A Text book of Midwifery V. 1

Cover A Text book of Midwifery V. 1
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Meanwhile the pains are increasing in frequency and force (S chattel wehen, dolores conquassantes) , and cause more and more suffering ; the foetus presses strongly on the perinseum, the labia diverge further and further during the pains, while a continually increasing foetal surface occupies the pubic fissure ; and even though the head recedes somewhat during the intervals, it is not long before a portion remains constantly visible, till finally the greatest or almost the greatest circum- fere
...nce of the presenting part occupies the fissure, even during the intervals ; the foetal part is now at the point of exit. The perinaeum bulges more than ever, and is so thinned, even in its anterior half, that the cranial bones may often be felt through it ; the pubic fissure looks forwards and upwards ; the anus is patulous and oval in shape, the mucous membrane of the anterior rectal wall being visible ; the urethral thickening of the anterior vaginal wall is pushed forwards beneath the symphysis as a thick cedematous swelling, the nymphse and labia majora are pushed on each side, but the former are not entirely smoothed away.

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