NEW WAYS TO USE LIQUOR HYPOPHYSIS 209 



was up and said he had eaten his usual breakfast with- 

 out discomfort. 



A ROUTINE IN LABOR 



By the use of posterior pituitary extract, labor can 

 be made a pleasure, at any rate, my patients look back 

 upon their confinement as a happy episode in their lives 

 and they are unanimous in declaring they will not be 

 afraid to repeat the experience. Here is what I would 

 call "the super-relaxation method" of delivery : 



As soon as labor surely has begun put the woman to 

 bed without an examination. Place towels dampened in 

 lysol solution over the vulva. Throw a sheet over the 

 head of the bed. Saturate a towel with chloroform and 

 pin it to the sheet about two feet above the patient's 

 head. As this towel becomes dry, saturate another 

 and pin over the first. (The drop method is intermit- 

 tent compared to this.) In thirty minutes the patient 

 is asleep. Shave the pubes and around rectum. Scrub 

 with soap and water. Put on sterile leggings. Draw 

 one-half a mil. of Liq. Hypophysis into a medicine drop- 

 per. Put a drop in each eye, two on the tongue and 

 squirt remainder up the nose. Place two fingers of the 

 gloved hand into the vagina and press gently, continu- 

 ously and steadily backward. If this does not bring on 

 uterine contractions inject % cc. Liq. Hypophysis 

 under the skin above the knee. Continue the pressure 

 alternating the hands as each may tire. This pressure 

 and an occasional hypo, of Liq. Hypophysis will keep 

 up uterine contractions while patient remains asleep. 

 Eight, or even more injections may be given without 

 harm, under such circumstances during the course of 

 labor. In one hour the vagina should be large enough 

 for the whole hand to be introduced into it, clinched and 

 withdrawn without force. If the cervix is slow to 

 dilate it may be stretched also. Insert two fingers of 

 each hand and gently dilate. As the head appears, the 



