Identifier: treatiseonobstet00davi (find matches)
Title: A treatise on obstetrics for students and practitioners
Year: 1896 (1890s)
Authors: Davis, Edward Parker, 1856-
Subjects: Obstetrics Radiography in obstetrics Obstetrics Obstetrics
Publisher: Philadelphia and New York, Lea brothers & co.
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons

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*f Applying a reinforcing strip of plaster after symphysiotomy. This can best be avoided by trimming away the plaster at its upperedge in a curved direction, in such a manner that the convexity of thecurve is toward the pubes and its concavity toward the womb. Aslong as the strip exercises its pressure firmly and evenly over the tro-chanters it is unnecessary that its pressure on the parts above should Fig. 183.
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Symphysiotomy patient with dressings. be so firm. A light flannel binder or mauy-tailed abdominal bandagemay be applied over the abdomen, making gentle pressure from abovedownward, and thus keeping the uterus in its proper position in thepelvic brim. Pressure upon the abdomen should be as gentle as pos-sible to avoid compressing the intestine, and thereby favoring the occur-rence of intestinal complications, which might lead to inflarrtmatory con-ditions or even to partial occlusion of the bowel. An occlusion antiseptic dressing should be placed over the vulvaand the patients knees be bandaged together with a flannel bandage. SYMPHYSIOTOMY. 345 It is of importance that the bladder be emptied completely in thesecases, although patients usually go for a considerable time without pass-ing urine. The urethra is often swollen after symphysiotomy, and thefirst catheterization of the patient is often difficult and painful. Someoperators prefer to leave a soft catheter in the bladder, attachi

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