Two cases illustrative of the advantages of turning as an alternative or substitute for craniotomy and the long forceps in certain cases of pelvic contraction / by J.G. Wilson.

  • Wilson, J. G. (James George)
Date:
[1857]
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Licence: Public Domain Mark

Credit: Two cases illustrative of the advantages of turning as an alternative or substitute for craniotomy and the long forceps in certain cases of pelvic contraction / by J.G. Wilson. Source: Wellcome Collection.

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    the feet were found, one of which was seized and brought down into the vagina. The breech, body, and arms were extracted with comparative facility, but considerable difficulty was encountered, and much exertion required, in the transit of the head. The child, when born, was in a semi-asphyxiated state, but the usual restorative means persevered in for a short while sufficed to bring it completely round. The uterine action being suspended, the placenta was extracted after a due interval. The patient bore the operation well, much better than under the circumstances . could be reasonably expected, and when last visitedT was progress- Stem » ing favourably. It should be mentioned, that six years before, she gave birth to a premature child. Having been subject, for a considerable period during the interval, to dull pains and uneasi¬ ness in the lumbo-sacral region, she expressed her belief that some contraction or malformation of the pelvis had thereby been induced. < Case II.—This case I saw along with Drs. Gooldie and Yea- man, under whose kind and able care the patient was. The history of the case is briefly as follows :— Mrs R-, set. about 30, dwelling at Anderston, was seized with labour pains on the afternoon of Wednesday, October 24, 1855. The pains being strong, and recurring at History. regular intervals, Dr. Gooldie remained with her all night. At 6 a.m. of the following day (Thursday), the liquor amnii was discharged, a loop of the cord, pulsating strongly, became prolapsed, but was, without much difficulty replaced. The pains continued of a violent and bearing down description during the day, without, however materially advancing the head. Dr. G. being of opinion that there existed some degree of narrowness or contraction of the pelvis in its conjugate diameter, and thinking that operative interference would be required to effect delivery, requested me to see her about midnight. I found the os uteri fully dilated. The greater part of the child’s head appeared to be still at the superior strait of the pelvis, with a large scalpy tumour protruding into the cavity. Although the narrowness of the pelvic brim was not so decided, or so well marked as in the previous case, still there can be no doubt but that contraction existed to some extent. In consequence of the swelling of the head obliterating all trace of the sutures, it became impossible to tell, with any degree of certainty, the exact position in which it presented. The stethoscope showed that the child was still in life. The patient having been by this time upwards