Regulations for Army medical services / War Office.

Date:
1894
Catalogue details

Licence: Public Domain Mark

Credit: Regulations for Army medical services / War Office. Source: Wellcome Collection.

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    Appendix No. 6. 6. An outline of the course of instruction which mid- wives should undergo is appended. At some stations it will probably not be found possible to give full instruction in all the details of this outline, but an attempt should be made to approach to it as nearly as possible. Outline of Instruction by Lectures. 1. A simple and general idea of the human skeleton. 2. A more particular description of the female pelvis, its bones, measurements, axes, natural and deformed states. 3. A simple account of the female sexual organs, and the anatomy and physiology of the vagina, uterus, ovaries, urethra, rectum, &c, with their relation to each other. 4. A simple account of the development of the foetus, its growth, nutrition, membranes, &c, with remarks on the placenta and umbilical cord. 5. Some account of the impregnated uterus ; the signs of pregnancy; the duration of utero-gestation ; death of the foetus in utero, &c. 6. Abortion and premature labour, the signs of their coming on, means of prevention. 7. Full instructions on the mechanism of labour. 8. Instructions as to presentations in labour. To distinguish natural from mal-presentations. 9. Natural labour, its three stages, and their average duration ; application of knowledge required under for- mer heads ; condition of par's at each stage ; on undue interference ; the delivery ; parts that may be injured in delivery ; attention to bladder and rectum ; management of the cord and placenta ; attention to compresses, band- ages, bedding, comfort of patient generally. 10. Preternatural labours, distinguishing marks of each variety. Deficient and excessive uterine action ; rigid ty of the parts, tumours, accumulations in the various viscera; deformities ; affections of the foetal membranes, of the foetus itself; plural births, &c. 11. Complex labours; cord presentations; retained placenta ; haemorrhage ; convulsions ; rupture of different parts, &c. - 12. Conditions after birth, syncope; flooding ; abnor- mal uterine contraction ; inversion of uterus; the lochia ; puerperal conditions, fever, mania, &c. ; infection ; clean- liness ; recumbent posture and its term; proper tood ; stimulants, &c. . . 13 The child : attention to it; asphyxia ; deformities ; occlusions; treatment of the cord; first food ; popular fallacies ; the mother's breast, nipples, milk, &c.