MATERNAL DYSTOKIA. gI 
passage; diminishing the size of the {cetus, 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. 
Fic. 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 “ Czsarian Operation.” 
