Obstetric Aphorisms: for the Use of Students Commencing Midwifery Practice

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It is not well to interfere too soon after the birth of the first child, because the woman may be somewhat exhausted, and may need a little repose. At the same time, it is not advisable to delay interference too long, e.g., for several hours, because the soft parts, which have been well dilated by the first child, will have time to contract, and thus any operation (such as turning or the application of the forceps) which may be required will be rendered much more difiicult. If there are symptom...s of ex- haustion after the birth of the second child, a tablespoonful of brandy may be given, together with nixxx of tinct. opii.
In all twin cases, the patient should be informed, when the first child is born, that she is likely to give birth to a second.
This should not be told to her abruptly, and at the same time she should be cheered by the assurance that in all probability she will not have to go through one-tenth part of the suffering which she has already endured.
REQUIRING A CONSULTATION.


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