Child's Head Research Articles

HEMATOMA OF VULVA DURING LABOR

History.— Mrs. F., primipara, had been in labor about four hours, dilatation of the cervix had progressed normally and she was in second stage with everything pointing to a speedy delivery. The pains were rather hard, accompanied by a great tendency to bear down, so I had commenced to give chloroform with each pain. About ten minutes after my last examination, she began to complain of a sharp cutting pain in the right labium. On examination I found a tumor about the size of an orange. In pressing my hand over it to determine whether or not it was a hernia, I noticed at once that it was rapidly enlarging. Treatment.— Recognizing what I had to deal with, I pushed the chloroform and had the nurses prepare things for opening and stopping the hemorrhage, which had now reached the size of a child's head, and had, indeed, very much the

F. Conzen. Uterine crises with tabes. Uteruskrisen bei Tabes. Neurolog. Centralbl. No. I, 1909

S. cites the history of the illness of 33 years old tablets, in which the crises were concentrated in the uterus. The patient herself says that pain appeared in the sacrum, which spread to the uterus; the last one contracted convulsively; when the pain reached its highest point, then the patient felt as if the child's head was erupting; then the pain stopped, a trembling occurred in the body, and the patient felt as if it had disintegrated. Attacks of such pains, similar to labor pains, were repeated 3-4 times a day, lasted 2 1/2 minutes and ended with watery expirations in the amount of 4-5 cubic meters. from.

INJURIES TO THE CHILD'S HEAD DURING LABOR.

For many years I have been anxious to enlist the interest of the obstetrician and of the general practitioner in the injuries which the child's brain is apt to sustain during parturition. The general opinion prevails, and it is not wholly wrong, that the child's head is wonderfully tolerant and that the child is none the worse for prolonged labor and for instrumental delivery. The physician who has delivered a woman of a living child without seriously injuring the mother and without leaving on the child the outward mark of difficult labor feels proud of his achievement, and if the child has no convulsions during the first 24 or 48 hours of life, if it appears to move all its limbs, the physician walks away with pride and an easy conscience. He has done his duty according to his own best light and in accordance with the best teachings of

CASE OF FUNNEL PELVIS WITH CESAREAN SECTION.

HISTORY On May 4, 1900, in my service at the Chicago Lying-in Hospital, I saw the patient, aged 19, in her first confinement. She had been in labor twenty-four hours, the membranes had ruptured and dilatation was complete. The unengaged head presented, mobile above the inlet in L. O. A., and the woman was nearly exhausted by her long labor. The external measurements of the pelvis were small and the conjugata diagonalis could not be obtained. The outlet seemed contracted, but an estimation of the size of the child's head did not apparently preclude its passage and, with the usual preparations and precautions, a combined external and internal version was done. The anterior foot was seized and brought down and the extraction followed directly. No trouble was experienced until the head reached the inlet and refused to enter; under the combined use of pressure from above (on abdomen)

Medicine in the Far East.

Bombay, India, Jan. 25, 1900. OBSTETRICS IN CHINA. To the Editor: One of the most unfortunate consequences of the status of medicine in China is the helpless condition that the poor parturient woman finds herself in if any serious complication occurs during her labor. I saw a woman in Shanghai, who had been in labor for one week, brought into a hospital with an arm presentation. Version was performed and a dead child delivered, but the patient died three days later from sepsis. I saw another where the presentation was normal, but the disproportion between the diameters of the pelvis of the mother and the child's head were such that the latter could not pass, and where the poor woman had been in labor for six days. A craniotomy was done and the child delivered, but extensive sloughing of the bladder, rectum, and all the lower pelvic contents followed, and

Die operative Behanglung der üterusmyome durch vaginale Toxalexstirpation

Pointing to the need for individualization, L. recognizes that for the treatment of some of them the best is: castratio per laparatomiam; for others, whose myoma exceeds the size of the child's head miomectomia with lowering or external attachment of the stump; in the third row of cases, the most appropriate: hatching myom per vaginam; the fourth group includes cases that not only need radical help, but which, in view of weakness, should be especially spared for such, sleeve extirpation of the uterus is the most useful.

ON OCCIPITO-POSTERIOR PRESENTATIONS.

Read before the Section on Obstetrics and Diseases of Women, American Medical Association, May 8, 1884. Mr. Chairman, and Gentlemen of the Section on Obstetrics and the Diseases of Women:—Requested by your honored and distinguished chairman to present a paper at this meeting on some subject appertaining o the branch of the profession we are all interested in, I thought that a few remarks on the management and rectification of the child's head in the occipito-posterior position in difficult cases might not prove to be unacceptable. I selected this subject in lieu of a paper on some gynæcological topic, having understood that there were several papers in that department to be offered for our edification. The subject I propose to consider is one which, at the present day, might appear to be almost superfluous and useless for any one to undertake, much less to offer anything different from that which