, 211 Obturator foninien. 1(53 Occipital protuberance, 177 Occiput, 177 Occiput-posterior cases, abnormal forms, 463 diagnosis of. 462 mechanism of labor, 462 (Edema during pregimncv, 123 fcEtal, 3.1S general, of f(rtus obstructing labor, 491 in hydramnios, 305 of vulva, cause of dystocia, 459 suprapubic, in plural pregnancy, 302 Gilsophagus, development of, 105 Oidium ulbic4ins, fM4 01fact<»ry plates, 105 Oligo-hydramnios, 304 in plunil births, 493 776 INDEX, Oligo-hydramnios, relation of, to talipes, 338 Omentum, development of, 106 Omphalo-mesenteric vessels, 91 (huphaloeele, 316 Oophoritis, puerperul, 595 Operating gown, 662 suit, 23-2 Operation for immediate repair of internal vaginal lacerations, 653 of lacerated cervix, 660 Operations, episiotomy, 243 for perineal oinrations, 653 Operative interference in delayed labor, 417 Ophthalmia neonatorum, 641 treatment of, 6-12 Opisthotonos in eclampsia, 536 Opium in abortion, ;J51 in "accidental hemorrhage," 525 in delayed labor, 415 in eclampsia, 546 in threatened abortion, 351 in uterine inertia. 415 Optic cup, primary, 99 secondary, KK) nerves, develojuuent of, 97 vesicles, develojunent of. 97 Oral plate, 103 Organic diseases as cause of abortion, 342 Organs, abdominal, enlargement of, re- sembling pregnancy, 147 of Rosen miiller. S^e Parovarium. development of. Ill of sfiecial sense, development of, W Osseous system, changes in, due to preg- nancy, 124 diseases of, in frrtus, 3."i8 Osteophytes, pnenMiral, 124 Ostium vagi me, 21 Otocyst. i^e Auditory vesicle, 102 Outlet, pelvic, diameters of, lf>H landmarks of, 163 plane of, 1(>5 Ovarian cystonm, diagnosis from hydram- nios* 306 pregnancy, .'JTJO Ovaries, anatomy of, 50 nerves of. Tu ve«s<?ls of. 57 Ovary, cortical zone of. Ty'l cystoma m. pregnancy, 147 development of, 110 tumors of, cause of dystocia, 461 tunica albu^inea of, 52 zona vjuscnlosa of, ,52 Oviducts. SV<' F'allo)>ian tubes. Ovula of Naboth. 61 Ovulation, physiology of, 72 Ovum, changes in, in ectopic gestation, 365 development of, 73 fertilization of, 73, 75 loosening attachnient of, in labor, 194 matunition of, 73, 74 nourishment of. H3 zona pi'llucida of. 74 radijita of, 71 Oxygen in eclampsia, 5.')3 inhalations in pre-eclamptic state, 544 O/jena a source of infection in puerperium, 55)7 PAD, perineal. 653 Pain in ectopic gestation, 380 Pains, after-, 209, 2'A, 2(>1 Pains in uterine inertia, 413 rupture, 509 labor-, 200 weakness of, 412 Pallor in insanity, 579 Palpation of anterior shoulder, 216 of cephalic prominence, 217 of fa>tal parts in abdominal examina- tion, 132 of lower foetal pole, 214 of upiKir foptal pole, 216 Palpitation during pregnancy, 123, 405 from heart lesions, 564 Pampiniform plexus, 57 Pancreas, development of, 107 Pander, islands of, 88 Paralysis, central, in newborn child, 632 Duchenne's, diagnosis of, 631 in newborn child, 631 Erb's, 631 facial, in newborn child, 630 Parametritis, pueri>eral, 595 Parietal protnl>erance, 177 Par<M')phoron, anatomy of, 53 Parovarium, 111 anatomy of, 53 development of. 111 Pars intermedialis, 2t) Parsley, eclM)lic action of, 663 Passages, maternal, obstructions of, indicat- ing use of forceps, (J80 Patholog>' of ffi'tus, 317 of pregnancy, 299 Patient, disinfection of, prejmratory to lal)or. 613 Pelvic deformities, classification of, 426 fascia, anatomy of. 35 floor, action of, in labor, 159, anatomy of, 32 blood- and nerve-supply of, 54 changes in, due to pregnancy, 122 fascia* of, 649 measureujents of, 173 muscles of, 32-34 retniction of, in labor, 200 segments of, 173 structure of. 173 organs, care of, during pregnancy, 154 female, anatcmjy of. 17-70 hygiene of, during pn^gnancy, 154 peritoneum, changes due to pregnancy, 121 presentation, a cause of dystocia, 470 diagnosis of, 471 etiology of, 470 fnHjuency of, 470 general management of. 473 mal rotation of head, 480 management of siH.Tial conditions in, constriction of head by uterus, 477 impaction of breech, 475 of head, 478 non-i'ngagement at brim, 474 upward displacement of arms, 476 mechanism of, 472 abnormalities of, 473 methods of delivery, after embrylu- cia, 479 forceps extraction, 478 manual extraction, 478 INDEX. 