Identifier: scienidw00lusk (find matches)
Title: The science and art of midwifery
Year: 1897 (1890s)
Authors: Lusk, William Thompson, 1838-1897
Subjects: Obstetrics Women Pathology
Publisher: New York, D. Appleton
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: Open Knowledge Commons and Yale University, Cushing/Whitney Medical Library

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Fig. 226.—Inversion of uterus. PLACENTA PILKVIA. 609 perience in favor of Noeggeraths method, which consists in indentingthe uterus in the neighborhood of a Fallopian tube, in place of actingdirectly upon the fundus. Iu a ease Been by me in conjunction with Dr. Henry E. Crampton,of New York city, thirty-six hours after delivery, I succeeded, afterseveral fruitless efforts, in restoring the uterus by the following method :First, the fundus was pressed upward through the cervical ring by thethumb and fingers. The partially reinverted uterus was clearly fellthrough the thin abdominal parietes, but it was found impossible to
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Fig. i-27.— First stage of replacement. Fig. -^7a.—Second stage of replacement. advance the hand through the ring beyond the knuckles. The handwas therefore held steadily in place, with no attempt at a forwardmovement, for about ten minutes. This was done with the intent toprocure a relaxation of the constriction by means of continuous ;ure. Then the thumb was withdrawn, and the circular uterine fold,which still hung deep into the vagina, was pressed up on one side bythe fork formed by the thumb and index-finger. Finally, by indent-ing the raised fold by the thumb, and at thesame time making counter-pressure upon the uterine ring through the abdominal walls, I was en-abled to push the entire mass by the ring,and had the pleasure of feel-ing the remainder of the inverted organ roll spontaneously into posi- 610 THE PATHOLOGY OF LABOR. tion. The diagrams drawn for me by my friend, Dr. L. M. Yale,will help to make intelligible the mechanism of the manoeuvre. If the reinversion proves

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