Outlines of the theory and practice of midwifery / by Alexander Hamilton, M.D. F.R.S. Edin. ; Professor of midwifery in the university, and member of the Royal College of Surgeons, Edinburgh.

  • Hamilton, Alexander, 1739-1802.
Date:
MDCCXC [1790]
Catalogue details

Licence: Public Domain Mark

Credit: Outlines of the theory and practice of midwifery / by Alexander Hamilton, M.D. F.R.S. Edin. ; Professor of midwifery in the university, and member of the Royal College of Surgeons, Edinburgh. Source: Wellcome Collection.

Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)

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    vera] hours o: longer, the fpafm will be removed, the equal contraction of the uterus reftored, and the placenta by the fuccefsful efforts of nature difengaged and expelled. Though it might perhaps be the fafefr. praaice, both inthis cafe and when the cord is torn, to delay the Lnterpofrtion of manual affiftance even for a day ( r two, when the cake will probably be expelied in time of fleep, Toon after waking, or forced off du- ring the effort of palling urine; yet then is always ha%ard of laving the woman before the after-birth is dt- tivertd. She may fuffer from anxietv and agitation : < r a flooding from partial feparation may enfue, and life itfelf be quickly extinguifhed. If the operator cannot flay confiantly with the pa- tient, nor any affiflant be procured, the beft practice is to give a full dofe of opium, as 40 or 50 g«» L. L.; and when fhe is compofed, and begins to be drowfy, if the cake cannot be brought away by pul- ling at the ccrd, and uterine efforts are in vain wait- ed for, the hand of the operator may then be intro- duced into the uterus in a conical manner, and the conflriclion gently and gradually be overcome. The cake will probably be found moftly loofe and difen- gngui, which muft be firmly grafped in the hand and removed. 4. M*