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The Matron's Manual of Midwifery, and the Diseases of Women During Pregnancy and in Childbed / Being a Familiar and Practical Treatise, More Especially Intended for the Instruction of Females Themselves, but Adapted Also for Popular Use among Students and Practitioners of Medicine cover

The Matron's Manual of Midwifery, and the Diseases of Women During Pregnancy and in Childbed / Being a Familiar and Practical Treatise, More Especially Intended for the Instruction of Females Themselves, but Adapted Also for Popular Use among Students and Practitioners of Medicine

Chapter 5: PART I. MIDWIFERY.
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About This Book

This practical manual explains female anatomy and the physiological changes of pregnancy, stages of labor, common complications, and postpartum care in clear, nontechnical language. It provides step-by-step guidance for assisting labor, recognizing and treating diseases of women during pregnancy and childbed, and managing emergencies when professional help is unavailable, with illustrations to clarify procedures. Topics include the breasts and lactation, preventive measures, and advice to dispel misconceptions and empower women to care for themselves and others. Aimed at both laywomen and medical students, it emphasizes practical instruction, patient education, and simple remedies to reduce suffering and improve maternal outcomes.

TABLE OF CONTENTS.


PART I.—MIDWIFERY.
 
Section I.
 
position and uses of the female organs.
  Page
CHAPTER I.— Position of the Organs and Parts, 13
  Internal Organs, 14
  External Organs, 16
CHAPTER II.— Structure of the Principal Organs and Parts, 18
  The Womb, 19
  The Vagina.—Vulva.—Perineum, 29
  The Pelvis, 30
CHAPTER III.— Functions of the Principal Female Organs, 50
  The Womb, 50
  The Ovaries.—Menstruation, 51
  Conception, 54
CHAPTER IV.— Fœtal Development, 57
  Fœtal Nutrition, 67
  Peculiarities of the Fœtal Circulation, 70
  The Breast, 74
 
Section II.
 
signs of pregnancy, and the means of detecting it; its duration,
and the period at which the fœtus can live.
 
CHAPTER V.— Presumptive Signs, 83
  Probable Signs, 94
CHAPTER VI.— Duration of Pregnancy, 137
CHAPTER VII.— Period when the Child can live, 142
 
Section III.
 
the form, size and position of the fœtus, and its appendages, at
full term.
 
CHAPTER VIII.— Form and Size of the Body, 144
  Size and Form of the Head, 144
  Attitude of the Fœtus at Full term, 152
CHAPTER IX.— The Appendages of the Fœtus at term, 155
CHAPTER IX.— The Membranes, 155
  The Placenta, 156
  The Umbilical Cord, 157
 
Section IV.
 
the mechanism of delivery in all the different presentations
and positions of the fœtus.
 
CHAPTER X.— Presentations, 160
  Positions, 161
  Mode of ascertaining the Presentation and
  Position, 164
CHAPTER XI.— The Mechanism of Delivery, in a Presentation
  of the Head, 170
  The Left Anterior Occipito Iliac Position, 170
  Mechanism of Delivery in all other Positions
  of the Head, 185
  General Remarks on the Different Positions
  of the Head, 189
CHAPTER XII.— Mechanism of Delivery in Presentations of
  the Lower Extremities, 191
  Delivery in a Breech Presentation in the left
  Anterior Sacro-Iliac Position, 192
  Delivery by the Breech in the Right Posterior
  Sacro Iliac Position, 196
  Delivery by the Breech in the Full Posterior,
  or Sacro Sacral Position, 196
  General Remarks on the Presentation of the
  Lower Extremities, 197
CHAPTER XIII.— Mechanism of Delivery in Presentations of
  the Face, 199
  Delivery in the Right Posterior Mento Iliac
  Position of the Face, 199
  Delivery in other positions of the face, 200
CHAPTER XIV.— Mechanism of Delivery in Presentations of
  the Trunk, 203
  Mechanism of Delivery in Presentations of
  the Trunk by Spontaneous Evolution, 204
 
Section V.
 
the physiology of spontaneous delivery, or childbirth, and the
manner of conducting a natural labor.
 
CHAPTER XV.— Of Delivery in General.—Different Kinds of
  Delivery.—Causes of Labor, 211
  Signs of Delivery, 212
CHAPTER XVI.— The Progress, Phenomena, and Duration of
  Natural Labor.—First Period, 214
  Second Period, 216
  Duration of Natural Labor, 220
CHAPTER XVII.— The Conduct or Management of a Natural
  Labor.—Preliminary Requisites, 222
  Preliminary Proceedings, 223
  Preparations for the Delivery, 226
  Attendance after the Preparations are made,
  and during the Delivery, 229
CHAPTER XVII.— Delivery of the After Birth, or Placenta and
  Membranes, 239
  Attentions to the Female after the Delivery
  of the After Birth, 242
  Attentions to the Child, 243
  Accidents which may happen, 246
  Subsequent Attentions to Mother and Child, 249
  Concluding Remarks, 255
 
Section VI.
 
protracted and difficult labors.
 
