A Manual of Obstetrics

Cover A Manual of Obstetrics
A Manual of Obstetrics
Albert Freeman Africanus King
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Conditions rendering the natural forces of labor deficient ; 2d. Mechanical impediments to delivery. Both kinds of conditions may, and necessarily often do, coexist.
The main force by which the child is naturally expelled is that of uterine contraction. This may be impaired in various degrees by exhaustion of the muscular walls of the uterus from prolonged effiDrt ; by over-distension of the womb from hydramnion, plural pregnancy, etc. ; by precocious or advanced age at the time of delivery ; b
...y violent mental emotion ; by distension of the urinary bladder, and of the rectum ; by obliquities and displacements of the uterus ; by 21* Digitized by Google 246 TEDIOUS LABOR.
thinning of the uterine walls from frequent and quickly re- peated labors, or from fatty or other degeneration of the uterine tissues ; by general debility or feebleness on the part of the female,* whether resulting from previous disease, enervating habits of life, heat of climate, or exhaustion from hemorrhage, or want of sleep during a prolonged first stage of labor.


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