| ILLUSTRATIONS |
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| Anatomy and Physiology. |
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| FIG. | | PAGE |
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| 1 a. | Normal female pelvis | 21 |
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| b. | Normal male pelvis | 21 |
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| 2. | Diagram of pelvic inlet seen from above | 22 |
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| 3. | Diagram of pelvic outlet seen from below | 23 |
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| 4. | Sagittal section of the pelvis | 24 |
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| 5. | Two types of pelvimeters | 25 |
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| 6. | Diagram showing method of measuring distance between crests, spines and trochanters | 26 |
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| 7. | Diagram showing method of measuring Baudelocque’s diameter | 27 |
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| 8. | Diagram showing method of estimating true conjugate | 28 |
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| 9. | Diagram showing method of measuring intertuberous diameter | 29 |
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| 10. | Anterior view of external and internal female generative organs | 31 |
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| 11. | Diagrams of sections of virgin and multiparous uteri | 32 |
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| 12. | Sagittal section of female generative tract | 35 |
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| 13. | Diagram of external female genitalia | 39 |
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| 14. | Sagittal section of breast | 42 |
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| 15. | Front view of breast | 43 |
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| 16. | Diagram of human ovum | 47 |
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| Development of the Baby |
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| 17. | Diagram of human spermatozoa | 61 |
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| 18. | Diagram of segmenting rabbit’s ovum | 65 |
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| 19. | Ovum about 13 days old embedded in the decidua | 66 |
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| 20. | Diagram of developing fetus, cord, membranes and placenta in utero | 69 |
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| 21. | Diagram of structure of placenta | 71 |
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| 22. | Photograph of placental vessels | 72 |
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| 23. | Maternal surface of the placenta | 74 |
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| 24. | Fetal surface of the placenta | 75 |
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| 25. | Embryo about 5.5 cm. long in amniotic sac | 77 |
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| 26. | Outlines of fetus at different stages | 78 |
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| 27. | Full term fetus in utero | 81 |
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| 28. | Diagram of fetal circulation | 85 |
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| 29. | Diagram of circulation after birth | 87 |
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| 30. | Side and top view of fetal skull | 90 |
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| The Expectant Mother. |
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| 31. | Height of fundus at different stages of pregnancy | 94 |
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| 32. | Contour of abdomen at ninth month | 95 |
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| 33. | Contour of abdomen at tenth month | 95 |
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| 34. | Front view of home-made abdominal binder | 123 |
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| 35. | Side view of same | 123 |
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| 36. | Back view of same | 123 |
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| 37. | Abdominal binder used in above | 124 |
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| 38. | Front view of home-made stocking supporters | 124 |
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| 39. | Back view of same | 124 |
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| 40. | Patient in right-angled position to relieve varicose veins | 138 |
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| 41. | Elevated Sims position | 139 |
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| 42. | Gloves, ready for dry sterilization | 160 |
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| 43. | Delivery pad of newspapers and old muslin | 161 |
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| 44. | Diagram of centrally implanted placenta prævia | 174 |
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| 45. | Partial placenta prævia | 175 |
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| 46. | Diagram of marginal placenta prævia | 176 |
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| 47. | Champetier de Ribes’ bag inserted in uterus | 177 |
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| 48. | Patient in hot pack given with dry blankets | 197 |
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| 49. | Method of giving infusion | 202 |
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| The Birth of the Baby. |
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| 50. | Attitude of fetus in uterus at term | 217 |
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| 51. | Illustration from first text-book on obstetrics | 218 |
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| 52. | Attitude of fetus in breach presentation | 219 |
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| 53. | Attitude of fetus in vertex presentation | 220 |
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| 54. | Diagram of six positions in a vertex presentation | 222 |
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| 55. | Diagram of six positions in a face presentation | 223 |
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| 56. | Diagram of six positions in a breech presentation | 223 |
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| 57. | First maneuver in abdominal palpation | 225 |
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| 58. | Second maneuver in abdominal palpation | 226 |
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| 59. | Third maneuver in abdominal palpation | 227 |
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| 60. | Fourth maneuver in abdominal palpation | 228 |
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| 61. | Diagrams showing positions of nurse’s hands in four maneuvers of abdominal palpation | 229 |
