A practical treatise on midwifery, containing the result of sixteen thousand six hundred and fifty-four births occurring in the Dublin Lying-in Hospital, during a period of seven years, commencing November 1826 / [Robert Collins].

  • Collins, Robert, 1801-1868
Date:
1835
Catalogue details

Licence: Public Domain Mark

Credit: A practical treatise on midwifery, containing the result of sixteen thousand six hundred and fifty-four births occurring in the Dublin Lying-in Hospital, during a period of seven years, commencing November 1826 / [Robert Collins]. Source: Wellcome Collection.

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    mation can be thus obtained; and when the labour is slow, the patient is injured by the inflammation so excited. This, I consider a very frequent cause of laceration of the perineum; as, in proportion to the amount of inflammation in this part, the more reluctantly will it be found to yield to the passage of the head, and the more likely laceration to be the consequence. It is necessary to make an occasional examination, to ascertain the progress of labour, and this should be performed with caution, so as to avoid rupturing the membranes ; as in almost every instance, the more progress has been made previous to the discharge of the liquor amnii, the more safe is it for both mother and child, particularly when there is any difficulty in the passage of the head. There will occasionally be some cases met with, where all the parts are well dilated, and yet, the uterine action is so feeble as not to cause the mem- branes to give way: in such, when tedious, they may be punctured; this, however, should be an exception to the general rule. Jmuinediately on the discharge of the waters, an examination should be made; as this is the time the presenting part can generally be ascertained with accuracy, and altered if necessary, or practicable. When the head has descended so low, as to form a tumour on the peri- neum, great attention is to be paid to prevent laceration, during not only the expulsion of the