Difficult Labour; A Guide to Its Management for Students and Practitioners
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Difficult Labour; A Guide to Its Management for Students and Practitioners

Difficult Labour; A Guide to Its Management for Students and Practitioners


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Purchase of this book includes free trial access to www.million-books.com where you can read more than a million books for free. This is an OCR edition with typos. Excerpt from book: CHAFFER IX. TWINS. Usual course of labour with twins.?Each twin has its own amnion, and generally its own ohorion. The os uteri is stretched open exactly as in labour with a single child by the bag of waters belonging to the twin that lies lower. When the os is fully dilated, the membranes burst, and the child is born as in an ordinary labour. Then the os uteri partly recontracts. After a short interval the pains return, the bag of waters of the second child is forced on into the os, and as the passage has been well dilated by the first child, it yields easily to the second, which is quickly born. Then the placentae follow. The placenta of thi' first child is not as a rule separated from the uterus till after the birth of the second child, and therefore there is not generally haemorrhage during the labour. Diagnosis Of twins.?If the patient is one in whom abdominal palpation is easy?that is, if she is not fat, and relaxes her abdominal muscles?you may find out the presence of twins the first time you examine the abdomen. You will feel two foetal heads, two backs, two sets of limbs; and can confirm the diagnosis by listening to the foetal hearts. The best way is, of course, to listen with a differential stethoscope, which will at once tell you that the two hearts are not synchronous. But this instrument is not usually carried. With an ordinary stethoscope you can find out that there are two points?one over each foetal back?at which a fcotal heart is heard with maximum loudness; and you may appreciate a difference in the rapidity of the two foetal hearts. Presentations in twin labour.?Abnormal positions are far more frequent in twin than in normal labour, because when the presenting part of one twin has got into the brim, there is not room for the other as well; an...


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Product Details
  • ISBN-13: 9780217204385
  • Publisher: Rarebooksclub.com
  • Publisher Imprint: Rarebooksclub.com
  • Height: 246 mm
  • No of Pages: 126
  • Spine Width: 7 mm
  • Width: 189 mm
  • ISBN-10: 0217204384
  • Publisher Date: 19 May 2012
  • Binding: Paperback
  • Language: English
  • Returnable: N
  • Weight: 240 gr


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