Excerpt from The American Journal of Obstetrics and Diseases of Women and Children, Vol. 51: January-June, 1905
NO special introducing forceps 0r syringe are necessary, al though some have been described. I use, however, nearly always a forceps with a pelvic curve and fenestrated blades for the greater ease in the introduction, yet a sponge holder will do. The syringe employed is an ordinary Davidson's. The glass varieties are very apt to break. The metal ones get out Of order and can not be boiled. Of course, the asepsis must be perfect in every detail. It is well to insert the largest size bag possible at the outset and to remember in filling the balloon with the ﬂuid to inﬂate slowly with Slight traction on the tube so that the head, if presenting, will be displaced as little as possible. The patient is left to nature's efforts after the introduction Of the balloon unless there is need of hurry when traction can be made at regular intervals on the tube, increasing thereby the strength Of the pains and accelerating the dilatation of the cervix. It is only necessary to insert successive bags in cases where great haste Is demanded and where the pains are few and far between or stop altogether after the first bag is expelled.
Results - AS before stated, in a previous article, the writer re ported the first series Oi cases in which the balloons were used in the service at the Sloane Maternity Hospital. These were 72 in number out Of deliveries for the two years up to September 1, 1899. The cases selected had sure indications for interfering, and were those in which other methods had been tried and had failed. In all advantages were Obtained and the field of useful ness of the balloons was more definitely determined. This second series I want to report so as to further emphasize the utility of the bags and the great amount Of dependence we place upon them, especially in private practice.
These cases also are not selected but I publish all in which bal loons were employed, the first set occurring in the first 200 cases of my private practice; the second set Occurring in the four years ending September 1, 1903, in deliveries, subsequent to those before reported, from the service of the Sloane Maternity Hospital.
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