Wednesday, November 30, 2016

After the last of the litter has been born

After the last of the litter has been born

After the last of the litter has been born



The appearance of the bitch will generally denote when the births are completed. She, after the last of the litter has been born, seems to be much rejoiced, and by her manner indicates she has no more business at present to transact. She curls herself round, draws her puppies close to her, makes the bed comfortable, sees that all her family are in order, and then composes herself for a comfortable sleep. The meaning of her actions is at this time so conspicuous, that I have repeatedly lingered to watch them; and he who has never witnessed her conduct on such occasions, might be entertained by observing it.

Tuesday, November 29, 2016

On reflection I am inclined to think

On reflection I am inclined to think

On reflection I am inclined to think



On reflection, I am inclined to think the measures adopted in the case narrated above were somewhat more precipitate than they ought to have been. Now, I should have taken more time; and the success does not assure me that the haste exhibited was fully warranted.

It is not always easy to ascertain when the whole of the pups have been removed. The last in the womb, always occupying the extremity of one of the horns of the uterus, may by an inexperienced practitioner be overlooked. Most persons seek to learn whether the labor has been perfected, by inserting the finger up the vagina; and they who base their opinions upon an "examination" of that description will often be deceived. External manipulation will best lead us to the knowledge we desire to gain; and when the hand is properly directed, an approach to certainty can be obtained. The pup to be felt through the walls of the abdomen is an uneven body; the inequalities caused by the limbs being detected. After parturition there is generally one thing that may be mistaken, which is the contraction of the body of the uterus. The first pup born occupied that situation, and on its expulsion the part of the womb it filled narrows, becoming thick and somewhat hard. Under the fingers, it conveys the idea of a solid substance, and it may be imagined to be another fœtus. It is too frequently seized when the forceps are ignorantly and violently employed. The womb has been repeatedly forcibly dragged forth, and its integrity destroyed. A mistake of this kind is fatal. The rupture of the uterus is followed by sickness and a cessation of the throes; while the hemorrhage from the laceration induces inflammation that destroys the life; therefore, when forcible means are determined upon, extreme care is required, and forceps, as a general rule, had better be dispensed with. As regards other means such as the tube and wire, the crotchet, the supports to the abdomen, and the employment of stimulants these must be regulated by the circumstances of the case.

Monday, November 28, 2016

The directions are not very complex

The directions are not very complex

The directions are not very complex



"The directions are not very complex, but they must not on that account be disregarded. By introducing the finger, and taking care that its extremity corresponds with the point of the instrument, a great object is gained by securing the pup more firmly: yet there are other advantages also obtained by this mode of operating. The head of the fœtus is generally too large for the vagina, and hence the difficulty of its expulsion; but by the employment of an instrument which is simultaneously to pass, we appear to be increasing the obstruction: however, by compressing the head with the end of the finger, it is in some degree forced to conform to the diameter of the passage, which the gelatinous development of the pup at the time of birth readily enables it to do. Moreover, the hazard of injury being done, if the instrument should lose its hold, is guarded against; for should the hook slip, the point would be received upon the end of the finger before it could catch the soft parts. However, the operator will feel the hold giving way long before it is entirely lost, and will be enabled to rectify the occurrence in the majority of cases before there is a chance of accident. The finger, therefore, becomes a sensible guide to the operator, and by its employment the traction is rendered more firm and steady. But above all, care should be taken to have the instrument perfectly blunt, and the beaks of the hooks not too long. A sharp point might, at the first glance, seem more likely to answer the purpose in view; but its employment would be attended with danger, and on being tested, it would be found more apt to tear away. In fact, the sharper the point, the less firm would be the hold, since the substance to be secured is somewhat of a pulpy nature; whereas, by using as broad and flat a point as possible, the force is exerted on a larger surface, and the grasp is proportionably the more likely to be retained; the object being not to rend the fœtus, or tear it away, but to gently pull it through the vagina, using only so much violence as the judgment assures us is imperative for the accomplishment of the purpose."

