MATERNAL DYSTOKIA. 



91 



passage ; diminishing the size of the foetus, or making 

 an artificial opening. 



The methods of inducing artificial abortion are: 

 irritation of the cervix by hand; puncture of the 

 envelopes ; and vaginal irrigations. 



Fig. 39. 

 Pelvic Exostosis. 



Before forcible extraction is contemplated, a very 

 careful examination should be made, to ascertain 

 whether such procedure is practicable. If such should 

 be found to be the case, the parts should be well 

 lubricated, to facilitate movement, 



Enlargement of the passage is not usually prac- 

 ticable, unless the constriction be occasioned by a tumor, 

 which may be removed by excision, or by the ecraseur. 



Diminution of the Size of the Foetus. 



See section on "Embryotomy." 



Artificial Opening for Foetus. 

 Refer to "Caesarian Operation." 