777 Pelvic deformities, prognosis of, 472 Pelvimeter, 228 I^adelocque's, 423 Collyer's, 220 Hirst's, 224 Pelvimetry, 422 external, 223 iuternal, 222, 424 in pelvic deformities, 422 prognosis of, 472 Pelvis. See Labor. anchylosis of joints of, 446 anomalies of size, shape, or inclination, 429 antero-posturior diameters of, 422 articulations of, during pregnancy, 122 bony, development of, 113 brim of, 162 plane of, 165 cavity of, true, 163 changes due to pregnancy, 122 compressed (malacosteou), 440 diagnosis of, 440 etiology of, 440 influence of, on labor, 441 pscudo-malacostcon, 441 treatment of, 441 constituent parts of, 160 contracted, forceps in, 680 obliquely (Naegele pelvis), 437 etiology and diagnosis of, 438 from imperfect use of one limb, 438 from lateral curvature of spine, 439 transvei-sely (Robert pelvis), 439 from kyphosis of spine, 440 deep, 4.'W deformities of, 420 8Miuabilitor-ju3to-m^or, 427 jnsto-miuor, 427 causes of, in early lifo, 422 classification of, 426 diagnosis of, 422 distorted by anchylosis of, 446 by double dislocation backward of femora, 444 by fnu'ture of pelvis, 446 by iiyuries, disease, or tumors, 444 by tumors, 444 due to spinal curvaturo, 446 dwarf form, 427 flat, non-rachitic, etiology and diag- nosis of, 430 rachitic, 431 breech delivery in, 434 diagnosis of, 433 etiology of, 4.'W treatnuait of, 435 simple, 4.'J0 frequency of, 4*21 from osteomahwia, 422 from rachitis, 4-*i from tuberculosis, 422 funnel-shH|)(>d, 430 infantile, 427 in ri'lation to post-partum state, 450 justo-minor, etiolojry of. 4'27 treatment of labor in, 429 kyphoA(;oIioti(;. 449 kyphotic, 4 16 diagnosis of, 447 Pelvis, deformities of, lordosis of, 449 masculine, 429 most-frequent varieties, 421 Naegele, 4:J1, 437 obliquely contracted, 436 imperfect development of one sacral ala, 437 diagnosis of, 483 etiology of, 438 influence on la- bor, 438 treatment of, 4.'^ use of one limb, 438 lateral curvature of spine in, 439 psendo-malacosteoD, 433 pseudo-rachitic, 441 rachitic, generally contracted, 433 infantile, 433 rostrate, 433 treatment of labor in, 435 Robert, 439 scoliotic, 448 shallow, 429 split, 446 spondylolisthetic, 442 etiology and diagnosis of, 143 transversely contracted imperfect development of both sacral ala, 439 kyphosis, 440 uniformly contracted, 427 enlarged, 427 diameter of, diagonal cci^ agate, 424 transverse, 167, 424 true coivjugate, 167 doubly obliquely contracted, 439 dwarf, 427 dynamic, 169 measurements, external, 169 internal, 169 examination of, in pregnancy, 168 external circumference of, 170 diameters of, in deformities, antero- posterior, 422 in deformity, transverse, 424 measurements of, in deformed pel- ves, 422 in deformities, oblique, 424 false, 162 fractures of, 446 Hirst's measurement of, 425 inclination of, 1(>(> inferior strait. See Outlet, inlet. See Brim, internal diameters of. 167 meJLsurcnients of, KiH, 424 (lia);onal conjugate, 424 isthmus. See Brim, land marks at brim. 162 at outlet. \i\\\ Lohlein's measurement of, 425 male v», female. 171 measurements oi", 170 of Hirst. 42.', of l/>hlein. 425 middle ]>hinc of, 16.", minor developm(>ntal peculiarities of, 4'29 nuiseles of, 173 obli(|ne diameters of, 424 obstetric anatomy of, 159 778 INDEX, Pelvis, obstetric planes of, 164 outUt of, 16*2 plane of, 1G5 parturient axis of, 174 racial ditierences in, 17:2 .shape of pelvic canal, 1(>8 small, in puerj^eral eclampsia, 540 Hoft ])arts of, 17:? static uiea8uri>mcut8, brim, 167 middle plane, 168 outlet, 168 truf, 162 cavity of, 163 margin of, 162 Penis, development of, 113 Pennyroyal, ecl)olic action of, 663 Perchlorido of iron not to bi> used in jiost- partum hemorrhage, 531 Perforation, indications for, 723 Pericanlial efl^ision, foetal. 401 Perineal bcnly, anatomy of, 41 ledge, anatomy of, 34 sjMice, anatomy of. \Vi bouiidurics <»f, 17 Perineum, anatomy of, IH effect of extensive rupture of, 577 immediate n»pair of. 6.X lacerations of, iXM) in precipitate labor, 412 prevention of, 211 Peritoneum covering the ovary, 52 pi>lvic, 121 Peritonitis, 6()1) in ectopic gestation, 3H0 puerperal 51M> Perivitelline sitace, 74 Permanganate methml of disinfection, 231 Peroxide of livdrogen as an antiseptic, 23() Pfliiger, cords of. 111 Phantom tumor r«. pregnancy, 148 Pharynx, develo^mient of, 104 Phlebitis, i)ueriHml, 5}« Phlegmasia alba dolens, 596 in puer]H'ral infection, 610 Physiology of ovulatioi», 72 of pregnancy, 71-156 Pliysometra, JC^O Pica of pregnancy, 405 Pigmentation in pregnancy, 128, 132 of abdomen in pregnancy, 134 of breasts, 12H of nipples and abdomen, 257 Pilocarpine in eclampsia, 551 in inducing labor, 663 Pinard's rule, 487 Placenta, accessory, 311 adherent, 671 causes of. 672 treatment of, 673 after abortion. ,'i48 anomalies of. 311 of position. 