Sunday, November 27, 2016

Which ought to be highly polished

Which ought to be highly polished

Which ought to be highly polished



"So simple is the crotchet, which ought to be highly polished, in order to secure its being perfectly smooth. It is first warmed and greased, then introduced with the index finger of one hand, while the other guides the instrument into the womb. The fœtus is to be first felt, and this is the more readily done if an assistant supports and compresses the abdomen. When the finger has ascertained that the pup is favorably placed, the hook (and I generally use the flattened extremity of the instrument) is to be pushed forward and then retracted, until the operator is aware that a firm hold has been obtained. The purchase being secure, the finger is to be employed to keep the fœtus from escaping, by pushing it against or towards the point of the crotchet, and holding it there. Traction is now made steadily and in the proper direction; and the assistant at the same time, by manipulating the belly, facilitates the delivery of the bitch, which should be in a standing position not upon its back.

Saturday, November 26, 2016

I will now proceed to describe the crotchet

I will now proceed to describe the crotchet

I will now proceed to describe the crotchet



"I will now proceed to describe the crotchet, and explain the manner in which I have employed that instrument. It has been long known to the human accoucheur, but by him is not employed save under certain conditions. A piece of stout steel wire constitutes its substance. The wire, about twelve inches long, is flattened at one extremity, and both ends crooked and made perfectly smooth or blunt, the flattened hook being the larger of the two. For the dog, the instrument must, of course, be proportioned to the passage into which it is to be introduced; and as the pup, in consequence of the weakness of the abdominal parietes in the bitch, often is felt lying below the level of the symphysis, a dip or lateral bend is given to the hooks.

Friday, November 25, 2016

Of the pups brought forth by the aid of the crotchet

Of the pups brought forth by the aid of the crotchet

Of the pups brought forth by the aid of the crotchet



"Of the pups brought forth by the aid of the crotchet, the majority were dead; indeed, though safe to the mother, the instrument is apt to be fatal to the offspring. The numbers stand thus: Dead when extracted, 7; mutilated when brought forth, and immediately destroyed, 1; alive, 1. Thus the proportions are as 8 to 1 against the probability of saving the pups; but it must be remembered that the calculation is made from the cases of which the majority were, by previous delay, rendered hopeless, and under fairer circumstances the result might have been different.

Thursday, November 24, 2016

On the results of a few cases only

On the results of a few cases only

On the results of a few cases only



"I have since confirmed the indications of utility which were given by the crotchet on the first occasion of its employment; and had I not received such proofs in its favor as appeared to be conclusive, I should, perhaps, on the results of a few cases only, have hesitated to introduce it to general notice. Besides the instances before alluded to, I have employed the instrument on four occasions three times in my own practice, and once at the request of a practitioner, whose name it is desired I should conceal. Two of the cases were successful, so far as the bitches were concerned; one, which was evidently sinking when brought to me, was delivered of a pup in a decomposed state, and died five hours afterwards, the post-mortem displaying acute peritonitis; the other, which I attended to yesterday, was alive when I last saw it; but I am of opinion its hours are numbered. The pulse is hard, but not quick the animal restless and the eye dull: worse symptoms can hardly be present. The poor beast had been left too long unassisted for help of any kind to be of much avail.

Wednesday, November 23, 2016

It was with some anxiety that I looked for injuries and abrasions

It was with some anxiety that I looked for injuries and abrasions

It was with some anxiety that I looked for injuries and abrasions



"It was with some anxiety that I looked for injuries and abrasions, scarcely deeming it possible the violence I had necessarily employed had not lacerated the delicate structure with which the instrument had been in contact. Not a mark which I could attribute to the crotchet was to be discovered. I have seen fearful wounds made by the forceps used to deliver the bitch; but here, in the most desperate case of the kind which I had ever undertaken, was not a scratch or a bruise to be detected.

