File:A system of obstetrics (1888) (14592556098).jpg

Identifier: systemri01hirs (find matches)
Title: A system of obstetrics
Year: 1888 (1880s)
Authors: Hirst, Barton Cooke, 1861-1935
Subjects: Obstetrics
Publisher: Philadelphia, Lea brothers & co.
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: Open Knowledge Commons and Yale University, Cushing/Whitney Medical Library

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Text Appearing Before Image:
ns, but the additional ears and eyeobserved in the side view negative this, for in the dcradclphus 1 I am indebted to Dr. C. R. Earley for the photographs from which these illustra-tions are taken, and to Dr. Sterley for kindly communicating some of the facts inregard to the labor, etc. not mentioned in connection with the specimen as recordedin the Catalogue of the Army Medical Museum, to which Dr. Sterley presented it. 2 From description in Museum Catalogue. ANOMALIES CAUSED BY DISEASE OF THE FCETUS. 783 there is a single head without supernumerary parts; and therefore it iscorrectly designated as a cephalo-thoracopagus. The history of the labors in these last two cases shows that sponta-neous delivery may occur either when the head presents or when thefeet come first, for the traction used in the first, the case of deradelphus,was not probably more than a slight assistance to Natures efforts ; inother words, it is not essential to actively interfere, at least early in the Fig. 307.
Text Appearing After Image:
Cephalo-thoracopagus, Side View (Sterley). labor, and, further, a resort to podalic version in case of cranial presen-tation in either variety is not positively indicated. Derodymus.—This term, derived from depy, neck, and ocdufioz, twin,is applied to a monster having two heads, two necks, a single body, andusually two lower and two upper limbs, though in some instances theremay be additional members more or less rudimentary in development.One of the first-reported cases of derodymus is given by Pen.1 In hishistory of the labor, which occurred on the 29th day of August, 1G74,lie states that two midwives had tortured the poor mother for hoursendeavoring to extract the head of an infant which had half escapedfrom the internal mouth of the womb. Upon making an examinationlie found a second head, that the two heads were upon separate necks,and that there was only a single body. He performed version, broughtdown the body as far as the axilhe, then liberated the arms, after which 1 Op. ti

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