311 of shaiN*. 311 of size, 311 battledore, 31 1 ciih'areous degeneration of, 314 causes of n-tention of, 672 changes of, in tubal pregnancy. ,369 cinunivallata. 311 complete sei»aration of, in placenta pne- via. 779 Planes of pelvis, outlet, 1(>5 Pleura, developuient of, 107 Pleural sacs, development of, 107 Plexuses, nerve, inferior hypogastric, 57 ovarian, 57 venous, of ovaries, 57 of vagina, 55 pampiniform, 57 Plica transversalis recti, 31 Plural births, cause of dystocia, 493 Pneumococcus in puerperal infection, 587 Pneumonia, fcetal, 3.'i7 Polar globule, 75 Polygalactia, 575 Polyhydramnios, 305 Polypi, decidual, 'M6 uterine, secondary hemorrhage from, 534 Polypus of uterus, cause of dystocia. 458 diagnosis fnnn inversion, 504 placental, after al>ortion, 3if) Pons Varolii, development of, 97 Porro-GsBsarean operation, 743 advantages of, 743 for carcinoma of cervix with preg- nancy, 15H indications for, 743 in malacosteon pelvis, 441 t-echnique of, 743 section, indications for. 743 technique of o})eration, 743 Position of child, definition of, IHl determination of, from ftetal heart- sounds, 137 diagnosis of, 213 men to-anterior, indication for for- ct>ps in, 6v-J0 occipito-posterior, indication for for- ceps in, (JHO relative frequency of, 1H2 varietiiM? of, lH-2 of presenting ]»art, determination oC, 181, 1&2 Posterior commiAHU re, 18 Post-partum liemorrhagc, secondary, causes and treatment of, 5.'^3 Posture, definition of. 191 for prolapse of cord, 5()0 obstetric, during labor, 237 of f<Btus, 191 of patient in forceps operation, (583 Pouch, vesico-uterine, 43 Prspputium, anatomy of, 19 Prague grasp in {M^lvic presentation, 47H Pre-eclamptic state, 5^(5 treatment of, 513 Pregnancy, abdominal, 'MiO signs of, 131 without rupture, 370 affected with jnsto-nuyor pelvis, 427 changes in matornal organs caused bv. 117 cornual. 3fW), 39-2 diagnosis of, 12fi abdominal si ens of, 131 au!kMiltati<m, 134 heart, f<rtjil, 134 maternal. 134 murmur, umbilical, 137 nt«'rin<", 137 shcK'k, frptal. 13S insp^Ttion, contour. 131 pigmentation, 132 Pregnancy, diagnosis of, abdominal signs of, inspection, striation, 132 value of, 132 palpation, 92 ballottement, l.'iS contractions, 133 fietal movements, 133 parts, 132 siise of fundus, 132 summary of, 131 history of. 126 mammary signs in, 128 breast enlargement, 128 milk secretion, 130 pigmentation, 128 primary areola, 128 secondary areola, 130 summary of, 128 value of, 130 veins of, 128 nau.sea and vomiting, 127 order of examination, 131 preparation for examination, 131 pelvic signs, early change in uterus, 140 intermittent contractions, 141 method of examination of, 138 purplirih hue of cervix, 139 of vagina, 139 quickening in, 128 salivation in, 128 signs by months in, 145 suppression of menses in, 126 differential, in early months, 146 in later months, 146 diseas(>s of, 394 albuminuria, 398 causes of, 398 diagnosis of, 399 tn^atment of, 399 toxsemia, 394 etiology of, ,394 nature of poisons in, 305 prophylaxis of. ,39(> symptoms and diagnosis of, 395 treatment of, .'{97 disorders of, anspmia, 406 dental caries. 405 dyspnoea. 407 herp4's, 408 mental affections. 407 nausea and vomiting. 399 symptcmis of. 399 treatment of, 402 neunilgia. 408 palpitation. 405 pica or malacia. 405 ptyalism, 404, 405 synco|w, 40({ duration of. 149 early abortion in, 341 evidiMicc of pn'vions. 151 extra-nterinc. S^f K<'topic gestation, general changes during, 122 hygiene of, 152 batliiug, 153 clothing. 15,3 coitus. 154 diet, l."»2 digestive organs, 152 780 INDEX. Pregnancy, hygiene of, drugs, 155 examination during, 155 exercise, 153 infectious diseases, 155 niaiuniary glands, 153 nientiil condition, 155 pelvic organs, 154 rest, 15,3 urine, 151 infundibular, lUH) in patients not inenstruatiDg; 127 interstitial, 3<»() management of, 152 multiple, 'Jim diagnosis of, 301 frequency of, 2i)9 management of labor in, 302 mode of origin of, 21>9 jMithology of, 301 IKjst-iuirtuni hemorrhage from, 527 sex of twins, 300 ovarian, 3(i0 pathology of, 2H9 pelvic signs of, i:« physiology of. 71-156 ])hiral, heart-sounds in, 137 post-mortem evidi'uces of recent, 151 previous, evidence of, 151 recent, signs of, 2<r) signs of. tabnlate<l by months, 145 spurious. diagnc>sis of, 148 tubal, 'MH) rupture of, diagnosis from acci- dental hemorrhage. 