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| 62. | Ascertaining position of fetus by rectal examination | 230 |
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| 63, 64, 65, 66. | Diagrams showing stages of dilatation and obliteration of cervix | 234 |
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| 67. | Characteristic position of patient during first stage pains | 235 |
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| 68. | Diagram indicating rotation and pivoting of head during birth | 236 |
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| 69. | Anterior shoulder being slipped from under symphysis | 237 |
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| 70. | Birth of posterior shoulder | 238 |
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| 71. | Diagrams of Duncan and Schultze mechanisms of placental separation | 239 |
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| 72. | Section showing thinness of uterine wall before birth of fetus | 240 |
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| 73. | Section showing thickness of uterine wall immediately after labor | 241 |
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| 74. | Preparing patient for vaginal examination or delivery | 250 |
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| 75. | Patient draped for vaginal examination | 251 |
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| 76. | Wrong and right methods of boiling gloves | 253 |
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| 77. | Powdering hands before putting on dry gloves | 254 |
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| 78. | Successive steps in proper method of putting on gloves | 255 |
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| 79. | Bed and simple equipment ready for normal delivery | 258 |
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| 80. | Instruments shown in Fig. 79 | 260 |
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| 81. | Old prints showing early methods of delivery | 261 |
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| 82. | Patient draped with sterile dressings for delivery | 262 |
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| 83. | Patient pulling on straps while bearing down during second stage | 264 |
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| 84. | Palpating baby’s head through perineum | 265 |
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| 85. | Baby’s head appearing at vulva | 266 |
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| 86. | Head farther advanced | 267 |
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| 87. | Holding back head at the height of a pain | 268 |
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| 88. | External rotation following birth of head | 269 |
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| 89. | Wiping mucus from baby’s mouth | 270 |
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| 90. | Stroking baby’s back to stimulate respirations | 271 |
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| 91. | Two clamps on cord after pulsation has ceased | 272 |
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| 92. | Wrong and right method in tying knot in cord ligature | 272 |
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| 93. | Stimulating baby’s respirations | 274 |
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| 94, 95. | Stimulating baby’s respirations | 275, 276 |
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| 96, 97. | Resuscitating baby by holding under warm water | 277, 278 |
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| 98. | Resuscitation by means of direct insufflation | 279 |
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| 99. | Delivery of the placenta | 280 |
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| 100. | Twisting membranes while withdrawing placenta | 281 |
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| 101. | Massaging fundus through abdominal wall | 282 |
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| 102. | Showing prolapsed cord between head and pelvic brim | 285 |
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| 103. | Giving chloroform for obstetrical anæsthesia | 287 |
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| 104, 105. | Giving ether for obstetrical anæsthesia | 289, 290 |
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| 106. | Giving ether for complete anæsthesia | 293 |
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| 107. | a. Tarnier forceps, b. Simpson forceps | 301 |
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| 108. | Patient in position and draped for forceps operation | 302 |
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| 109. | Forceps sheet used in Fig. 108 | 303 |
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| 110. | Two types of leggings for obstetrical use | 304 |
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| 111. | Rubber bougie | 311 |
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| 112. | Champetier de Ribes’ bag | 311 |
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| 113. | Voorhees’ bag | 312 |
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| 114. | Bag held in forceps for introduction into uterus | 312 |
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| 115. | Syringe for filling above bags after insertion | 312 |
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| The Young Mother. |
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| 116. | Height of fundus on each of first ten days after delivery | 327 |
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| 117. | Patient draped for postpartum dressing | 336 |
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| 118. | Equipment in rack used in Fig. 117 | 337 |
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| 119. | Method of covering nipples with sterile gauze | 339 |
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| 120. | Baby nursing through a nipple shield | 341 |
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| 121. | Nipple shield used in Fig. 120 | 342 |
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| 122. | Supporting heavy breasts by means of folded towels | 343 |
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| 123. | Ice caps applied to engorged breasts | 344 |
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| 124. | Y binder before application | 345 |
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| 125. | Y binder applied | 346 |
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| 126. | The same seen from the other side | 347 |
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| 127. | Indian binder | 347 |
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| 128. | Method of stripping | 348 |
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| 129, 130, 131, 132, 133, 134, 135. | Bed exercises taken during the puerperium | 350 to 353 |
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| 136. | Knee-chest position | 354 |
