Synopsis
This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1903 Excerpt: ...(i) Lack of power; (2) irregularities of the passages; and (3) of the passengers. (1) Lack of power results from arrested development of the uterus (infantile or bifid uterus, etc.), weakened innervation of uterine muscle from frequent and quickly repeated gestations, multiple pregnancies, and hydramnios; fever, ante-partum hemorrhage, pendulous abdomen, premature rupture of the membranes (dry birth), mere general fatigue so often seen in primiparae, mental impressions like fright, anxiety, disappointment, and physical exhaustion. (2) Irregularities of the passages. New growths of the uterus and other pelvic organs, displacements of and inflammatory adhesions about the uterus, and distended bladder and rectum. (3) Irregularities of the passengers. Excessive size of the child, monstrosities, malpresentations, or, speaking generally, any disproportion between the child and canal. Varieties of Inertia--Three varieties of irregularity in expulsive force are recognized: (1) Primary uterine inertia, when contractions are feeble from the beginning with resulting protracted labor; (2) secondary uterine inertia, when the uterus is exhausted by sharp, frequent, ineffective pains without corresponding progress; and (3) obstructed labor, when the act is prevented by mechanical obstruction. Differential Symptoms.--1. Primary inertia. Contractions are short, feeble, and recur at long intervals, the uterus being at the same time softer than normal and not tender to pressure; there is little or no progress in either dilatation or descent, suffering is inconsiderable, temperature normal, and pulse but slightly increased. 2 and 3. The following table, from "Difficult Labor," by Herman, presents the differential symptoms of the second and third classes: Secondary Ut...
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