Tuesday, November 22, 2016

So far my labor was accomplished

So far my labor was accomplished

So far my labor was accomplished



"So far my labor was accomplished; but the appearance of the bitch indicated that all had been done to little purpose. The pulse began to decrease in number, and, nevertheless, continued hard and jerking the eyes became fixed the jaw closed the head pendulous and all the symptoms of approaching death were exhibited. I tried to support the system; but the poor animal died in spite of every attention, and the examination after death showed the womb to be intensely inflamed.

Monday, November 21, 2016

I was obliged to meet my pupils in the evening

I was obliged to meet my pupils in the evening

I was obliged to meet my pupils in the evening



"I was obliged to meet my pupils in the evening, and was not sorry to leave a case which had now, in my mind, become hopeless; but as I walked, I could not forbear thinking of that which had occupied most of my attention during the day. The different instruments employed to facilitate the labors of different animals passed in review before me; but some were not applicable to the dog, and others could not be manufactured with sufficient speed to benefit my present patient. The crochet, used with such power by the human practitioner, seemed the one most likely to avail; indeed, it had often before occurred to me, that an adaptation of this instrument would, in our hands, be of infinite service; and, after I had dismissed my class, I hurried to procure what I had conceived would be useful. Mr. Perry, to whom I applied, had a human crotchet in his shop, and this he consented to alter according to my directions. I stayed till the alterations were completed, and by eleven at night reached home, to put the adaptation of the crotchet to the test. It answered beyond my utmost expectation, and I was enabled to bring away the whole of the contents of the womb with comparative ease. Four pups were extracted; and while I compared them with the little animal from which they had been removed, it required the evidence of my senses to convince me that the disproportioned mass had been forced through the narrow passage of the Italian greyhound's vagina. The pups were all dead. Each bore the well-marked character of the Russian, and by their size indicated their sire: nor was that size decreased by their having been retained a week beyond their usual period.

Sunday, November 20, 2016

Forcible delivery is to be accomplished by every means in our power

Forcible delivery is to be accomplished by every means in our power

Forcible delivery is to be accomplished by every means in our power



Forcible delivery is to be accomplished by every means in our power; for it is undertaken only when hope by ordinary process is despaired of. Forceps of any kind, however, are to be employed with extreme care. These instruments are always dangerous in the bitch; as we cannot see, and can but imperfectly feel, so there is little guide to their proper use. The crochet, a blunt hook and for the dog it can hardly be too blunt is to be preferred. As I have before submitted to the public my opinion of this instrument, I here extract from a paper which appeared in The Veterinarian for February, 1847:


THE CROCHET.

Saturday, November 19, 2016

After being ascertained to be dead

After being ascertained to be dead

After being ascertained to be dead



From the pup, whether it be dead or alive, we are not to look for those signs which denote there is a pressing necessity to accomplish the delivery without delay. I have known a fœtus, after being ascertained to be dead, to be retained four days, and the bitch to survive. Instances of the dead pup remaining in the womb a day or two are very common; and, if we had no other proofs, these would be sufficient to convince us there need be no immediate hurry. When, however, the bitch becomes restless, gets in and out of her bed, pants, staggers, refuses food, drinks largely, and is shortly afterwards sick; when the tongue becomes dry, and the pulse grows quick and thin, or unnaturally hard and strong, there is danger, and at every hazard delivery must be accomplished. There will, however, then only be a distant chance of success; and where these indications have been remarked, the life of the mother has generally been lost. If a portion of the litter has been born, and, on the appearance of the symptoms just described, the pups refuse to suck, and when placed to the teats turn from them, the termination will be fatal. The milk seems to have lost its inviting properties, and to be rendered disgusting by the approach of death; and the sign is as conclusive as the departure of vermin from the carcase of an animal.

