1 douche can.
Fig. 89.—Pean forceps.
The induction of labor at or near term is done for pelvic contraction, maternal disease, for danger threatening mother or child, or to avoid the birth of a post-mature child. A variety of methods may be employed, but the Vorhees bag is best.
Technic.—Assemble, and sterilize by boiling twenty minutes, a Vorhees bag No. 3 or 4, Simon speculum or vaginal retractor, 1 pair long Pean forceps, 2 pairs vulsellum forceps, 1 dressing forceps, 2 pairs compression forceps, 1 Goodell dilator, 1 tenaculum forceps, Davidson hand bulb syringe with glass tubes and rubber connections for the bag.
Patient, prepared as for delivery, is placed upon the table in exaggerated lithotomy position. Stirrups will serve.
The vagina is retracted, a smear made from cervix, and the mucous membrane wiped clean with pledgets of gauze on forceps.
Anæsthesia is only occasionally necessary even in primiparas.
Fig. 90.—A, Hand bulb syringe; B and C, Vorhees bags; D, Bag rolled and grasped by Pean forceps ready for introduction.