525 unrujitund. 37^> twin, diagnosis from hydramnios, 306 value of nuimmary sijjns in, 130 Prennitnre infants, care of. 2J>3 labor, definition of. 340 Preparations for labor. 232 Presentation, breech, jirolapsc of limbs in, brow. I(JJ> definition of, IHI determination of, from foetal heart- sounds. 137 diagnosis of. 213 face, diagnosis and prognosis of, 466 etiology of, 4r»5 head, i>rola]>se of limbs in, 486 longitudinal. \^\ pelvic, abnormalities in mechanism of, 473 diagnosis of. 471 fr<Mjnen<'y <»f. 470 nnmatrenxMit of sju'cial conditions in. 471 relative fre<|uency of, 181 tnms verse, ISI. 4!-$0 deea])itation in. 731 diagnosis of. 4h1 l>odali<' version in. 701 positions in. 4^1 prola]»se of limbs in, 486 s]>ontan<'ous delivery in, 482 varieties of. 4S0 version in, 711 varieties of. 1*^1 vertex, reeognition of. 236 Presentations in twin births. 403 relative fn'C|neney of different, 181 Presenting part, l^l Primifiara, eclampsia in, 540 I*rimitive streak, 80 Processus globulari, 105 Prochownick, diet to prevent dystocia, 452 Prolapse of limbs, 486 Prolapsus funis, diagnosis and prognosis of. 4iK) fn*<|uency and etiology of, 498 indication for use of forceps in, 680 treatment of, 500 uteri, 456 Pronucleus, female, of ovum, 75 male, of ovum, 76 Protargol in ophthalmia, 642 Protul>erances of fcrtal skull, 177 Pseudo-hermaphrodites, female type, 325 male typi*, 324 Psychical disorders from forceps operation, 6S1 influence in jmerperal insanity 576 Ptyalism in pregnancy. 404 Pudendum. anat(»my of, 17 vessels and nerves of, 20 Puerperal fever, epidemics of, 596 infection. 5^3 air a source of, 598 auto-infection in, 599 bacteriology of, 584 curative tnatment of, 619 diagnosis of, 610 etiology of. 5JHi external nuKles of. 598 frecjuency of. (Kr> mwles of exti'rnal. 598 mortality from. GtMi organisms causing. 5h.3 pathological anatomy of, 590 symptomatcdogy of, 607 treatment of, 615 insanity, prognosis of, 580 symptoms of. 577 treatment of, 580 state, definition of, 249 sweats, 257 ulcer, 591 vaginitis, 591 wonnin, care of, 259 Puerpi^rinm, after-pains of, 254 bowels in, 255 care of g(rnitalia in, 261 of patient in, 259 condition of outlet and vagina, 250 danger of infection in, 250 diagnosis of, 2<)6 final examination, 265 lactation, 257 pathology of, 567 physiology of, 249 pulse in, 25() temperature in, 255 urine in, 255 uterine involution in, 251 visits of physicians, 264 Pulmonary congestion in pregnancy from eaniiac disease, 5(>4 organs, development of, 107 Pulse after labor, 25<j chart, 226 during puerperium. 256 foftal, during labor. 201 in acute anaemia, 518 maternal, in labor. 201 with ]K>st-partum hemorrhage, 528 Purgation to induce abortion, 664 INDEX. 781 Parkim'e, vesicle of, 74 Putretftction, intestinal absorption of prod- ucts of, as a caoso of puerperal in- sanity, 577 of fostus, 334 Pyiemia, 596 symptoms of, in i>uerperal infection, 609 Pyosalpinx, 6as Pyrosis in pregnancy, 394 QUICKENING, appearance of, 115 diagnostic valuo of, 128 reckoning dato of labor from, 150 Quinine, as cause of abortion, 343 ecbolic action of, 663 in abortion, 66:) in delayed labor, 416 RECESSUS labyrinthi, 102 Rwjord, obstetric case-, 224 Rectal inje<;tions uf salt solution. 532 Recto- vaginal pouch, 32 Recto- vesical jmucb, anatomy of, 30 Rectum, ampulla of, 31 anatomy of, 30, 173 carcinoma of. cause of dystocia, 460 secondary hemorrhage from, 5;U congenital malformations of, 629 distention of, obstructing labor, 460 impacted, a cause of retained placenta, 672 malformation of, in newlKtrn child, 629 relation of, to parturient canal, 173 structure of, 30 Respiration, artificial, in asphyxia of new- born child, 634 Byrd's method, 635 I^borde's metlxMl, 636 Schultze's method, 6,'i5 changes in, during pregnancy, 123 disorders of, in pregnancy, 407 following labor, 257 in early infancy, 268 of newborn child, 271 Respiratory organs, maternal, changes due to pregnancy. 