Friday, November 18, 2016

The humanity which shines in every wish that writer ever penned

The humanity which shines in every wish that writer ever penned

The humanity which shines in every wish that writer ever penned



The humanity which shines in every wish that writer ever penned, and the purpose of all his teaching, assures us he thought such a proceeding was not only imperative but praiseworthy. He was, however, a good man actuated by an imperfect knowledge. Let no one follow his example; but be passive till the time for action is ascertained and it is of no use to grope for it. Frequent examinations are injurious; the more seldom they are made the better; for, if undertaken only when the judgment sees a chance of hope, no harm will be occasioned. Under every delay, therefore, have patience; for often the pup which originally would resist every attempt to bring it forth, will, after it has been dead a few hours, be delivered with a facility we could not anticipate. If the parts are not irritated and rendered dry, there is little to be apprehended; but if this be done, inflammation of the uterus is apt to be induced, and should that occur, it is of little consequence to the life of the bitch whether the pup be delivered or not delivered.

Thursday, November 17, 2016

Dead pups are more difficult to deliver

Dead pups are more difficult to deliver

Dead pups are more difficult to deliver



Dead pups are more difficult to deliver, and stimulants are generally needed to promote their expulsion; but manual help is to be given with caution. Youatt speaks of working hard, till his nail was soft and his finger sore, for two hours at a time; and that author tells us the passage was, by his industry and frequent examinations, so much swollen, that only with considerable difficulty could the finger be passed.

Wednesday, November 16, 2016

The membranes in which it is enveloped generally rupture

The membranes in which it is enveloped generally rupture

The membranes in which it is enveloped generally rupture



When the pup dies before birth, the membranes in which it is enveloped generally rupture; and by introducing the finger, the fœtus is to be felt without these interposing. The mere rupture of the membranes, and the emission of the meconium a dark, greenish, semi-fluid substance will not alone convince us of the fact; but, if the labor has been prolonged, if the throes are almost lost, and if no motion can be detected in the pup, we may conclude the life has departed.

Tuesday, November 15, 2016

And at the other it is grooved

And at the other it is grooved

And at the other it is grooved



A tube of polished metal is at one end curved to suit the line of the pelvis, and at the other it is grooved, and also has a small cross-bar. Into the tube a piece of zinc wire is introduced, so as to double and form a loop at the bent extremity, the ends of the wire coming forth at the other. One of the ends of the wire is twisted into the groove, so as to render it fast; and that being done, the instrument is prepared for use. When required, it is introduced with the loop of wire upon the point of the finger, and the paw it is desired to fix being felt, the finger is withdrawn, and the instrument moved forward. The free end of the wire is then pulled to render the hold secure; when it is twisted round the projecting bar and made secure. By employing a pliable wire, we gain those advantages which arise from its not becoming flabby and adherent when the part is moist; but it retains its form, and is therefore more readily directed. The tube assists us in guiding the loop, which, being once fixed, can be made secure, so that traction does not afterwards further tighten it. The danger, however, is not entirely removed; for, if undue force be used, the wire may do injury as well as the worsted; and for that reason I seldom resort to it, unless assured the pup is dead, when the pains are generally slight, and additional force is often necessitated.

Monday, November 14, 2016

Blaine recommends a skein of worsted

Blaine recommends a skein of worsted

Blaine recommends a skein of worsted



To secure the legs, when they can be felt, Blaine recommends a skein of worsted. I have not found that article of any use whatever. If introduced into the vagina, it soon becomes moist, adheres to the finger, and cannot be detached from it. If, however, applied in a loop or slip-knot round a paw, I have known it cut through the bone; and its only advantage lies in the fact of its little tendency to come off when once fixed. Even in that respect, however, it sometimes disappoints, and I consequently no longer use it. To supply its place, I had the following very simple instrument made; and it answers every intention, although it is but seldom required:


PARTURITION INSTRUMENT.

