Cases of postural treatment in prolapse of the funis / by Robert Dyce.

  • Dyce, Robert, 1798-1869.
Date:
[1866]
Catalogue details

Licence: Public Domain Mark

Credit: Cases of postural treatment in prolapse of the funis / by Robert Dyce. Source: Wellcome Collection.

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    only feel it with, the tip of my finger, and when the pain left the funis had slipped beyond my reach, and did not again return. The patient was kept in the same position until the child’s head was fairly in the cavity of the pelvis and nearly touching the perinaeum. I then allowed her to take the usual position, and in about two hours the child was born alive, though rather feeble. Both mother atid child have since done well.” The second case of funis presentation was further compli¬ cated with placenta praevia. Mrs. M.> during her fifth pregnancy, in the latter months had three several sudden discharges of blood from the vagina— the first time during the night, the second time when dress¬ ing in the morning, and the third time also in the morning the day before her confinement; on all occasions the discharge stopped suddenly, and proceeded from no accident or cause on her part. The symptoms were suspicious of placental pre¬ sentation, but as she wanted a good many weeks from her full time by her own calculation, and more especially as the loss of blood had produced no particular constitutional disturb¬ ance, I risked the uncertainty by not making any examina¬ tion. When summoned on the night of her confinement (twelve hours after the last flooding), I was fully prepared for the announcement that the flooding had returned, but on in¬ quiry I was rejoiced to learn that the waters and not blood had come off—in fact, there was not a stain upon her linen— and that the liquor amnii had been discharged. On now making an examination, I was met by the funis, not merely a loop, but a mass which the hand could scarcely grasp. She had then no. pain, but she had had during the evening some weak and distant indications of uterine action. The funis was very tense, and pulsated strongly ; the head could be felt through the os, wrhich was open to the size of half-a-crown, and very dilatable. The external parts were also relaxed. I endeavoured to return the funis while she lay on her left side, but as fast as one portion passed up, another came down. Determining to try the “postural method,” she was placed on her knees and elbows, the pillows being removed, when, with