Purchase of this book includes free trial access to www.million-books.com where you can read more than a million books for free. This is an OCR edition with typos. Excerpt from book: chapter{Section 4TRANSACTIONS OP THE OBSTETRICAL SOCIETY OF EDINBURGH, FOR SESSION 1869-70. CASE OF RIGID OS TREATED BY HYDROCHLORATE OF APOMORPHIA. By Alexander Milne, M.D. Novsmbbr 10, 1869. In June last T was called to attend Mrs S., Melville Terrace, in labour with her fourth child. On arrival, I found she had been suffering for three or four hours, and the pains were pretty strong. The os was about the size of a sixpence, and rather hard. The head was below the brim. Previous labours natural and easy. Two hours after, on making a second examination, I was rather astonished to find that, despite pains of a second stage character, little, if aay, progress had been made. I introduced my finger within the os, and describing its circumference rather firmly, I found it intensely firm and resistant. I then placed the patient under the influence of chloroform, and commenced to dilate cautiously with the finger. Little good, however, was done by these means, for at the end of eight hours, the os still remained about the same size. I then procured a little tartarated antimony, giving two grains in two hours. This, though producing vomiting and ample nausea, secured neither the softening nor the expansion of the oe. As the pains were continuing rather strongly, I administered 25 minims of liq. morph. hydrochlor, and left for some time. On returning three hours afterwards, I found that matters were still much the same, the morphia neither having moderated the pains nor helped to reduce the induration of the os. Having brought with me a little hydrochlorate of apomorphia, I resolved on giving it a trial, being aware of its power as an emetic. A solution containing gr. was given. In about ten minutes the patient vomited, and the pains were subdued a little, being ...