Case of Central Rupture of the Perineum
نویسنده
چکیده
on examination per vaginam, found the os uteri hardly admitted the point of the finger, while the vaginal surface was free from secretion. I ordered her a dose of castor-oil, and asked the person in attendance to send for me when she thought it necessary. I was sent for about 4 p.m., and on my arrival found the pains very constant and severe, the membranes ruptured, and the head pressing strongly against the perineum, with a rigid vulva. At once I supported the perineum with my hand, and for nearly an hour continued to do so, the vulva in the interval becoming greatly relaxed. The head was now so far protruded, that I expected its exit each pain, but suddenly the perineum became thinned, gave way, and the head, receding from the vulva, escaped through the laceration, followed immediately by the body. I separated the child, passed the fingers through the vulva, and in a short
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