File:A nurse's handbook of obstetrics (1915) (14782351232).jpg

Identifier: 54510150R.nlm.nih.gov
Title: A nurse's handbook of obstetrics
Year: 1915 (1910s)
Authors: Cooke, Joseph Brown, 1868- author Gray, Carolyn E. (Carolyn Elizabeth), 1873-1938 Baker, Mary Alberta
Subjects: Obstetrical Nursing
Publisher:
Contributing Library: U.S. National Library of Medicine
Digitizing Sponsor: Open Knowledge Commons, U.S. National Library of Medicine

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SYMPHYSEOTOMY. 235
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236 A NURSES HANDBOOK OF OBSTETRICS. by version. Moreover, in some few cases the bones have failed tounite after the operation, and the patient has been unable to walk. The woman is placed in the lithotomy position, and the legsare not supported in leg-holders, but are held by two assistantswhose duty is to regulate the amount of separation in the joint. After the bladder has been emptied and the urethra drawnout of the way by means of a male sound passed into the canal,an incision is made directly over the symphysis pubis and a curvedknife, known as the Galbiati knife is hooked under the sym-physis and drawn up through the joint until the parts are separ-ated. A little gauze is then packed into the wound to prevent ooz-ing, and while the assistants holding the legs keep them in sucha position that the separation will not exceed one and one-halfinches, the labor is allowed to proceed if it will, or is terminatedby forceps or version if necessary. One nurse is all that is needed, and t

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