Sunday, November 13, 2016

As the fœtus is called when any part of it has been pulled off

As the fœtus is called when any part of it has been pulled off

As the fœtus is called when any part of it has been pulled off



A broken pup, as the fœtus is called when any part of it has been pulled off, is always more dangerous to the life of the bitch, and much more difficult to get away, than one that is entire. The impediment bears relation to the extent of the mutilation. Thus the separation of the head is more serious than the deprivation of a limb; for, let not the reader imagine that in the dog, as in the cow or mare, embryotomy by means of a knife can be successfully resorted to. I have endeavored sometimes to perform craniotomy, or to remove the brains of the fœtus, hoping by so reducing the bulk of the head to facilitate the delivery; but the result has displeased me, and I no longer follow the practice. The pup, if to be got away at all, will be most easily removed entire; and that it may not have its integrity destroyed, the assistance given to the mother must be temperate. Every little aid is a help to the labor; and knowing that, we must be content if we are denied to accomplish all. The traction, assisted by a secure grasp, should be steady; and the lips of the part should at the same time be as much as possible pulled open with the fingers of the free hand. Mild, soothing, and encouraging words will, during the operation, be of every consequence; and it is of importance that, in every particular, the animal should be humored to the extent of possibility. Restraint should be enforced only where absolutely necessary; and when it is so, the creature will strangely comprehend the reason that compels, and patiently, or at least without resentment, submit to its endurance. A harsh word, however, or a blow, or both together, too frequently gratify the impatience of the practitioner, and, at this time, often dispel the throes on which the birth depends. The dog is ever sensitive to correction; no living being more acutely feels rebuke or praise; and its excitable nature, lighted up by the pains of labor, cannot then endure unkindness, and should receive our sympathy. Good language, no hurry, and a rejection of all violence, will do more for a desperate case than all the drugs in the pharmacy, or all the tact which ingenuity is possessed of.

Saturday, November 12, 2016

And its passage appears to be delayed

And its passage appears to be delayed

And its passage appears to be delayed



When the pup is partly born, and its passage appears to be delayed, either through the feebleness of the throes or some mechanical impediment, assistance should be afforded. The restlessness of the bitch will, perhaps, be the most proper indication; and it is the more necessary to be cautious in our interference, as, on account of the size of the animal, the aid we can afford is limited. When a paw is to be seen, this may be laid hold of; but not without the fingers being covered; for, as the limb is slippery, the force intended to secure it would hardly render the grasp confirmed, and might crush the member. The osseous structure in the pup at birth, as I have already stated, is not consolidated; and all other components of the body are in a condition proportionally immatured. The tiny being, when first brought into the world, is little better than a living mass of pulp; and on that account, it must be gently handled. Far less violence than might be supposed requisite to do so, will dismember it; and no vast force is needed to pull even the head from the trunk. Aware of this, the efforts intended for the delivery must be regulated by the power of the substance to endure them. The practitioner must take a thin, soft cloth, or what is better, his silk pocket-handkerchief, and with this lay hold of any part that can be grasped. If but one leg can be got hold of, that must be secured, and an attempt made to bring forward the other. The two being obtained, gentle force or traction may be through them applied while the throes are on. The dragging must not be strong, as, if the pup be alive, it will be injured; or, alive or dead, it may be torn to pieces.

Friday, November 11, 2016

I always let the animal stand upon her legs

I always let the animal stand upon her legs

I always let the animal stand upon her legs



"With regard to the bitch, I always let the animal stand upon her legs, simply having an assistant to hold the head and engage the attention of the creature. The meatus lies about half an inch or two inches within the pelvis, the distance varying with the size of the dog. The line of the urethra is rather forward than downward, though, of course, in both directions. After having once or twice passed the instrument, it is surprising how very readily this conjectured impossibility is performed. I think so little of the difficulties, that I have no inclination to dilate upon the few precautions which are required to remove them. I may, however, here state, that, when grasping the penis of the dog, a handkerchief or a portion of tow will be required to render the hold secure; and the wire should, before the catheter is introduced, be withdrawn, while it ought to be moistened with olive oil to facilitate its passage, as the canal is not unfrequently devoid of mucus."

