Identifier: practiceofobstet00edga (find matches)
Title: The practice of obstetrics, designed for the use of students and practitioners of medicine
Year: 1910 (1910s)
Authors: Edgar, J. Clifton (James Clifton), 1859-1939
Subjects: Obstetrics
Publisher: 3rd ed., rev
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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ready described,the anterior portion of theperineum should be divid-ed, since it is of no ser-vice and prevents properinspection of the deeperpart of the wound. Thelaceration is then treatedas already described. After-treatment. —Theknees should be looselybound together (Fig. 919).The use of the cathetershould be avoided if pos-sible. Scrupulous cleanli-ness of the external geni-tals should be secured,and after urination anddefecation the parts should be washed with a weak sublimate solution. If the lochia are normal, nodouches are indicated. The bowels should be kept open after the second 01third day. If an enema is necessary, it should be intrusted only to an experiencednurse. Since the tube has been passed into the sutured laceration, it should bepressed against the posterior margin of the anus. If a vaginal douche becomesnecessary, the same care should be used, the syringe being pressed against theanterior vaginal wall. The sutures should be removed about the eighth or tenthday.
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Fig. 1273.—-The Rectal and Vaginal Sutures of Fig.1274 ARE Tied, the Former in the Rectum, Leav-ing ONLY the Two Perineal or External Sutures, 10 AND II, AND the SpHINCTER SuTURE 9 TO BE TiED. APPENDIX. HISTORY RECORDS. In Private Practice.—I am in the habit of urging upon my students the im-portance of starting some method of history-taking in order that they may subse-quently profit by a study of their cases. Should the physician not take upsome methodical system of recording his cases at the outset of his practice, he isnot likely to do so later. Of course, it is not always pleasant to acknowledge oneserrors upon paper, but one can learn as much or more from a subsequent studyof such errors as from successes. I have at various times in the past used theordinary history sheets and history books for this purpose, but experience hasproved the card system to be more satisfactory, because simple, orderly, and self-

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