123 Rest during pregnancy, 153 Restitution of foetal head, 206 Retina, development of, 100 Retraction of uterus, 245 Retroflexion of uterus resembling pregnancv, 146 Rheumatism, chronic, contraindication to nursing, 274 Rickets, effect of, on |>elvis, 432 pelvic deformities associated with, 422 Ring of Bandl, 1<)7 Rings, cervical, 199 Room, lying-in, 2f>l Rosenmiiller, organ of, 111 Rotation, complete, in transverse presenta- tion, 1H2 external, of foptal head, 206 of head in labor, 203 Rotch, cream mixtures, 284 infant feeding, 2k»< Round ligament, uiiatoniy of. IH, .53 Rowbotham, diet to prevent dystocia, 452 Rue, ecbolic action of. in diagnosis. Hegjir's, 140 Jacquemin's, i:{9 Jewett's. 13J), 140 Silkworm-gut suture in vaginal n^pairs, 654 Sinciput, 177 Sinus rhomt)oidal)s. SO terminal is, of placenta, 88 uro-genital, 111 venosns, 91, 94 Situs trans versus, 337 Skelet<m. development of, 113 Skin. changi>s in, due to pregnancy, 124 diseases of. in fo'tus, 339 following labor. 257 of newborn child. 271 pigmentation of, during pn^gnancy, 128 Skull, unduly ossified, cause of dystocia, 487 Sleep in pregnaney. 15.3 Smegma. se<Ti'tion of, 19 Smellie gnisp in pelvic presentations, 478 -Veit method of manual extny;tion, 478 Solutions, antiseptic, 2*ii) S4miatopleure. development of. 82 Souffle, funic, in diagnosis, 137 782 ISDEX. Souffle, placental, in ectopic gestation, 378 uterine, in tliaguoAis, i:{7 8|)ecial M-nses in newborn child, 268 S|)erniatoz(Min, fertilization of ovum by, 76 Sphincter uiii. repair of rupture of, 657 retraction of torn enda of, 657 rupture of, ^^jUi vaginte, 21 vesictt*. 4.* J Spina bifida, (>27 a<voin|>anying hydrocepbalas, 489 cause of dyHt(K'ia, 48J) treatment of, 62H Spinal C4inal at timt month, 114 column of iK>wlM)rii child, 267 cord, columns of, i)H development of, 9H filum terniinale of, 9ti fi«8ure.H of, J»H injuries to, at birth, 630 neural canal of, 9h Splanchnopleure, development of, 82 SpliH'U, anomalous jiosition of, liiil during pn'gnan<'y. 12^{ f(etal, lesions of, IH^ S|>ondylolyHis in trans verm* pre8(>ntation, 486 Sponciylotomy in transversi' presentation, 4ti6 "Spontaneous evolution". 4KJ nire variety of. 483 rupture of uterus. TAK) version, 482 Sprue. !<rf Thrush. Staphylococcus in ])uer]H*ral infection, 585 Steam sterili/jition. 228 Stenosis, anal and rectal, <)29 Sterilitv, dialx'tes a cause of, rj62 Sterilizer. Arnold, 221) Sterno-cleido-mastoid, ha>inatoma of, at birth, Steth<M4co|M> in alMlominal examination. 137 Stimulantj< in post-|mrtum hemorrhage, 530 Stomach, anomalous development of, 331 development of. lOo infantile. ca|mcity of. 291 of newborn child, 269 Strait, inferior, \&2 suiH'rior, l(^2 StreptoctM'cus erysi|H'latus, 598 in pueriwral infection, 598 pyogenes, in i»uerp«'ral inA'Ction, 584 Striation of alMlomen in pregnancy. 132 Strychnine in puerfwral infection. 622 SubcutantHHis injeetions of salt solution, 532 Submammary bursje. <J6 Sugar, human rs. eows' milk, 279 in milk, cflTeet of sterilization upon, 287 in urine following labor. 2.'>5 Sulphoinil in puerperal insanity, 582 Superfeeumlation. 3()1 Superro'tiitioii, .'«H Supi'ifhiul perineal fascia, 3,3 .Snp<*rior strait. 1<".2 Snpernumeniry nipples, .'>f»7 Snppression of menses, diagnostic value of, I2<; Suprarenal capsule. d<>velopment of. 109 Suture of uterus In Cu'sarean se<*tion, 740 silk, usi- of. (>.")7 Sutures, buried <ati;ut. us<' of, ()r>7 of fieyil head. 17r> coronal. 17.'» lanibdoidal. 175 sagittal, 175 Sylvius, aqueduct of, 97 Symphysiotomy, 743 after-treatment of, 755 closure of wound in 753 contraindication to, 747 defined, 744 history of, 744 indication for, 746 in connection with craniotomy, 734 in flat |)elvis. 4*{7 in tumors of pelvis, 445 methods of rest following, 754 mortality of, 745 objections to, 746 present status of the operation, 746 rationale of the o)H>ration, 747 tt^chnique of the o|>eration, 747 value of«^ com|tared with forceps and version, 721 with contracted pelvis, 429 with flat iK'lvis, 436 Symphysis jmbis, 1(>2 rupture of, .S12 causes and diagnosis of, 512 prognosis and treatment of, 513 Synclitism, 2(Ki Syncope, 518 in pregnancy, 406 Syphilis, adherent plai'cnta from, 672 congenital, a cause of icterus, 640 Colics* law. (>43 treatment of, 644 in fcrtu?, ;{,37 of dt^idua, as cause of abortion, 344 of placeuta, 314 TABLE, human and cows' milk compared. 