Thursday, November 10, 2016

Been otherwise than beneficial

Been otherwise than beneficial

Been otherwise than beneficial



Cold cloths to the abdomen will also in some cases but not in all excite the uterus, and bring on vigorous throes. The coldest water I could procure is that of the temperature employed by me; and it has seldom, to my knowledge, been otherwise than beneficial.

When the birth is long delayed, the bladder and rectum should be examined and emptied of their contents by means of the injection-pipe and catheter. To draw off the urine of the bitch is not difficult or dangerous. A knowledge of the situation of the meatus, or termination of the urethra, is necessary to the operation; and this is best obtained by dissection. It lies within the pelvis, a short way anterior to the brim, and above the symphysis of the ischium. I know that while endeavoring to explain, I am here making use of words which will to the majority of readers convey no meaning; nevertheless, I cannot be more clear. I have, however, in a communication to the Veterinarian, entered into this matter; and I here extract from that journal part of a paper published in the number for January, 1849:

Wednesday, November 9, 2016

This is best done by placing the hands under the abdomen

This is best done by placing the hands under the abdomen

This is best done by placing the hands under the abdomen



When the throes are on, the efforts may be assisted. This is best done by placing the hands under the abdomen, and with them making pressure whenever the straining appears. The hands, however, must not be held so long as will let them get hot; for, by communicating warmth, more harm is done than the benefit afforded is likely to compensate. The object in placing the hands under the belly is, to brace and give support to the abdominal muscles; which, in the dog, are naturally weak, and in the bitch during gestation always become attenuated.

Tuesday, November 8, 2016

And the too frequent tediousness of its labor

And the too frequent tediousness of its labor

And the too frequent tediousness of its labor



The principal obstruction to birth in the bitch springs from the weakness of the creature. To this its sufferings, and the too frequent tediousness of its labor, are to be mostly attributed. When there are evident signs of debility shown by the throes having subsided, and further evidenced by no symptom of their reappearance being witnessed after three or four hours' watching from a teaspoonful to a table-spoonful of brandy, mixed with sugar and cold water, may be administered; and in half an hour repeated, if it should have no effect. This I have seldom found to fail, and never have I known it to do injury; wherefore I prefer it to the ergot of rye, which in my hands has been uncertain and injurious. Patience, however, is more often needed, than stimulants required; and before the latter are resorted to, the symptoms of debility ought to be recognised; for without these be perceived, the passive condition of the uterus deserves no immediate attention.

Monday, November 7, 2016

Whether the head or tail be first born

Whether the head or tail be first born

Whether the head or tail be first born



It is of little consequence, in the young of the dog, whether the head or tail be first born. Examples in both directions are always witnessed in every puppying. So likewise is it of small importance how the legs are placed, though of course delivery is favored by their being properly arranged. At the time of birth, however, the bones of the pup are but partially consolidated; and that circumstance causes them not to offer those serious obstructions which they are found to present in other creatures. The gelatinous mass readily takes the form required for its expulsion; and the practitioner has little reason to perplex himself concerning those particulars which in the calf or foal he knows to be of vital import.

Sunday, November 6, 2016

And such are very commonly met with in the cow

And such are very commonly met with in the cow

And such are very commonly met with in the cow



Most authorities make mention of what are called wrong presentations; and such are very commonly met with in the cow, mare, and the larger animals; but I have never known a case of false presentation in the bitch; and I am led to conclude that the authors who narrated such cases, drew upon their experience in other directions, describing imaginative possibilities as circumstances that had actually occurred. I do not well comprehend how a false presentation could take place in this animal, and I can grant the possibility of its ever having been witnessed to the first pup alone. It is remotely possible that this one should be presented sideways, though highly improbable it could take such a position. After the womb has expelled the first of the litter, the body of the generative organ contracts; and all the others must pass through it in a line favorable to the birth.

