This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1900 edition. Excerpt: ...the desired point. If, however, the labor has been progressing vigorously, the physician should make another vaginal examination, repeating the same according to the requirements of the case, but not oftener than is absolutely necessary. It is needless to say that this, and every subsequent vaginal examination, must be attended with all the precautionary measures that were observed in the first instance; but if the hands have once been disinfected by the permanganate method, this step need not be repeated. Cleaning the nails dry, scrubbing for five minutes with the nail-brush, Tr. green soap, and hot water, and immersing in the bichloride solution for two minutes, will suffice. When the time comes for the woman to take to her bed, she should lie on her back, on the right side, near the edge, with her buttocks resting in the Kelly Pad and her night-gown rolled high up under her shoulders. A clean towel, wrung out in the basin of bichloride solution (Tray 4--not one of the towels already prepared, which are for future use), should be placed under the patient s buttocks by the nurse, who then bathes the external genitals with the lysol solution, removing the vulva pad for this purpose, and not replacing it. In the meantime the physician will remove the muslin apron which he has worn since his first disinfection, and put on, instead, the sterilized operating gown, leaving the rubber apron underneath. The nurse should untie and open the little bag in which the gown is rolled, and the physician should remove the gown without touching the bag. After he has put it on, the nurse will button it up in the back for him, in order to avoid any possibility of infecting his hands. He now takes his place in the chair by the side of the patient, ..