BOTANIC PHYSICIAN. os 
n what ie termed dry birth, he where the membranes have : 
n and the -are discharged previous to the commence- 
of parturitior livery is rendered more difficult. When this 
e case, the camomile, and oils, as recommended above, are 
rly necessary. = 
aPhis inchides every labor in which the pro- 
nd twenty-four hours, the head of the child 
are rendered dificult by the inert or irregular action of 
womb—which may be caused by too great a distention of we 
omb ; partial action of the womb ; rigidity of the membranes; im- _ 
perfect discharge or dribbling of the waters ; shortness of the navel- 
rd ; weakness of the constitution; fever ; want of a due degree 
itability ; passions of the mind; or, general deformity. ee 
2 rendered difficult by the rigidity of the parts to be e 
may prodebd fear ths first child ; advancement in 
arly rupture of the membranes ; oblique position of the 
the womb; fever or local inflammation ; extreme rigidity | 
eck of the womb ; and uncommon rigidity of the external 
parts. — ; o> ; 
_ Labors are rendered dificult from disproportion between the di- 
mensions of the cavity of the pelvis and the head-of the child—which _ 
may be caused by the original smallness of the pelyis ; distortien of 
the-pelvis ; head of the child unusually large, or too much ossified ;— 
head of the child enlarged by disease face inclined towards the 
- pubis or front bene; presentation of the face ; the head presenting 
with one or both arms. a as 
s are rendered difficult by diseases $0 —as 
n of urine; stone in the bladder; € the © 
jomb; cicatrices in the vagina; ad 10 T 
ent of the ovaria; rupture ofthe womb. 
rem 
¥ 
* NOTE. The unwarrantable and over-officious disturbance of 
natural progress of labors, and especially the premature rupture of 
the membranes, is the most general cause of difficulties in parturition. — 
Women are to be relieved in difficult labors, by a free use of the 
mother’s al,” as before directed; by time and patience; by — 
Ira to hope for a happy event; by regulating their ge= 
lessening or removing the obstacles to the effects 
“by the pains; and (the last resort) by the 
Eb intentions in the use of instruments, are—J. ‘To preserve the 
lives both of the mother and child. 2. 'T'o preserve the life of the 
mother. 3. to preserve ithe life of the child. 
The instruments commonly. used for the purposes of delivery. 
_ the forceps, together with bandages... «  _ = 
~ There are three things to be considered: with respect 
ceps, and to the use of instruments in general, viz. : to 
urate distinction of those cases which requixe their us 
b 
