| ILLUSTRATIONS |
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| Anatomy and Physiology. |
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| FIG. |
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PAGE |
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| 1 a. |
Normal female pelvis |
21 |
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| b. |
Normal male pelvis |
21 |
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| 2. |
Diagram of pelvic inlet seen from above |
22 |
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| 3. |
Diagram of pelvic outlet seen from below |
23 |
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| 4. |
Sagittal section of the pelvis |
24 |
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| 5. |
Two types of pelvimeters |
25 |
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| 6. |
Diagram showing method of measuring distance between crests, spines and trochanters |
26 |
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| 7. |
Diagram showing method of measuring Baudelocque’s diameter |
27 |
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| 8. |
Diagram showing method of estimating true conjugate |
28 |
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| 9. |
Diagram showing method of measuring intertuberous diameter |
29 |
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| 10. |
Anterior view of external and internal female generative organs |
31 |
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| 11. |
Diagrams of sections of virgin and multiparous uteri |
32 |
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| 12. |
Sagittal section of female generative tract |
35 |
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| 13. |
Diagram of external female genitalia |
39 |
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| 14. |
Sagittal section of breast |
42 |
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| 15. |
Front view of breast |
43 |
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| 16. |
Diagram of human ovum |
47 |
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| Development of the Baby |
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| 17. |
Diagram of human spermatozoa |
61 |
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| 18. |
Diagram of segmenting rabbit’s ovum |
65 |
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| 19. |
Ovum about 13 days old embedded in the decidua |
66 |
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| 20. |
Diagram of developing fetus, cord, membranes and placenta in utero |
69 |
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| 21. |
Diagram of structure of placenta |
71 |
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| 22. |
Photograph of placental vessels |
72 |
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| 23. |
Maternal surface of the placenta |
74 |
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| 24. |
Fetal surface of the placenta |
75 |
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| 25. |
Embryo about 5.5 cm. long in amniotic sac |
77 |
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| 26. |
Outlines of fetus at different stages |
78 |
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| 27. |
Full term fetus in utero |
81 |
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| 28. |
Diagram of fetal circulation |
85 |
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| 29. |
Diagram of circulation after birth |
87 |
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| 30. |
Side and top view of fetal skull |
90 |
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| The Expectant Mother. |
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| 31. |
Height of fundus at different stages of pregnancy |
94 |
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| 32. |
Contour of abdomen at ninth month |
95 |
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| 33. |
Contour of abdomen at tenth month |
95 |
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| 34. |
Front view of home-made abdominal binder |
123 |
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| 35. |
Side view of same |
123 |
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| 36. |
Back view of same |
123 |
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| 37. |
Abdominal binder used in above |
124 |
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| 38. |
Front view of home-made stocking supporters |
124 |
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| 39. |
Back view of same |
124 |
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| 40. |
Patient in right-angled position to relieve varicose veins |
138 |
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| 41. |
Elevated Sims position |
139 |
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| 42. |
Gloves, ready for dry sterilization |
160 |
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| 43. |
Delivery pad of newspapers and old muslin |
161 |
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| 44. |
Diagram of centrally implanted placenta prævia |
174 |
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| 45. |
Partial placenta prævia |
175 |
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| 46. |
Diagram of marginal placenta prævia |
176 |
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| 47. |
Champetier de Ribes’ bag inserted in uterus |
177 |
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| 48. |
Patient in hot pack given with dry blankets |
197 |
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| 49. |
Method of giving infusion |
202 |
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| The Birth of the Baby. |
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| 50. |
Attitude of fetus in uterus at term |
217 |
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| 51. |
Illustration from first text-book on obstetrics |
218 |
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| 52. |
Attitude of fetus in breach presentation |
219 |
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| 53. |
Attitude of fetus in vertex presentation |
220 |
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| 54. |
Diagram of six positions in a vertex presentation |
222 |
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| 55. |
Diagram of six positions in a face presentation |
223 |
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| 56. |
Diagram of six positions in a breech presentation |
223 |
