Un traité théorique et pratique sur la midwifery : y compris les maladies de la grossesse et de la parturation et les attentions requises par l'enfant de la naissance à la période de sevrage . ouverture arrondie, l'orifice de thecell à travers lequel le cordon passe; et au-delà, ce sont les murs irréguliers du thecyst, qui inculperont le placenta. Ici aussi, l'accucheur devrait attendre, si l'enkystement n'est pas complicatedpar un accident; s'efforçant, cependant, en moyenne, de favoriser le retour de Fio-. 135. l'utérus à sa forme normale, par un recours aux mesures avant de les conseiller. Lorsqu'un dan-ger menace le

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A theoretical and practical treatise on midwifery : including the diseases of pregnancy and parturition and the attentions required by the child from birth to the period of weaning . rounded opening, the orifice of thecell through which the cord passes; and beyond it are the irregular walls of thecyst, inclosing the placenta. Here, also, the accoucheur ought to wait, if the encystment is not complicatedby any accident; endeavoring, however, in the mean while, to favor the return ofFio-. 135. the womb to its normal form, by a resort to the measures before advised. When any dan-ger threatens the mothers life, he ought todilate the orifice of the cyst with the ends ofthe fingers, and thus penetrate carefully intoits cavity. (See Fig. 135.) While these attempts are being made in-ternally, the other hand, placed on the hypo-gastrium, must grasp the fundus, and keep itin position. Douglass, who devoted particu-lar attention to this subject, avers that theplacenta is generally still adherent; butRams-. botham, Dewees, and several others assert, onthe contrary, that it is usually detached. Inthe former case, the operator would have to attempt its separation; always taking. Mode of dilating the structured part. ? ARTIFICIAL DELIVERY. 887 the precautions mentioned below. It is to be delivered by taking hold of oneborder, with a view of making it clear the mouth of the cyst more readily; andif it is but partially encysted, the index ringer is entered and passed around thatportion of the placenta held by the periphery of the opening; in this way bothrelieving the stricture and disengaging the encysted part. Instead of attempting to dilate the mouth of the cell, which is often very diffi-cult, M. Dubroca, of Bordeaux, has suggested a new plan, which is styled byhim the method of erosion ; it consists of the introduction of a finger into theopening of the cell, and then, with it, tearing up and reducing the placenta tofragments, which are afterwards expelled. He says this mode pr

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