281 Tachycardia, fo'tal.336 TaliiR's. centric, 3:58 Tampon, cervical, in " accidental hemor- rhage," 526 in placenta prsevia, 521 in abortion, ',{^<i of uterus, in ]>oKt-i>artum hemorrhage, 531 vaginal, for induction of premature la- bor. «>70 in inducing atM)rtion, 665 in accidental hemorrhage, 526 in placenta prspvia, 520 to induce abortion. 665 i Tansy, ei'holic action of, 663 Tarnier's Iwg. ,'>21 incubator, 29t> Taxis in repositing inverted uterus, 505 Teeth, caries of. during pregnancy, 405 Tempemture after labor, 255 ( ausi's (»f rises of, in pner)>erium, 610 chart, 22(i during pueri>erium. 255 Temporal fontanelle, 17t> Tents for dilatati<m of cervical canal, 670 Testis, development of, 110 time of descent of. 116 Tetanus neonatorum, 642 tn'utment t»f, 642 uteri. 417 diagn(»sis. 417 prognosis and treatment of, 418 Thorax of newborn child, 2f»8 Thromlxisis following abortion, 668 of vagina and vulva, 513 INDEX. 783 Thrombosis of vagina aud vulva, etiology and symptoms of, 514 treatment of, 514 Thrash, 644 symptoms aud treatment of, 645 Thyroid gland during pregnancy, 123 Tongue, development of, 1(X> Tonsils, development of, 104 • Torticollis in breech delivery, 472 Toxtemia, of pregnancy, 394 theory of, in puerperal eclampsia, 538 Trachea, development of, 107 Tragus, development of, 103 Transfusion in po8t-i)artum hemorrhage, 532 Transverse presentation, 480 causes of, 480 diagnosis of, 481 dorso-anterior position, 481 frequency of, 480 management of, 484 methods of si>ontaneous delivery, spontaneous evolution, 483 version, 482 operative procedures, 484 positions, 481 prognosis of, 482 varieties of, 480 Traumatism as cause of abortion, 342 detachment of placenta from, 524 Trendelenburg posture iu performing ver- sion, 713 in reposition of cord, 500 Triangular ligaments, anatomy of, 34, 37 Triple monsters, 330 Triplets, 4JH) management of labor, 302 Truncus arteriosus, 91 Tubal pregnancy, 360 Tube, Fallopian, changes in ectopic gesta- tion. 365 conditions of, causing ectopic ges- tation, 364 hemorrhages in, in ectopic gesta- tion, 368 low insertion of, a cause of pla- centa pnevia, 517 Tubercular infection in newborn child, 643 Tuberclosis, as a cause of pelvic deformity, 422 cause of abortion, 342 fcetal, 337 in newborn child, (>43 maternal, contraindication to nursing, 274 Tubules of Wolff. 109 Tubuli lactiferi, iVt Tumors atfecting prlvis, 441 fcetal, obstructing labor, 492 of placenta. 314 solid, of vagina or vulva, cause of dys- tocia, 460 ovarian, obstructing labor, 461 Twins, 493 arrangement of monibranos, :J00 hejid and breech presenting, treatment of, 495 in ectopic gestation, 391 interlockinir, 41M treatment of, 491 ]ocke<l, decollation in, 733 manasrenient of labor. .'J02, 493 pregnancy, dys])nu'a from, 124 Twins, pregnancy, with prolapsus funis, 498 relation of, to labor, 493 sex of, 300 Tympaiiites vs. pregnancy, 146 Typhoid fever iu puerperium, 612 ULCERS, puerperal, 591 Umbilical cord, development of, 86 formation of, 86 hernia, 638 hemorrhage, (>38 infection, 640 vegetations, 638 Umbilicus, infection of, in newborn child, 640 vegetations of, in child, 638 Unguentum Cr^d6 in mastitis, 573 Urachus, development of, 109 Urea, estimation of, during pregnancy, 154 excretion of, in pregnancy, 542 importance of testing for, 211 test for, Hartley's, 212 Ureters, course of, 56 development of, 109 Urethra, anatomy of, 43 development of, 113 Urethro-vaginal septum, 44 Urinary solids, 211 system, changes due to pregnancy, 125 in newborn child, 2<0 Urine, changes in, after labor, 255 condition of, in eclam|)sia, 538 during pregnancy, 154 examination of, 211 before operation, 738 during pregnancy, 211 in pregnancy, 542 in puerperium, 255 of newborn child, 271 retention of, from pressure on ureters, 540 solids in. estimation of, 211 suppression of, in puerperal eclampsia, MO Urogenital sinus, formation of. 111 system, development of. 107 Ustilago maid is, 663 Uterine adnexa during pregnancy, 121 contractions affected by hemorrhage, 524 causes of, 193 effect of, on placenta, 671 excessive, treatment of, 511 hour-glass, 674 intermittent, 195 involuntary, 195 meth(Kls of promoting, 663 peristaltic character of, 195 stimulation of. 52f) discharge, examination of, in ectopic gestation, .379 gestation, concurrent with ectopic, 391 incision in C'jesarean section, closure of, 740 membranes, development of, 82 mucosji during puer|H».rium, 253 Uteyo-abdominal gestation, 3J>2 ITtero-placental circulation, 87 Uten»-vaifinal