File:A system of midwifery, including the diseases of pregnancy and the puerperal state (1875) (14766606625).jpg

Identifier: systemofmidwife00leis (find matches)
Title: A system of midwifery, including the diseases of pregnancy and the puerperal state
Year: 1875 (1870s)
Authors: Leishman, William, 1834-1894. (from old catalog) Parry, John S., 1843-1876, (from old catalog) ed
Subjects: Obstetrics
Publisher: Philadelphia, H. C. Lea
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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peculiarto themselves, and are of a more teasing, worrying, and wearing naturethan the more severe agony which subsequently occurs. The chiefannoyance that the woman feels is from the fact that she fancies she ismaking no progress, and the stage is, therefore, often to her wearisomeand tedious in the extreme. She questions her attendants again andagain as to the probable duration of her suffering, but this is a pointin regard to which we should be specially cautious in risking an opinion.Nothing is so likely to mislead us in this respect as the apparent in-tensity of the pain. For not only do certain women bear pain betterthan others, but the same degree of uterine contraction may, in indi-viduals of different nervous susceptibility, produce a very different XV.) DURATION OF FIRST STAGE. 263 amount of actual suffering. The intensity of the pain, therefore, is notalways in proportion to the degree of contraction, and still less is it tobe held as a safe indication of its efficacy. Fig.
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Parturient canal completed by the obliteration of the os and cervix. The duration of the first stage varies exceedingly, both in primiparse,and in those who have had several children. Considerable difficultyin determining this point arises also from the impossibility of fixingthe exact period at which this stage may be supposed to commence.Assuming it, however, to date from the first sensible contractions, wemay assume that, with ordinary pains, and a normal condition of theparts, full dilatation may be effected on an average in about six hours,the time in primiparse being somewhat longer than in other women;but the stage may nevertheless last for one hour only, or for twenty-four, without the occurrence, in either case, of a single symptom tocause us the least anxiety. It has been frequently observed by themost experienced accoucheurs that, in those instances in which the firststage is tedious, the subsequent stages proceed with unusual rapidity.Sometimes, cases in which there is unu

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