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| 57. |
First maneuver in abdominal palpation |
225 |
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| 58. |
Second maneuver in abdominal palpation |
226 |
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| 59. |
Third maneuver in abdominal palpation |
227 |
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| 60. |
Fourth maneuver in abdominal palpation |
228 |
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| 61. |
Diagrams showing positions of nurse’s hands in four maneuvers of abdominal palpation |
229 |
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| 62. |
Ascertaining position of fetus by rectal examination |
230 |
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| 63, 64, 65, 66. |
Diagrams showing stages of dilatation and obliteration of cervix |
234 |
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| 67. |
Characteristic position of patient during first stage pains |
235 |
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| 68. |
Diagram indicating rotation and pivoting of head during birth |
236 |
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| 69. |
Anterior shoulder being slipped from under symphysis |
237 |
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| 70. |
Birth of posterior shoulder |
238 |
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| 71. |
Diagrams of Duncan and Schultze mechanisms of placental separation |
239 |
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| 72. |
Section showing thinness of uterine wall before birth of fetus |
240 |
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| 73. |
Section showing thickness of uterine wall immediately after labor |
241 |
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| 74. |
Preparing patient for vaginal examination or delivery |
250 |
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| 75. |
Patient draped for vaginal examination |
251 |
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| 76. |
Wrong and right methods of boiling gloves |
253 |
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| 77. |
Powdering hands before putting on dry gloves |
254 |
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| 78. |
Successive steps in proper method of putting on gloves |
255 |
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| 79. |
Bed and simple equipment ready for normal delivery |
258 |
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| 80. |
Instruments shown in Fig. 79 |
260 |
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| 81. |
Old prints showing early methods of delivery |
261 |
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| 82. |
Patient draped with sterile dressings for delivery |
262 |
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| 83. |
Patient pulling on straps while bearing down during second stage |
264 |
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| 84. |
Palpating baby’s head through perineum |
265 |
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| 85. |
Baby’s head appearing at vulva |
266 |
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| 86. |
Head farther advanced |
267 |
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| 87. |
Holding back head at the height of a pain |
268 |
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| 88. |
External rotation following birth of head |
269 |
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| 89. |
Wiping mucus from baby’s mouth |
270 |
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| 90. |
Stroking baby’s back to stimulate respirations |
271 |
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| 91. |
Two clamps on cord after pulsation has ceased |
272 |
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| 92. |
Wrong and right method in tying knot in cord ligature |
272 |
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| 93. |
Stimulating baby’s respirations |
274 |
| |
| 94, 95. |
Stimulating baby’s respirations |
275, 276 |
| |
| 96, 97. |
Resuscitating baby by holding under warm water |
277, 278 |
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| 98. |
Resuscitation by means of direct insufflation |
279 |
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| 99. |
Delivery of the placenta |
280 |
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| 100. |
Twisting membranes while withdrawing placenta |
281 |
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| 101. |
Massaging fundus through abdominal wall |
282 |
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| 102. |
Showing prolapsed cord between head and pelvic brim |
285 |
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| 103. |
Giving chloroform for obstetrical anæsthesia |
287 |
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| 104, 105. |
Giving ether for obstetrical anæsthesia |
289, 290 |
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| 106. |
Giving ether for complete anæsthesia |
293 |
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| 107. |
a. Tarnier forceps, b. Simpson forceps |
301 |
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| 108. |
Patient in position and draped for forceps operation |
302 |
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| 109. |
Forceps sheet used in Fig. 108 |
303 |
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| 110. |
Two types of leggings for obstetrical use |
304 |
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| 111. |
Rubber bougie |
311 |
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| 112. |
Champetier de Ribes’ bag |
311 |
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| 113. |
Voorhees’ bag |
312 |
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| 114. |
Bag held in forceps for introduction into uterus |
312 |
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| 115. |
Syringe for filling above bags after insertion |
312 |
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| The Young Mother. |
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| 116. |
Height of fundus on each of first ten days after delivery |
327 |
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| 117. |
Patient draped for postpartum dressing |
336 |
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| 118. |
Equipment in rack used in Fig. 117 |
337 |
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| 119. |
Method of covering nipples with sterile gauze |
339 |
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| 120. |