canal, development of. Ill Uterus, action of segments of, in labor, 197 anatomy of, .57, 172 anteflexion of, resembling pregnancy, 143 ^m ^^^^^ ^^^^^^^^^H ^^m Utema as « part of parturient canal, 172 ^^M atony of^ 307 I ;t<?ras, inveriion of, varieties of, SOI ^H i 11 ve r 1 1! rt. rv posi t ion of, 504 ^H ^^^^^ atresia of «si?rvi3C, muse of dystocia, 4"j3 iiivoLuTion ot 'io2 ^^1 ^^^^K blcoruia, i!uu»i3 of (lyHtouia, 453 after abortion, 34n ^^1 ^^^^^H blood 'Supp]y of, 55 it] ei! topic geatAllon, 3(M ^^H ^^^^^H bulging of body i>f, iu preguiinGy« ]iO irritabli', in labor* 417 ^^M ^^^^^B ej^ri^inomiL of, mnsc of dytittic'iu. 458 iiitliuju^ of, 'u ^^H ^^^^^1 chiiugi^s iu, cuviwi^ by prcgoEincy» B5 laccfnUiuii of lower segmi^'Ot of, ib ^^M ^^V cervix, 121 deliver>% 547 ^H ^^^L. pusitioti, 119 latero-versioii of, 451^ ^H ^^^^H projiertkH, 120 ligament^ of, i^2 ^^M ^^^^^B 1 1 on g i t: n U i n a] i^ brt^^s of, I 9h ^^M ^^^^H lower segment of, aili^r labor, 210 ^H ^^^^^1 t$trticture. 118 in traus verse pre^titationr tfS ' ^^^^^H during mi^Ui^truatJoii, 71 lympb^spaecs of, 58 ^^^^^^^^^ ectopia' ge.-^latiuii, liGrf maSptjsitioiis nT, canstis iif dystrHia* 4fi5 , ^^^^^^^H foUou i 1 1 ;^ t'vvni idatioti of ov um , 85 niasiii.nii^, 1 in ^^^^^^^B massiijsf^ iif, in p«&i-piirtom lieniorrliagev ^^^^^^^H f roiy 1 J ti g, 5U 5Ifci ^^^^^^^ iui»&surt*meiit$ of, at different twriodtofJ ^^^^^^^^^ protM^rliL'H of. during pregnancy, 120 imgnaoey, 117 ^KM ^^^^^H^ ir.\iii[iii liiid .siKe in Loutni€tk»n» 15b nieosui^tion of, in deterinitiing d«^^| ^^^^H com prt^ibi lily of, lower augmisnt of, labor, 150 ^^ ^^^H 140 metludd itf inakinic enJiure* from, 613 ^^^^^1 oontmctiou i>r, following f^t^esareai) set- of i^niovnJ In Porro upemtioQ, #43 | ^^^^m niitini iirgaoisoifl of, mm HH ^^^^^H fUiriiif^ Inbor, !'>? motor tetitres of, 157 » li^H ^H ^^^^H dute of i(]*|it^a.miH-^^ of i^igns of pri^g- m uficl e-ee 1 Ib of, 252 ^H ^^^^H 14a tuOBcnlar at rue tare of, S& ^^M ^^^^H densi ty » va rin 1 1 oi i s of, 142 tigisoe of, 57 ^^^H ^^^^H de vc 1 Dp rnen t of , U 1 nerve?t of, 252 ^^^^M ^^^^H deyGtopniinital niioinfilit's, a t'liui^' of uv w grow t b ^ of, 45li ^^^^1 ^^^^H dy^tmMii, 453 oornml ineasnrementsof, 57 ^^j^W ^^^^H diiatution of. in fu^tui, till pali»itioo of fundus of. in diannoid^^H ^^^^^H d i H t u f^tit ion u f , it ftt^r ;iborli on , 355 jjerffiralioii of, iu curettageT 357 ^^^| ^^^^^H disptiu3oni<*nt ftf, a cjinE^* of nbortion, 34 U peri tun eal covering of, 210 ^^H ^^^^^H dnnnj^ puerjierium, 251, 2J].5 prisi iimi of, 4€t ^^M ^^^^H disteotitm of, a caug« of onset of Inbnr, duritig preirnuney, 1 19 ^^1 ^^^H prolapse of. dy St IK." J a, im ^H ^^^^H duplejt, 325 fo 1 lo w i 1 1 K by in pb vai otonj Y, 744^^^| ^^^^H early «?bnugaa of, In dia^nosiR, 140 TOtnw tion of, aller labor. 2Qi^ ^H ^^^^H olasticity of. 785 Uterus, sacculation of, cause of dystocia, 456 segments of, 172, 195 action of, causing rupture, 509 in rupture, 506 shape of, 117 in transverse presentation, 481 situation of, after labor, 210 size of, 117 in pregnancy, 142 softening of cervix in pregnancy, 143 sound nieasureiucnts of, during puer- periuni, 252 spasm and irregularity of, in labor, 417 spasmodic contraction of, 417 strength of contractions of, 159 structure of, 118 subinvolution of, after abortion, 350 resembling pregnancy, 143 table of comiNirative measurements of multi parous and parous, 251 tardy involution of, 264 unicornis, cause of dystocia, 453 vessels of, 55 and nerves of, changes during labor, 253 with fibromyoma, cause of dystocia, 456 Utriculus, 102 VAGINA, after-treatment in operation for deep tears of, 659 anatomy of, 26 blood- and nerve-supply of, 55 bulbs of, anatomy of, 25 changes in, due to pregnancy, 122 cysts of, obstructing labor, 460 deep tear of, method of operating, 657 development of. 111 duplex, 325 during pnerperium, 251 fornices of, 27 hematoma of, cause of d3rstocia, 459 treatment of, 514 injuries to, in forceps operation, 681 lacerations of walls of, 251 length of, 27 lymphatics of, 55 micro-organisms of, 601 purplish hue of, in pregnancy, 139 shortening of, resembliug prolapsus uteri, 30 stenosis of, cause of dystocia, 459 structure of walls of, 27 swellings of, oI)structing labor. 459 tumors of. obstructing labor. 