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| 137. | Exercising by walking on all fours | 354 |
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| 138. | Position of mother and baby for nursing in bed | 359 |
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| 139. | The Nursing Mother (from a painting by Gari Melchers) | 361 |
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| 140. | Baby partially blind as a result of a faulty diet | 378 |
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| 141. | Rachitic and normal babies of the same age | 381 |
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| 142. | Chest walls of normal and rachitic rats of the same age | 383 |
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| 143. | Interior of specimens in Fig. 142 | 384 |
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| The Maternity Patient in the Community. |
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| 144. | Baby’s bed improvised from a market basket | 415 |
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| 145. | Layette recommended to expectant mothers by Maternity Centre Association | 416 |
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| 146. | Breast tray recommended to expectant mothers by Maternity Centre Association | 417 |
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| 147. | Baby’s toilet tray recommended to expectant mothers by Maternity Centre Association | 417 |
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| The Baby. |
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| 148. | Diagram of first teeth | 456 |
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| 149. | Umbilical cord immediately after birth | 457 |
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| 150. | The same four days later | 457 |
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| 151. | Umbilicus immediately after separation of cord | 458 |
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| 152. | Well healed umbilicus | 458 |
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| 153. | Nursery at Manhattan Maternity Hospital | 465 |
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| 154. | Bathing the baby | 467 |
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| 155. | Preparation for circumcision | 468 |
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| 156. | Baby draped with sterile sheet, in above | 469 |
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| 157. | Cord dressed with dry sterile gauze | 470 |
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| 158. | Abdominal binder applied over cord dressing | 471 |
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| 159. | Satisfactory baby clothes | 473 |
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| 160. | Diagonally folded diaper applied | 474 |
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| 161. | Longitudinally folded diaper applied | 474 |
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| 162. | Sutton poncho to protect baby for outdoor sleeping | 479 |
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| 163. | Training the baby to use a chamber | 481 |
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| 164. | Stiff cuffs to prevent thumb sucking | 483 |
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| 165. | Hammer cap to prevent ruminating | 484 |
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| 166. | Ruminating cap applied | 485 |
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| 167. | Proper method of carrying baby | 487 |
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| 168. | Preparing the baby’s milk | 493 |
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| 169. | Giving the baby his bottle | 496 |
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| 170. | Holding baby upright after feeding | 497 |
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| 171. | Dr. Griffith’s table of fat percentages | 500 |
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| 172. | Reverse side of above card | 501 |
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| 173. | Baby in a basket ready to travel | 507 |
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| 174. | Quilted robe with hood for the premature baby | 509 |
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| 175. | Premature baby in lined basket, being fed with Boston feeder | 510 |
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| 176. | Bed for premature baby improvised from small clothes basket | 511 |
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| 177. | Putting the baby in a wet pack | 521 |
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| 178. | Baby in wet pack | 522 |
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| 179. | Diagrams showing successive steps in giving the baby a pack | 522 |
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| 180. | Baby wrapped in blanket preparatory to gavage | 523 |
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| 181. | Gavage | 524 |
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| 182. | Obtaining a fresh specimen of urine from the baby | 526 |
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| 183. | Obtaining a 24–hour specimen of urine from the baby | 527 |
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| 184. | Band to hold baby’s legs while obtaining specimens of urine | 527 |
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| 185. | Belt used to hold tube for specimen | 528 |
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| 186. | Giving the baby an enema | 530 |
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| 187. | Irrigating the eye with a blunt nozzle | 536 |
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| 188. | Method of holding baby for treating gonorrhœal ophthalmia | 537 |
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| CHARTS. |
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| No. | | |
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| 1. | Showing drop in blood pressure and albumen, after delivery, in eclampsia | 204 |
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| 2. | Showing persistence of high blood pressure and albumen in the urine, after delivery, in nephritic toxæmia with convulsions | 206 |
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| 3. | Showing temperature curve in streptococcus infection | 397 |
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| 4. | Showing temperature curve in gonorrhœal infection | 398 |
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| 5. | Showing normal weekly gain in weight during first year of life | 454 |
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| 6. | Showing normal daily gain in weight during first two weeks | 520 |
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| 7. | Showing loss of weight in inanition fever contrasted with No. 6 | 520 |
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| 8. | Showing rise in temperature in inanition fever | 520 |
