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.

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.

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."

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.

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.

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.

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.

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.

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.

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.