CHAPTER XVIII.— The Causes and Consequences of Prolonged
  Labor to both Mother and Child, 259
  The Consequences of Prolonged Labor, 259
CHAPTER XIX.— Causes connected with the Mother which
  may impede labor, or make it difficult, 260
  Inertia, or Want of sufficiently Powerful
  Contraction in the Womb, 260
  Rigidity of the Mouth of the Womb, Vagina
  and Vulva, 264
  Obliquities of the Womb, 266
  Prolapsus Uteri.—Smallness or Deformity of
  the Pelvis, 267
  Tumors in the Pelvis, 286
  Tumors externally.—Obstructions in the Vagina, 295
CHAPTER XX.— Causes connected with the child, or children,
  which may impede delivery. 297
  Procidentia of the Umbilical Cord, 297
  Shortness of the Cord, 300
  Descent of other parts with the head, 301
  Twins and Triplets, 302
  Excessive size of the Fœtus, or the diseased
  development of certain parts, 304
  Ossification of the Head, 305
  Various presentations and positions of the
  Fœtus, 306
  Presentations of the Lower Extremities, 307
  Presentations of the Shoulder, 311
 
Section VII.
 
accidents during labor which may compromise the mother's life.
 
CHAPTER XXI.— Uterine Hemorrhage, or Flooding, during
  Labor, 315
CHAPTER XXII.— Eclampsia, or Convulsions during Labor, 336
CHAPTER XXIII.— Rupture of the Womb or Vagina, 341
 
Section VIII.
 
operations with the hand and with instruments.
 
CHAPTER XXIV.— Operations with Instruments.—The Forceps, 345
  Other Instruments, 355
CHAPTER XXV.— Operations with the Hand.—Turning, 357
 
PART II.
 
the diseases of women during pregnancy, and in childbed.
 
Section IX.
 
the diseases of pregnancy.
 
CHAPTER XXVI.— Sympathetic Diseases occurring during
  Pregnancy.—Sickness and Vomiting, 366
  Ptyalism, or Excessive Salivation, 369
  Odontalgia, or Toothache, 369
  Derangements of the Appetite, 371
  Pyrosis.—Dysphagia, 374
  Gastralgia, 375
  Constipation, 377
  Dysentery and Diarrhœa, 378
  Dyspnœa, or Difficulty of Breathing, 380
  Cough, 381
  Palpitation of the Heart, 383
  Syncope, or Fainting, 384
  Headache and Dizziness in the Head, 386
  Insomnia, or Sleeplessness, 388
  Temporary Affection of the Sight, Hearing,
  and Smell, 389
  Disordered Judgment, Inclinations, and
  Propensities, 391
  Hæmoptysis, Hæmatemesis and Epistaxis, 393
  Varicose Veins, 395
  Hæmorrhoids, or Piles, 397
  Œdema, or Watery Swellings, 399
  Hydrorrhea, or Profuse Discharge of Water, 400
  Pustules, and Mucous Discharges, 400
  Derangements of the Urinary Organs, 401
  Cramps.—Pruritus, or Itching of the External
  Parts, 403
CHAPTER XXVII.— Idiopathic, or Primary Diseases Incident
  to Pregnancy.—Flooding, 406
  Abortion, or Miscarriage, 409
 
Section X.
 
the diseases of women in childbed, after lying in.
 
CHAPTER XXVIII.— Diseases of Childbed.—Puerperal
  Fever, or Childbed Fever, 420
  Affections of the Breast occurring after
  Pregnancy, 430
  Bronchocele, or swelling in the Throat, 438
  Phlegmasia Alba Dolens, or Milk Leg, 439
  Trouble with the Urine, 441
 
APPENDIX.
 
  on preventing pain in childbirth, 443

PART I.
MIDWIFERY.



PLATE I.

Lateral Section, or side view of the Female Pelvis, to show the position of the Organs.

A. The Bladder.
B. The Womb.
C. The Vagina.
D. The Rectum.
e. The Right Ovary.
f. The Right Fallopian Tube.
g. The Os Tincæ, or Mouth of the Womb.
h. The Meatus Urinarius, or Mouth of the Bladder.
i. i. The Small Intestines.
j. j. The Back Bone.
k. The Pubic or Front Bone.
l. The Right External Lip, or Labium.
m. The Right Internal Lip, or Nymphæ.
n. The Hymen.
o. The Opening through the Hymen.
q. The Perineum.
p. The Clitoris.

(This of course shows the half of all the single Organs and the right one only of those that are double.)

Plate I.

Lateral Section, or side view of the Female Pelvis, to show the position of the Organs in their natural state.



PLATE II.

Front View of the Female Pelvis, with the External Walls removed.

A. The Bladder.
B. The Womb.
D. The Rectum.
e. e. The Ovaries.
f. f. The Fallopian Tubes.
i. i. The Small Intestines.
r. r. The Round Ligaments.

Plate II.

Front View of the Female Pelvis, with the External Walls removed.