Saturday, November 5, 2016

While she remains within her bed

While she remains within her bed

While she remains within her bed



The position which the bitch assumes during labor also deserves to be noted. While she remains within her bed, and continues lying upon her side, however tedious may be the labor, there is little reason for apprehension. A few cries vented when the throes are present, or a moan or two emitted when they are coming on, may be expected, and deserve little observation; but when the bitch gives forth sharp, short exclamations, leaves her house or basket, and places herself in the attitude she takes when voiding her fæces, there is cause to conclude something wrong, and requiring immediate help, has taken place.

Friday, November 4, 2016

And perhaps been some time about

And perhaps been some time about

And perhaps been some time about



When the veterinarian is called to a labor that has already commenced, and perhaps been some time about, he directs his first attention to the orifice. If the perineum looks unnaturally distended, so large as to be remarkable, the presence of a pup in the vagina may be concluded; and here he must know how to act with decision.

If the throes are on, and strong, though evidence of pain be heard, we must not be too quick to interfere. If there be anything like a bladder protruding from the vulva, nothing whatever must be done. In easy births the pups invariably come into the world enveloped in their membranes, and thereby their egress seems to be greatly accelerated. If these burst, or are broken, the delivery is thereby rendered more difficult. The membranes consequently, if protruding, should not be touched. Some persons, I know, seize them under an idea, that by pulling at these, or at the cord, the fœtus can be brought away. The notion is fallacious. With the first or second pup the membrane may be visible; and, nevertheless, the labor may not then have proceeded far enough to detach all the placenta. The entirety of the caul, or water-bag, denotes that the fœtus is alive; and it also shows that Nature is proceeding to accomplish, in due time, her offices.

Thursday, November 3, 2016

When the pup has not entered the pelvis

When the pup has not entered the pelvis

When the pup has not entered the pelvis



When the pup has not entered the pelvis, the practitioner may be assured the obstacle is not created by the disproportioned size of the young. The labor either has not proceeded far enough, and time is required for its completion; or the uterus is feeble, and stimulants are wanted to invigorate it. The largest fœtus can be moved by the womb; so the size must be an impediment only to its passage through the vagina. There is therefore no mechanical hindrance before that part has been reached, and no mechanical assistance at an earlier period is imperative.

Wednesday, November 2, 2016

Before any instrument is employed

Before any instrument is employed

Before any instrument is employed



Before any instrument is employed, the pup should be within the vagina. This is a rule that can hardly be with impunity violated by the generality of practitioners. Simple and brief as may be the direction, it is one that only on rare occasions may be safely disregarded; and of the exceptional case, mention will be made hereafter. The pup must be within the passage; and not only there, but so there, as to seem impacted, before assistance by means of instruments is necessary. The largest fœtus can, in almost every case, proceed thus far; and where it is of too great a size to come so low, any interference would be desperate; for then it must be of such a magnitude as to destroy the probability of delivery being accomplished.

Tuesday, November 1, 2016

Before any instrument is employed

Before any instrument is employed

Before any instrument is employed



Before any instrument is employed, the pup should be within the pelvis. The forceps sold in shops are made with the intention of dragging the fœtus from the womb; and one of the difficulties the practitioner is supposed to encounter in parturition of the bitch, is taught to be the impossibility of hauling the fœtus from the horn of the uterus. One pup generally occupies the body of the womb, and the rest of the litter are located in the horns. That is their natural situation; and as in the gravid state the length of the horns is greatly extended, of course some occupy a place far within the abdomen. The length of the horns, however, though supposed to constitute the only obstacle, is not the single cause which prevents the pup being reached by instruments. The horns, in consequence of their greater length, become bent, or folded upon themselves; so that an instrument which should drag the pups to light, where more than two or three are present, should be made to pass forward in the first instance, and then be constructed to take a backward direction. Those who invented these instruments to deliver bitches with, would seem to have been ignorant of this necessity; and I here mention it to prove how perfectly inadequate such things are for the purpose intended.


THE GRAVID UTERUS.