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 |   Related post: when and how he may act upon his own responsibility, and when he ought to send for assistance. With this in view, the management of ordinary labor is first described, and then in Parts II. and III. are consecutively considered the cases which the student may undertake without assistance, and those in which he should ask for counsel. Part TV., an addi- tion by the American editor, is divided into two chapters, * Obstetric Aphorisms, for the Use of Students commencing Midwifery Practice. By Joseph Griffiths Sn^ayne, M. D. From the fourtli revised English edition, with Additions, hy Edward R. Ilutchins, M. D, Pliil- adelphia: Henry C. Lea, 1870. 16mo, pp. 177. 308 BIBLIOGRAPHICAL AXD LITEKAKY NOTES. devoted to " the Care of the Xew-born Infant," and " Abor- tions.'' The work is in the Mexitil 200mg main judiciously done, and it will be received as an acceptable addition to the rapidl^'-increasing list of books prepared for the especial use of students. If nsed in accordance with the intent of the author, it can only be ser- viceable ; but if, as is too apt to be the case among Ameri- can students, in their unseemly haste to acquire their medical education, this book be made to supplant systematic and thorough study of the science and art of midwifery, we sliould only regret its publication. On several points we might take exceptions to the teach- ings of this book ; but will specify only two, which happen to occur on the same page (48). The author's respect probably for authority has led him to give his adherence to the old starvation-diet of the lying-in-woman. It was our good for- tune, we think, to be taught differently, and Buy Mexitil in practice we have seen nothing but the best results from precisel}'- the op- posite course. To sustain your patients liberally is, we believe, the surest means of warding off many of the complications incident to the jpost-jpartum state. On the same page the American editor advises never to apply a napkin over the vulva to absorb the lochial discharges, for the reason that " such an application but dams up the lochial discharges against a uterus already excited." Theoretically, granted, pro- vided that napkins be made impervious to fluids, and be fitted to the vulva after the manner of a water-tight joint. Prac- tically the advice is absurd, and the danger purely hypothet- ical. Carelessness in reading has led to the introduction of several perplexing typographical errors, tliat mar the perfect- ness of the volume. Issued in sumptuous style, we have here ' a reprint, from the first volume of the Bellevue and Charity Hospital Reports, ' On Ariipntatifm of tlie Cervix Uteri in certain Forms of Procidentia, and on Complete Eversion of tlie Cervix Uteri. By Isaac E. Taylor, M. D., President and Emeritus Professor of Obstetncs and Diseases of Women and Cliildrcn in the Hclleviic Hospital Medical College, etc. New York : D. Appleton & Co., 1809. Quarto, i)p. 09, with colored jdate. BIBLIOGEAPHICAL A^D LITER AEY ]SrOTE3. 309 of Dr. Taylor's monograpli on "Amputation of the Cervix Uteri in certain Forms of Procidentia, Mexitil Buy with Remarks on E ver- sion of the Cervix Uteri." The paper is an exceedingly inter- esting and valuable contribution to gynecological literature, and its value is enhanced by the rare opportunities which the author has had for observing and treating the class of aifec- tions named in the title of the article. Premising that, by the term procidentia used in this paper. Dr. Taylor means onlj' that extreme degree of falling in which the uterus has escaped from the vulva, and therefore the vagina is turned more or less completely inside out, and embraces not only the uterus and its appendages, but also the bladder, part of the rectum, and frequently portions of the small intestine, we may state that his experience now reaches eighty-four cases ; of these, thirty- seven have been operated upon with thirty-four favorable results. The conclusions at which Dr. Taylor arrives are so com- plete an abstract of the paper that it is quite unnecessary for us to do more tlian reproduce them here. On the points of the pathological conditions existing in tlie uterine and sur- rounding tissues in this lesion, and on the history and bib- liography of the various operative procedures which have been devised for the relief of procidentia, the paper is unusually full, and must stand as an authority. In this Journal for January, 1869, p. 520, et seq., will be found also a full his- tory of these various operations, which the reader will observe agrees very substantially -with Dr. Taylor's researches into this question : 1. That the opinion of M. Huguier — that the atfection designated under the names of prolapsus or procidentia of the uterus, and whicli appears to be completely out of the pelvis, and is exterior to tlie vulva, is rare — is correct, though not as frequent as M. Huguier supposed, being in the proportion, according to my own investigations, as 1 to 12f, instead of 1 to 32 of M. Huguier. 2. That there exists very seldom a true hypertrophic elon- gation or pathological change of structure of the supra-vaginal Related links: Buy Valtrex Online Canada, Tranexamic Acid Skin Care, Buy Effexor Xr Online, Zithromax Overnight Delivery, buy teva orlistat 120mg, buy lisinopril 10 mg no prescription, Purchase Calan, Purchase Zyban Online, Sulfasalazine Online, Buy Terramycin Online
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