Chapter I: Front Matter

Ossa innominata.--Sacrum.--Coccyx.--Distinction between the
male and female pelvis.--Diameters of the pelvis.--Pelvis
before puberty.--Axes.--Inclination, 15

CHAPTER II. FEMALE ORGANS OF GENERATION.

Internal and external.--Ovaria.--Ovum.--Corpus luteum.--
Fallopian tubes.--Uterus.--Vagina.--Hymen.--Clitoris.--
Nymphæ.--Labia, 22

CHAPTER III. DEVELOPMENT OF THE OVUM.

Membrana decidua.--Chorion.--Amnion.--Placenta.--Umbilical
cord.--Embryo.--Foetal circulation, 48

PART II. NATURAL PREGNANCY AND ITS DEVIATIONS.

CHAPTER I. SIGNS OF PREGNANCY.

Difficulty and importance of the subject.--Diagnosis in the
early months.--Auscultation.--Changes in the vascular and
nervous systems.--Morning sickness.--Changes in the appearance
of the skin.--Cessation of the menses.--Areola.--Sensation of
the child's movements.--"Quickening."--Auscultation.--Uterine
souffle.--Sound of the foetal heart.--Funic souffle.--Sound
produced by the movements of the foetus.--Ballottement.--State
of the urine.--Violet appearance of the mucous membrane of the
vagina.--Cases of doubtful pregnancy.--Diagnosis of twin
pregnancy, 80

CHAPTER II. TREATMENT OF PREGNANCY.

Sympathetic affections of the stomach during pregnancy.--
Morning sickness.--Constipation.--Flatulence.--Colicky
pains.--Headach.--Spasmodic cough.--Palpitation.--Toothach.--
Diarrhoea.--Pruritus pupendi.--Salivation, 101

CHAPTER III. SIGNS OF THE DEATH OF THE FOETUS.

Difficulty of the subject.--Signs before labour.--Motion of
the foetus.--Sound of the foetal heart.--Uterine souffle.--
Signs during labour where the head presents--where the face,
the nates, the arm, or the cord, present.--Fetid liquor
amnii.--Discharge of meconium, 107

CHAPTER IV. MOLE PREGNANCY.

Nature and origin.--Varieties.--Diagnostic symptoms.--
Treatment, 112

CHAPTER V. EXTRA-UTERINE PREGNANCY.

Tubarian, ovarian, and ventral pregnancy.--Pregnancy in the
substance of the uterus, 117

CHAPTER VI. RETROVERSION OF THE UTERUS.

History.--Causes.--Symptoms.--Diagnosis.--Treatment.--
Spontaneous terminations, 126

CHAPTER VII. DURATION OF PREGNANCY, 136

CHAPTER VIII. PREMATURE EXPULSION OF THE FOETUS.

Abortion.--Miscarriage.--Premature labour.--Causes.--
Symptoms.--Prophylactic measures.--Effects of repeated
abortion.--Treatment, 141

PART III. EUTOCIA, OR NATURAL PARTURITION.

CHAPTER I. STAGES OF LABOUR.

Preparatory stage.--Precursory symptoms.--First
contractions.--Action of the pains.--Auscultation during the
pains.--Effect of the pains upon the pulse.--Symptoms to be
observed during and between the pains.--Character of a true
pain.--Formation of the bag of liquor amnii.--Rigour at the
end of the first stage.--Show.--Duration of the first stage.--
Description of the second stage.--Straining pains.--Dilatation
of the perineum.--Expulsion of the child.--Third stage.--
Expulsion of the placenta.--Twins, 156

CHAPTER II. TREATMENT OF NATURAL LABOUR.

State of the bowels.--Form and size of the uterus.--True and
spurious pains.--Treatment of spurious pains.--Management of
the first stage.--Examination.--Position of the patient during
labour.--Prognosis as to the duration of labour.--Diet during
labour.--Supporting the perineum.--Treatment of perineal
laceration.--Cord round the child's neck.--Birth of the child,
and ligature of the cord.--Importance of ascertaining that the
uterus is contracted after labour.--Management of the
placenta.--Twins.--Treatment after labour.--Lactation.--Milk
fever and abscess.--Excoriated nipples.--Diet during
lactation.--Management of lochia.--After-pains, 169

CHAPTER III. MECHANISM OF PARTURITION.

Cranial presentations--first and second position.--Face
presentations--first and second positions.--Nates
presentations, 199

PART IV. MIDWIFERY OPERATIONS.

CHAPTER I. THE FORCEPS.

Description of the straight and curved forceps.--Mode of
action.--Indications.--Rules for applying the forceps.--
History of the forceps, 216

CHAPTER II. TURNING.

Turning.--Indications.--Circumstances most favourable for this
operation.--Rules for finding the feet.--Extraction with the
feet foremost.--Turning with the nates foremost.--Turning with
the head foremost.--History of turning, 230

CHAPTER III. CÆSAREAN OPERATION.

Indications,--Different modes of performing the operation.--
History of the Cæsarean operation, 243

CHAPTER IV. ARTIFICIAL PREMATURE LABOUR.

History of the operation.--Period of pregnancy most favourable
for performing it.--Description of the operation, 250

CHAPTER V. PERFORATION.

Variety of perforators.--Indications.--Mode of operating.--
Extraction.--Crotchet.--Embryulcia, 256

PART V. DYSTOCIA, OR ABNORMAL PARTURITION.

CHAPTER I. FIRST SPECIES OF DYSTOCIA.

