‘The child was born about an hour before I came, and the midwife in attempting to bring away the placenta, had inverted the uterus; for upon examination, I found the whole body of the uterus with the placenta, adhering to…
Uterine compression sutures of an improvised type have been used for decades: for example, figure-of-eight sutures in the lower uterine segment in cases of placenta praevia. In recent years, more specific techniques for the application of compression sutures have been…
When the cause of a postpartum haemorrhage (PPH) is not immediately obvious and oxytocic agents have failed, examination under anaesthesia (EUA) is warranted. In the event of continued uterine bleeding after EUA, many clinicians used to resort to laparotomy and…
Introduction ‘I find it both amongst the ancients and moderns there have been different opinions and directions about delivering the placenta; some alleging that it should be delivered slowly, or left to come, of itself; others, that the hand should…
Introduction ‘The dangerous efflux is occasioned by everything that hinders the emptied uterus from contracting … in these cases such things must be used as will assist the contractile power of the uterus and hinder the blood from flowing so…
‘No greater boon has ever come to mankind than the power thus granted to induce a temporary but complete insensibility to pain’. Howard Wilcox Haggard Devils, Drugs, and Doctors. The story of the science of healing from medicine-man to doctor.…
Once a Caesarean Always a Caesarean ‘One thing must always be borne in mind, viz., that no matter how carefully a uterine incision is sutured, we can never be certain that the cicatrized uterine wall will stand a subsequent pregnancy…
Malpresentations are all presentations of the fetus other than the vertex. Malpositions are abnormal positions of the normal presenting part (the vertex) of the fetal head with the occiput as the reference point relative to the maternal pelvis . Fetal…
‘Yet sometimes the navel string falls down and comes before it; for which cause the child is in much danger of death… As soon as ‘tis perceived, you must immediately endeavor to put it back, to prevent the cooling of…