460 vessels and nerves of, 55 Vaginal examination in labor, 236 in phiC(>nta pnevia, 518 in pnerperium, 617 in rupture of uterus, 510 in transverse presentation, 482 secretions, micro-organisms in, 601 lacerations, combined external and in- ternal, ii'rZ complete tear, 656 intrnml. immediate repair of, mi'Miod of oi)erHting, 653 repair of, after-treatment, 655 superficial external, repair of, 651 outlet, injury to, in labor. 650 superficial external tear of, 651 secretion, CAH microscopical examination of, 601 signs in multiple pregnancy, 302 50 Vaginitis, puerperal, 591 Vagino-fization, influence of, on version, 721 Valve, Eustachian, 95 Valves of Houston, 31 Varices in pregnancy, 406 Varolian bend of embryonic brain, 96 Variolius. See Pons Varolii. Vasculitis, foetal, 336 Vas deferens, development of, 110 Vein, azygds, development of, 94 iliac, development of, 94 portal, development of, 94 pulmonary, development of, 95 Veins, azygos, 94 cardinal, 93 development of, 93 ductus venosus, 95 effect of, in pregnancy, 128 hemiazygos, 94 hepatic, 94 iliacs, internal, 94 jugular, 93 of Fallopian tubes, 56 of mammary gland, 69 of ovaries, 57 of pelvic floor, 54 of uterus, 56 of vagina, 55 omphalo-mesenteric, 91 portal, 94 pulmonary, 95 sinus venosus, 95 umbilical, 93 vena cava, inferior, 95 superior, 95 vitelline, 91, 93 Venesection in pregnancy, 123 Ventricle, fourth, development of, 98 Ventro-fixation, influence of, npon venion, 721 Veratrum viride in eclampsia, 546 Vermiform appendix, 106 Version, 701 artificial, in transverse preeentationa, 484 bipolar, 704 Braxton Hicks' method, 484 indications for, 704 method in placenta prsevia, 623 of performance, 704 cephalic, 700 indications for, 701 complications of, 720 dangers of, 702 external, 702 contraindications to, 703 fiivorable conditions for performance of, 702 for accidental hemorrhage, 526 for placenta prsRvia, 522 for prolapse of cord, 501 for transverse presentations, 484 in rupture of uterus. 511 indication for. 468. 490, 511 influence of posture in facilitating, 721 internal, 70*> advantages of, 707 contraindications to. 707 dangers of. 707 indications for, 706 method of operating, 707 podalic. contraindications to, 701 in placenta previa, 522 78G INDEX, Version, podalie, extraction in, 716 indications for, 701 relative value of, 721 uterine rupture from, 508 ventrofixation, and vagi no-fixation on, 721 Vertcbne, injuries to, at birth, 690 Vertex, of head. 177 Vesicle of Purkinjo, 74 Vcsico-uterine pouch, anatomy of, 43 Vesicular mole, :i09 Vessels of pudendum, 20 Vestibule, anatomy of, 21 Viburnum in threatened abortion, 351 Vigier, modification of milk, 284 i Vinegar in post-partum hemorrhage, 531 , VisG«^raI arches. See Branchial arch. clefts. Set Branchial clefts. Vitelline membrane, 74 veins. 91. J)3 Vitellus of ovum. 74 Vitreous humor, development of, 100 Vomiting of pregnancy, 3()9 louses of, 401 diagnosis of, 402 induction of abortion in, 062 pernicious, 402 diagnosis and treatment of, 402 stages of, 400 surgical met h mis in treatment of, symptoms of, 400 Vulva, anatomy of, 17-26 connivens, 19 development of, ll'J hematoma of, cause of dystocia, 459 treatment of, 514 j hians, 19 ' Vulva, labial absceas of, cause of dystocia, 460 ffidema of, cause of dystocia, 459 obstructing labor, 459 stenosis of, 459 thrombosis of, 513 tumors of, obstructing labor, 460 varicose veins, cause of dystocia, 459 Vulvar drt>ssing, 246 WAGNKK, germinal spot of, 74 Walcher's position, in forceps opera- tion, 683 in labor, 237 in version, 712 with contracted pelvis, 429 with flat pelvis, 435 Weaning of child, 263 Weight during pregnancy, 124 loss of. in puerperium, 257 Wet nursing, 278 Wharton's jelly, 87 Whey, prejiaration of, 279 *• White line," anatomy of, 35 Wigand-Martin method of manual extrac- tion, 478 Wiring after rupture of symphysis pubis, 5i:< Wolff, bodv of, 107 duct of, lirr, 110 Wolflian bwlioR. 107, 110 anatomy of, 44 duct of, 107. 110 tubult>s of, 109 Wormian bones, 177 ZONA pellucida of ovum, 74 radiatii, 74 Catalogue of Books PUBLISHED BY Lea Brothers & Company, 706, 708 ft 710 Sansom St., Philadelphia. lU Fifth Avenne, Hew Tork« Our pablications can be purchased from anj Bookseller in the United States or Canada, or thej will be delivered bj express or mail, carriage paid to any address on receipt of the printed price. 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