Roberton's apparatus is valuable, but has this disadvantage that it is no larger when in the uterus than before it is introduced, and is therefore very likely to come down the way it has
passed up. In two cases I have attended lately, I used an India rubber ball, two inches in diameter, hollow, and such as children often play with. Tli3 balls have one small hole for been
egress and ingress of air. Through the ball I passed a needle containing some darning cotton, pullel down a loop of the cord, tied it loosely to the ball from which I squeezed all the air, inserted a silver catheter into the hole, and stopped up I the end of the catheter, so that no air could enter the ball. then passed up the ball and funis into the uterus, opened the catheter, the ball expanded and the catheter was easily removed. In neither case did the cord give any further trouble. Cask I.?Mrs. W?Pluripara ; third pregnancy. Has had two children still-born; head presented in first position, os uteri dilated, membranes bulging, accidentally ruptured, during examination a great rush of water took place, and a loop of the cord came down. This was attached at once to a ball of India rubber and returned into the uterus; labor proceeded naturally, and a living female child was born in 45 minutes ; the ball away attatched to the cord and full of air. The patient an excellent recovery. Case II.?Mrs. S?Pluripara ; fourth pregnancy ; labor came
came
made
suddenly at eighth month. On examination, head presented position, and posteriorly was diagnosed a uterine polypus" by the side of which a loop of cord was prolapsed. I ruptured the membranes, pulled down the cord and attached it to the ball, as in the former case ; there was plenty of room between the head and the polypus" for the cord to have again Labor proceeded come down had not the ball prevented it. very slowly and a small living female child was born. The ball came away without trouble. The polypus was removed by twisting, and though considerable hajmorrhage took place an on
"
in first
"
excellent recovery ensued.
TREATMENT OF "PROLAPSED FUNIS." Bv B. C. Thebe
Saunders,
M.
been
have
D.,
Civil
some
Surgeon, Azimgurh,
interesting
discussions
N. W. P. in "The
"
Lancet" lately, regarding the treatment of Prolapsed Funis," some recommending Roberton's apparatus, others?Mr. Berry of Wigan in particular?stating all apparatus should be dis" carded in favour of the Postural" method of treatment. This latter is 110 doubt very valuable, and has been the " of keeping many a Prolapsed Funis" from returning. There are, in my opinion, objections to it, the chief one being the indelicacy of the : to keep a lady for some hours means
position
her knees and elbows, or as some recommend on her knees and shoulder, is unpleasant and fatiguing to the patient, and scarcely less so to the attendant. In one case where I attended, the wife of a Railway employe from North Britain reon
fused
"
to have
flatly
a
Baby
like
a
Goo."
passed up. In two cases I have attended lately, I used an India rubber ball, two inches in diameter, hollow, and such as children often play with. Tli3 balls have one small hole for been
egress and ingress of air. Through the ball I passed a needle containing some darning cotton, pullel down a loop of the cord, tied it loosely to the ball from which I squeezed all the air, inserted a silver catheter into the hole, and stopped up I the end of the catheter, so that no air could enter the ball. then passed up the ball and funis into the uterus, opened the catheter, the ball expanded and the catheter was easily removed. In neither case did the cord give any further trouble. Cask I.?Mrs. W?Pluripara ; third pregnancy. Has had two children still-born; head presented in first position, os uteri dilated, membranes bulging, accidentally ruptured, during examination a great rush of water took place, and a loop of the cord came down. This was attached at once to a ball of India rubber and returned into the uterus; labor proceeded naturally, and a living female child was born in 45 minutes ; the ball away attatched to the cord and full of air. The patient an excellent recovery. Case II.?Mrs. S?Pluripara ; fourth pregnancy ; labor came
came
made
suddenly at eighth month. On examination, head presented position, and posteriorly was diagnosed a uterine polypus" by the side of which a loop of cord was prolapsed. I ruptured the membranes, pulled down the cord and attached it to the ball, as in the former case ; there was plenty of room between the head and the polypus" for the cord to have again Labor proceeded come down had not the ball prevented it. very slowly and a small living female child was born. The ball came away without trouble. The polypus was removed by twisting, and though considerable hajmorrhage took place an on
"
in first
"
excellent recovery ensued.
TREATMENT OF "PROLAPSED FUNIS." Bv B. C. Thebe
Saunders,
M.
been
have
D.,
Civil
some
Surgeon, Azimgurh,
interesting
discussions
N. W. P. in "The
"
Lancet" lately, regarding the treatment of Prolapsed Funis," some recommending Roberton's apparatus, others?Mr. Berry of Wigan in particular?stating all apparatus should be dis" carded in favour of the Postural" method of treatment. This latter is 110 doubt very valuable, and has been the " of keeping many a Prolapsed Funis" from returning. There are, in my opinion, objections to it, the chief one being the indelicacy of the : to keep a lady for some hours means
position
her knees and elbows, or as some recommend on her knees and shoulder, is unpleasant and fatiguing to the patient, and scarcely less so to the attendant. In one case where I attended, the wife of a Railway employe from North Britain reon
fused
"
to have
flatly
a
Baby
like
a
Goo."
