OCCASIONAL COMPLICATIONS FOLLOWING BIRTH

Just as any disease can occur during pregnancy, it can also occur during the puerperium. I have seen patients with mumps, measles, chicken pox, scarlet fever, malaria, appendicitis, catarrhal jaundice, etc. The more frequent complications of the puerperium are: puerperal or childbed fever; mastitis or infection of the breast; pyelitis or infection of the uppermost ...

MEDICAL CARE DURING THE EARLY PUERPERIUM

Rest and Quiet From the doctor’s point of view, the fewer the visitors during the complete hospital stay the better. In some progressive institutions visitors are restricted on maternity to the husband and parents. It should not be forgotten that the patient must recuperate from the last few uncomfortable weeks of pregnancy and the strain and ...

Convalescence from Confinement After Childbirth

The puerperium (Latin: ‘a child’ + ‘having brought forth’) has been arbitrarily defined as the first six weeks following the completion of labor. It is a period of rapid recuperation and readjustment from the pregnant to the nonpregnant state. Physiologically it is distinguished by two conspicuous phenomena—the return of the uterus to its nonpregnant condition, ...

CESAREAN SECTION OPTIONS

In terms of its frequency, Cesarean section lags behind some other obstetrical operations, but when judged by its importance, the fascination of its history, and the drama of its technique, it commands the leading position. The operation consists of incising the lower abdomen, cutting into the uterus, and removing a child of viable (large enough ...

INDUCTION OF LABOR

By induction of labor is meant the bringing on of labor before it has begun of its own accord. If labor is induced between the twenty-eighth and thirty-sixth weeks, when the child still weighs less than five and one-half pounds, it is known as the induction of premature labor. Induction after the thirty-sixth week is ...

BREECH EXTRACTIONS

A breech extraction may be done without the aid of instruments. And as for its antiquity, I venture to guess that, if Mrs. Noah had two breech children, the second was delivered by extraction. Probably the first was allowed to deliver unaided; part of the child was born spontaneously, then further progress was temporarily arrested, ...

FORCEPS DELIVERY

The majority of obstetrical operations are done by means of a special instrument, the forceps. This consists of two separate thin steel blades with smooth inner surfaces curved to fit the sides of the infant’s head. The blades are inserted separately into the vagina, opposite each other, and when their handles are articulated, the child’s ...

Obstetrical Operations

The Marked Increase in Operative Births A significant trend in modern childbirth is the increase in the incidence of operative deliveries, causing a sharp decrease in the number of babies arriving unassisted. In this section I shall attempt to unearth the factors responsible for this rise in operative births. One reason is that the constantly greater ...

Difficult Labor

Difficult labor is uncommon today. Its lessened frequency in modern childbirth stems from prevention, sorting out probable cases and delivering them by Cesarean section before labor’s onset, and from the fact that there are many therapeutic measures which can be employed to prevent a labor from becoming difficult. Such measures are the stimula- tion of ...

DELIVERY

Having discussed pain relief at length, we can rejoin the patient in the labor room. By this time she has probably received Demerol and scopolamine, unless she is a successful candidate for natural childbirth. The husband has been dismissed and sent to the waiting room to join other expectant husbands and their retinues of expectant ...

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