A CASE OF
CRANIOTOMY.
By Dr. P. T.
Wilson", Superintendent, Pilgrim Hospitals, Kumaon and Gurhwal. Reported by Hari Dutt,
Officiating Native
Doctor attached to the
Kurupryog
Dispensary.
On the 15th June 1882 Dr. Wilson was culled to- see a native woman, Roopa, aged 30, said to have been ill with her first confinement for 5 days and to be at the point of death. We found her a well nourished woman, of low caste, much exhausted ; her labour at full time, having come on 5 days before. By digital examination the presentation was found to be natural; the outer parts much swollen ; the pelvis small and the head firmly wedged in the same. As it was evident that the child was dead and the pelvis too small for natural delivery, it was decided to perform craniotomy. So Dr. Wilson did so and removed the child without serious trouble. The upper end of the uterus still seemed large enough to contain another foetus, and the placenta was retained, and there was considerable bleeding. We had no ergot in store, and the pains had ceased. But as the woman was under chloroform, Dr. Wilson, on removal of the placenta which was still in the uterus, found the upper end of that viscus filled with clots of blood which he removed with his right hand while with his left he made gentle pressure from without, thus inducing the womb to contract. The woman was then made clean and comfortable and an antiseptic astringent injection ordered once daily. She made a good recovery, and was able to assist in her accustomed field work after ten days.
Kurujrryoff,
British
Gitrhwal,
July 1882.
CRANIOTOMY.
By Dr. P. T.
Wilson", Superintendent, Pilgrim Hospitals, Kumaon and Gurhwal. Reported by Hari Dutt,
Officiating Native
Doctor attached to the
Kurupryog
Dispensary.
On the 15th June 1882 Dr. Wilson was culled to- see a native woman, Roopa, aged 30, said to have been ill with her first confinement for 5 days and to be at the point of death. We found her a well nourished woman, of low caste, much exhausted ; her labour at full time, having come on 5 days before. By digital examination the presentation was found to be natural; the outer parts much swollen ; the pelvis small and the head firmly wedged in the same. As it was evident that the child was dead and the pelvis too small for natural delivery, it was decided to perform craniotomy. So Dr. Wilson did so and removed the child without serious trouble. The upper end of the uterus still seemed large enough to contain another foetus, and the placenta was retained, and there was considerable bleeding. We had no ergot in store, and the pains had ceased. But as the woman was under chloroform, Dr. Wilson, on removal of the placenta which was still in the uterus, found the upper end of that viscus filled with clots of blood which he removed with his right hand while with his left he made gentle pressure from without, thus inducing the womb to contract. The woman was then made clean and comfortable and an antiseptic astringent injection ordered once daily. She made a good recovery, and was able to assist in her accustomed field work after ten days.
Kurujrryoff,
British
Gitrhwal,
July 1882.