Baby nursing through a nipple shield |
341 |
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| 121. |
Nipple shield used in Fig. 120 |
342 |
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| 122. |
Supporting heavy breasts by means of folded towels |
343 |
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| 123. |
Ice caps applied to engorged breasts |
344 |
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| 124. |
Y binder before application |
345 |
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| 125. |
Y binder applied |
346 |
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| 126. |
The same seen from the other side |
347 |
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| 127. |
Indian binder |
347 |
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| 128. |
Method of stripping |
348 |
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| 129, 130, 131, 132, 133, 134, 135. |
Bed exercises taken during the puerperium |
350 to 353 |
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| 136. |
Knee-chest position |
354 |
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| 137. |
Exercising by walking on all fours |
354 |
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| 138. |
Position of mother and baby for nursing in bed |
359 |
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| 139. |
The Nursing Mother (from a painting by Gari Melchers) |
361 |
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| 140. |
Baby partially blind as a result of a faulty diet |
378 |
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| 141. |
Rachitic and normal babies of the same age |
381 |
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| 142. |
Chest walls of normal and rachitic rats of the same age |
383 |
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| 143. |
Interior of specimens in Fig. 142 |
384 |
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| The Maternity Patient in the Community. |
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| 144. |
Baby’s bed improvised from a market basket |
415 |
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| 145. |
Layette recommended to expectant mothers by Maternity Centre Association |
416 |
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| 146. |
Breast tray recommended to expectant mothers by Maternity Centre Association |
417 |
| |
| 147. |
Baby’s toilet tray recommended to expectant mothers by Maternity Centre Association |
417 |
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| The Baby. |
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| 148. |
Diagram of first teeth |
456 |
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| 149. |
Umbilical cord immediately after birth |
457 |
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| 150. |
The same four days later |
457 |
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| 151. |
Umbilicus immediately after separation of cord |
458 |
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| 152. |
Well healed umbilicus |
458 |
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| 153. |
Nursery at Manhattan Maternity Hospital |
465 |
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| 154. |
Bathing the baby |
467 |
| |
| 155. |
Preparation for circumcision |
468 |
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| 156. |
Baby draped with sterile sheet, in above |
469 |
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| 157. |
Cord dressed with dry sterile gauze |
470 |
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| 158. |
Abdominal binder applied over cord dressing |
471 |
| |
| 159. |
Satisfactory baby clothes |
473 |
| |
| 160. |
Diagonally folded diaper applied |
474 |
| |
| 161. |
Longitudinally folded diaper applied |
474 |
| |
| 162. |
Sutton poncho to protect baby for outdoor sleeping |
479 |
| |
| 163. |
Training the baby to use a chamber |
481 |
| |
| 164. |
Stiff cuffs to prevent thumb sucking |
483 |
| |
| 165. |
Hammer cap to prevent ruminating |
484 |
| |
| 166. |
Ruminating cap applied |
485 |
| |
| 167. |
Proper method of carrying baby |
487 |
| |
| 168. |
Preparing the baby’s milk |
493 |
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| 169. |
Giving the baby his bottle |
496 |
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| 170. |
Holding baby upright after feeding |
497 |
| |
| 171. |
Dr. Griffith’s table of fat percentages |
500 |
| |
| 172. |
Reverse side of above card |
501 |
| |
| 173. |
Baby in a basket ready to travel |
507 |
| |
| 174. |
Quilted robe with hood for the premature baby |
509 |
| |
| 175. |
Premature baby in lined basket, being fed with Boston feeder |
510 |
| |
| 176. |
Bed for premature baby improvised from small clothes basket |
511 |
| |
| 177. |
Putting the baby in a wet pack |
521 |
| |
| 178. |
Baby in wet pack |
522 |
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| 179. |
Diagrams showing successive steps in giving the baby a pack |
522 |
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| 180. |
Baby wrapped in blanket preparatory to gavage |
523 |
| |
| 181. |
Gavage |
524 |
| |
| 182. |
Obtaining a fresh specimen of urine from the baby |
526 |
| |
| 183. |
Obtaining a 24–hour specimen of urine from the baby |
527 |
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| 184. |
Band to hold baby’s legs while obtaining specimens of urine |
527 |
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| 185. |
Belt used to hold tube for specimen |
528 |
| |
| 186. |
Giving the baby an enema |
530 |
| |
| 187. |
Irrigating the eye with a blunt nozzle |
536 |
| |
| 188. |
Method of holding baby for treating gonorrhœal ophthalmia |
537 |
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| CHARTS. |
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| No. |
|
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| 1. |
Showing drop in blood pressure and albumen, after delivery, in eclampsia |
204 |
| |
| 2. |
Showing persistence of high blood pressure and albumen in the urine, after delivery, in nephritic toxæmia with convulsions |
206 |
| |
| 3. |
Showing temperature curve in streptococcus infection |
397 |
| |
| 4. |
Showing temperature curve in gonorrhœal infection |
398 |
| |
| 5. |
Showing normal weekly gain in weight during first year of life |
454 |
| |
| 6. |
Showing normal daily gain in weight during first two weeks |
520 |
| |
| 7. |
Showing loss of weight in inanition fever contrasted with No. 6 |
520 |
| |
| 8. |
Showing rise in temperature in inanition fever |
520 |