Malposition of the child.--Arm or shoulder the only faulty
position of a full-grown living foetus.--Causes of
malposition.--Diagnosis before and during labour.--Results
where no assistance is rendered.--Spontaneous expulsion.--
Malposition complicated with deformed pelvis or spasmodically
contracted uterus.--Embryulcia.--The prolapsed arm not to be
put back or amputated.--Presentation of the arm and head.--
Presentation of the hand and feet.--Presentation of the head
and feet.--Rupture of the uterus.--Usual seat of laceration.--
Causes.--Premonitory symptoms.--Symptoms.--Treatment.--
Gastrotomy.--Rupture in the early months of pregnancy, 264

CHAPTER II. SECOND SPECIES OF DYSTOCIA.

Size and form of the child.--Hydrocephalus.--Cerebral
tumours.--Accumulation of fluid and tumours in the chest or
abdomen.--Monsters.--Anchylosis of the joints of the foetus, 281

CHAPTER III. THIRD SPECIES OF DYSTOCIA.

Difficult labour from faulty condition of the parts which
belong to the child.--The membranes.--Premature rupture of the
membranes.--Liquor amnii.--Umbilical cord.--Knots upon the
cord.--Placenta, 286

CHAPTER IV. FOURTH SPECIES OF DYSTOCIA.

Abnormal state of the pelvis.--Equally contracted pelvis.--
Unequally contracted pelvis.--Rickets.--Malacosteon, or
mollities ossium.--Symptoms of deformed pelvis.--Funnel-shaped
pelvis.--Obliquely distorted pelvis.--Exostosis.--Diagnosis of
contracted pelvis.--Effects of difficult labour from deformed
pelvis.--Fracture of the parietal bone.--Treatment.--Prognosis, 292

CHAPTER V. FIFTH SPECIES OF DYSTOCIA.

_Obstructed Labour from a Faulty Condition of the Soft Passages._

Pendulous abdomen.--Rigidity of the os uteri.--Belladonna.--
Edges of the os uteri adherent.--Cicatrices and callosities.--
Agglutination of the os uteri.--Contracted vagina.--Rigidity
from age.--Cicatrices in the vagina.--Hymen.--Fibrous bands.--
Perineum.--Varicose and oedematous swellings of the labia and
nymphæ.--Tumours.--Distended or prolapsed bladder.--Stone in
the bladder, 308

CHAPTER VI. SIXTH SPECIES OF DYSTOCIA.

_Faulty Labour from a Faulty Condition of the expelling Powers._

I. Where the uterine activity is at fault--functionally or
mechanically--from debility--derangement of the digestive
organs--mental affections--the age and temperament of the
patient--plethora--rheumatism of the uterus--inflammation of
the uterus--stricture of the uterus.--Treatment. II. Where the
action of the abdominal and other muscles is at fault.--Faulty
state of the expelling powers after the birth of the child.--
Hæmorrhage.--Treatment, 324

CHAPTER VII. INVERSION OF THE UTERUS.

Partial and complete.--Causes.--Diagnosis and symptoms.--
Treatment.--Chronic inversion.--Extirpation of the uterus, 345

CHAPTER VIII. ENCYSTED PLACENTA.

Situation in the uterus.--Adherent placenta.--Prognosis and
treatment.--Placenta left in the uterus.--Absorption of
retained placenta, 354

CHAPTER IX. PRECIPITATE LABOUR.

Violent uterine action.--Causes.--Deficient resistance.--
Effects of precipitate labour.--Rupture of the cord.--
Treatment.--Connexion of precipitate labour with mania, 361

CHAPTER X. PROLAPSUS OF THE UMBILICAL CORD.

Diagnosis.--Causes.--Treatment.--Reposition of the cord, 368

CHAPTER XI. PUERPERAL CONVULSIONS.

Epileptic convulsions with cerebral congestion.--Causes.--
Symptoms.--Tetanic species.--Diagnosis of labour during
convulsions.--Prophylactic treatment.--Treatment--Bleeding.--
Purgatives.--Apoplectic species.--Anæmic convulsions.--
Symptoms.--Treatment.--Hysterical convulsions.--Symptoms, 376

CHAPTER XII. PLACENTAL PRESENTATION, OR PLACENTA PRÆVIA.

History.--Dr. Rigby's division of hæmorrhages before labour
into accidental and unavoidable.--Causes.--Symptoms.--
Treatment.--Plug.--Turning.--Partial presentation of the
placenta.--Treatment, 393

CHAPTER XIII. PUERPERAL FEVERS.

Nature and varieties of puerperal fever.--Vitiation of the
blood.--Different species of puerperal fever.--Puerperal
peritonitis.--Symptoms.--Appearances after death.--
Treatment.--Uterine phlebitis.--Symptoms.--Appearances after
death.--Treatment.--Indications.--False peritonitis.--
Treatment.--Gastro-bilious puerperal fevers.--Symptoms.--
Appearances after death.--Treatment.--Contagious or adynamic
puerperal fevers.--Symptoms.--Appearances after death.--
Treatment, 415

CHAPTER XIV. PHLEGMATIA DOLENS.

Nature of the disease.--Definition of phlegmatia dolens.--
Symptoms.--Duration of the disease.--Connexion with crural
phlebitis.--Causes.--Connexion between the phlegmatia dolens
of lying-in women and puerperal fever.--Anatomical
characters.--Treatment.--Phlegmatia dolens in the
unimpregnated state, 463

CHAPTER XV. PUERPERAL MANIA.

Inflammatory or phrenitic form.--Treatment.--Gastro-enteric
form.--Treatment.--Adynamic form.--Causes and symptoms.--
Treatment, 473

INDEX, 483

A SYSTEM OF MIDWIFERY.