File:Essentials of obstetrics (1897) (14578173710).jpg

Identifier: essentialsofobst00jewe (find matches)
Title: Essentials of obstetrics
Year: 1897 (1890s)
Authors: Jewett, Charles, 1839-1910 Jewett, Harold Flagg, 1869- joint author
Subjects: Obstetrics
Publisher: New York, Philadelphia, Lea Brothers & Co.
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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ons sheet-sling, as follows: Holding a sheet by diagonally oppositecorners twist it loosely into a rope; with the patient in therequired position pass the sheet sling under both knees,carry one end over her shoulder, across the back of theneck and over the other shoulder or under the arm to thefront again; pull taut and tie the ends together in front ofthe chest. Pack the vagina above the wound with sterilized strip PHYSIOLOGY OF LABOR. 153 gauze, to prevent the flow of blood over the field of opera-tion. Remember to remove the packing after placing thesutures. Press the wound surfaces with a sponge compressrepeatedly till dry. Determine the character and extent ofthe injury. Tags of tissue that might become necroticshould be clipped oif with scissors. The aim should be to restore accurately the normal rela-tions of the parts. This may generally be promoted bycatching the posterior vaginal wall with a volsella at whatbefore rupture was the centre of its lower end, and lifting Fig. 47.
Text Appearing After Image:
Tear running up one sulcus; sutures in sulcus tied ; crown stitch in place. this point nearly to the meatus urethras The trough-shapedwound on one or both sides of the vagina will thus be plainlydisplayed. The vaginal wall is held in the position described 154 ESSENTIALS OF OBSTETRICS. till the sutures are laid. The plane of each suture should benearly parallel with the skin surface of the perineum. Whenthe lacerations in the sulci are closed the remaining woundin the skin surface will be insignificant. It may be closedwith a single crown (Fig. 47) or with two or three inter-rupted sutures. The stitches in the sulci should be placed atintervals of J inch, beginning at the upper or vaginal angleof the wound. Enter the needle close to the edge of thewound, give it a fairly deep lateral sweep through one lip,emerging just short of the bottom of the wound, and passit in reverse direction through the other lip. Care will beneeded to avoid passing the needle into the rectum. Theloop after t

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