Very little was needed in the aftertreatment. The temperature never rose above normal, and on the 10th day I found the woman well and out of danger.
applied.
OBSTRUCTED ARM PRESENTATION WITH DEATH OF THE FCRTUS?CRANIOTOMY. RECOVERY. By Hospital Assistant, Shaik Ameer Kurrim, In charge, Dispensary Damnagor (Kathiaicar.)
A Kunbi came to call me on the 23rd June 1894 from the village Dhamel to see his relation's wife, who had been in labour for the last two days. I found my patient, a woman of 30 years, a primipara, of small stature and a delicate constitution, lying on a cot in her own house. She was helpless and alone, all her relations standing aloof from her. On examination I found the right hand of the child protruding from the vagina and the head impacted at the brim. The labia The os was well were swollen, turgid and hot. dilated, there were no pains, they having ceased for 24? hours. The elbow of the presenting arm was dislocated by the injudicious pulling of it by The uterus was an ignorant native midwife. firmly contracted around the foetus. No foetal heart sounds could be heard anywhere. TemperPulse 120. Urine was passed an ature 1013. hour previously, and the bowels had moved freely. Having decided that the child was dead and the head was large and firmly fixed, and being unable to put back the protruding arm by performing podalic version, I decided upon craniotomy as the best means of delivery. After administering a full dose of liquid extract of ergot, the patient was brought under the influence of chloroform, and craniotomy was performed. After emptying the cranium, a male foetus was delivered in a few minutes. The placenta had also to be removed, and the uterus was well washed with a five per cent, solution of carbolic acid, and the usual supporter
applied.
OBSTRUCTED ARM PRESENTATION WITH DEATH OF THE FCRTUS?CRANIOTOMY. RECOVERY. By Hospital Assistant, Shaik Ameer Kurrim, In charge, Dispensary Damnagor (Kathiaicar.)
A Kunbi came to call me on the 23rd June 1894 from the village Dhamel to see his relation's wife, who had been in labour for the last two days. I found my patient, a woman of 30 years, a primipara, of small stature and a delicate constitution, lying on a cot in her own house. She was helpless and alone, all her relations standing aloof from her. On examination I found the right hand of the child protruding from the vagina and the head impacted at the brim. The labia The os was well were swollen, turgid and hot. dilated, there were no pains, they having ceased for 24? hours. The elbow of the presenting arm was dislocated by the injudicious pulling of it by The uterus was an ignorant native midwife. firmly contracted around the foetus. No foetal heart sounds could be heard anywhere. TemperPulse 120. Urine was passed an ature 1013. hour previously, and the bowels had moved freely. Having decided that the child was dead and the head was large and firmly fixed, and being unable to put back the protruding arm by performing podalic version, I decided upon craniotomy as the best means of delivery. After administering a full dose of liquid extract of ergot, the patient was brought under the influence of chloroform, and craniotomy was performed. After emptying the cranium, a male foetus was delivered in a few minutes. The placenta had also to be removed, and the uterus was well washed with a five per cent, solution of carbolic acid, and the usual supporter
