File:The American text-book of obstetrics for practitioners and students (1903) (14797375293).jpg

Identifier: americantextbook02came (find matches)
Title: The American text-book of obstetrics for practitioners and students
Year: 1903 (1900s)
Authors: Cameron, James C. (James Chalmers) Norris, Richard C. (Richard Cooper), 1863-1937 Dickinson, Robert Latou, 1861-1950
Subjects: Obstetrics
Publisher: Philadelphia : W.B. Saunders & Co.
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

View Book Page: Book Viewer
About This Book: Catalog Entry
View All Images: All Images From Book
Click here to view book online to see this illustration in context in a browseable online version of this book.

Text Appearing Before Image:
lthough the pelvis isnormal in size and no good reason can be found for the failure of engagement.The treatment of labor obstructed by hydrocephalus is puncture of thecranium with a perforator and evacuation of its fluid contents. A child withthis disease deserves no consideration. After the reduction in the size of thehead the labor may be left to the natural forces. If these prove insufficient,a cranioclast may be fastened to the skull and the child be extracted artifi-cially. A cardinal rule in the treatment of these cases is to avoid attempts todeliver with forceps—a common error in practice, and one that has cost manya woman her life from ruptured uterus, from deep tears when the instrumentslips, as it will, and from extensive sloughs after delivery. * Schuchard found it sixteen times in 12,055 births; Lacliapelle and Dnges, fifteen times in43,555 ; Merriman, once in 900. In 159 cases there were 38 maternal deaths, twenty of whichwere from rupture of the uterus. DYSTOC) \ Il.AI
Text Appearing After Image:
1. Skeleton of hydrocephalus illirst Collection, University of Pennsylvania). 2. Hydrocephalus(Hirst). 8. Hydrencephalocele posterior (Hirsl and Piersol). i. Hydrencephalocele superior. 5. Hydro-cephalus distending lower uterine segment (Varnier). 6. Tapping a hydrocephalus through the spina) canal. D Y8T0CIA. 93 ll the pelvic extremity of the hydrocephalic fetus presents as it does inalmost a third of all cases—and if the head remains inaccessible above th<• punctured, the spinal canal may beopened, a catheter be passed through it into the cranial cavity (Van Huevelsmethod), and the fluid thus be evacuated Fig. 84). I rsually, however, thereis ii special difficulty or danger in the delivery of the after-coming head of ahydrocephalic infant. The force required for it< extraction not infrequentlyruptures the walls of the ventricles and converts the case into one of external

Note About Images