This work has been selected by scholars as being culturally important, and is part of the knowledge base of civilization as we know it. This work was reproduced from the original artifact, and remains as true to the original work as possible. Therefore, you will see the original copyright references, library stamps (as most of these works have been housed in our most important libraries around the world), and other notations in the work. This work is in the public domain in the United States of America, and possibly other nations. Within the United States, you may freely copy and distribute this work, as no entity (individual or corporate) has a copyright on the body of the work. As a reproduction of a historical artifact, this work may contain missing or blurred pages, poor pictures, errant marks, etc. Scholars believe, and we concur, that this work is important enough to be preserved, reproduced, and made generally available to the public. We appreciate your support of the preservation process, and thank you for being an important part of keeping this knowledge alive and relevant.

Excerpt from The American Journal of Obstetrics and Diseases of Women and Children, Vol. 39: January-June, 1899 N 0 operation within the domain of gynecological surgery has been the topic of more doubt and discussion than that of the extirpation of the uterine appendages. Its use implies it may be abused; its abuse means it has a proper use. I know it is much easier to be critical than to be correct. It is my intention in this paper to attempt to answer the in quiry: When and to what extent are we to Sacrifice the ovaries and the tubes? In so doing I find that by necessity I must dwell, not incidentally only, on some of the diseases of the uterine appendages. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.

This work has been selected by scholars as being culturally important, and is part of the knowledge base of civilization as we know it. This work was reproduced from the original artifact, and remains as true to the original work as possible. Therefore, you will see the original copyright references, library stamps (as most of these works have been housed in our most important libraries around the world), and other notations in the work.This work is in the public domain in the United States of America, and possibly other nations. Within the United States, you may freely copy and distribute this work, as no entity (individual or corporate) has a copyright on the body of the work.As a reproduction of a historical artifact, this work may contain missing or blurred pages, poor pictures, errant marks, etc. Scholars believe, and we concur, that this work is important enough to be preserved, reproduced, and made generally available to the public. We appreciate your support of the preservation process, and thank you for being an important part of keeping this knowledge alive and relevant.

Excerpt from The American Journal of Obstetrics and Diseases of Women and Children, Vol. 51: January-June, 1905 NO special introducing forceps 0r syringe are necessary, al though some have been described. I use, however, nearly always a forceps with a pelvic curve and fenestrated blades for the greater ease in the introduction, yet a sponge holder will do. The syringe employed is an ordinary Davidson's. The glass varieties are very apt to break. The metal ones get out Of order and can not be boiled. Of course, the asepsis must be perfect in every detail. It is well to insert the largest size bag possible at the outset and to remember in filling the balloon with the fluid to inflate slowly with Slight traction on the tube so that the head, if presenting, will be displaced as little as possible. The patient is left to nature's efforts after the introduction Of the balloon unless there is need of hurry when traction can be made at regular intervals on the tube, increasing thereby the strength Of the pains and accelerating the dilatation of the cervix. It is only necessary to insert successive bags in cases where great haste Is demanded and where the pains are few and far between or stop altogether after the first bag is expelled. Results - AS before stated, in a previous article, the writer re ported the first series Oi cases in which the balloons were used in the service at the Sloane Maternity Hospital. These were 72 in number out Of deliveries for the two years up to September 1, 1899. The cases selected had sure indications for interfering, and were those in which other methods had been tried and had failed. In all advantages were Obtained and the field of useful ness of the balloons was more definitely determined. This second series I want to report so as to further emphasize the utility of the bags and the great amount Of dependence we place upon them, especially in private practice. These cases also are not selected but I publish all in which bal loons were employed, the first set occurring in the first 200 cases of my private practice; the second set Occurring in the four years ending September 1, 1903, in deliveries, subsequent to those before reported, from the service of the Sloane Maternity Hospital. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.

Excerpt from The American Journal of Obstetrics and Diseases of Women and Children, Vol. 77: January-June, 1918 ON February I 5, 1897, over twenty years ago, I began my connec tion with the Sloane Hospital for Women, then the Sloane Maternity Hospital. At that time women had no advice during their pregnan cies, little skill in the management of their labors, and practically no care during their puerperium. Some of the medical students saw a few cases delivered during their medical-school days, while all were totally unfit to practice obstetrics after their graduation. Of course, there were a few competent physicians to deliver women, but the rank and file were an ignorant lot, while such a man as a surgical obstetrician did not exist. The development of such men was in progress but along lines quite different from the modern ideas Of to-day. The instrument relied upon then to terminate dystocia was the forceps. Another Operation frequently employed to help one out of a difficulty was a version. Physicians had to be skilful at both of these operations for a successful outcome, because in the hands Of bunglers a tremendous amount of harm could be done. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.