Obstetric Kit

Obstetric Kit, a set of A. instruments and everything necessary for the work of an obstetrician in out-of-hospital conditions. The obstetric kit depends in many ways on the personal habits of the doctor, and even more on the conditions in which he has to work (city, village, long trips, etc.). Therefore, the contents of the obstetric kit and the very method of storage, arrangement and packaging represent great diversity. In practice and in sale there are numerous obstetric bags, sacks (leather, canvas, linen, tarpaulin), various obstetric boxes (metal, wooden), in which are located instruments, necessary medicines and items for care of the parturient and puerpera. All such kits must satisfy certain requirements in terms of convenience (portability, cheapness), completeness of contents, and most importantly, in terms of the possibility of thorough cleaning and disinfection of instruments after use. In view of this, common leather obstetric bags for storing instruments should be removed from use due to the impossibility of keeping them in proper cleanliness. The above requirements are satisfied by bags made of well-washable and allowing any sterilization material (thick canvas, linen, tarpaulin). Under the conditions of work of a district doctor, where large moves have to be made, such bags should be placed in metal or wooden boxes, which also require very careful care. A complete obstetric kit for a doctor should contain the following items: 1) Simpson's obstetric forceps, Naegele's, 2) perforator [preferably Phenomenov's, if not available - scissors-like perforator Naegele's or spear-shaped Blot's], 3) Braun's cranioclast [preferably, if available, basiotribe (three-bladed cranioclast) Zweifel's or Auvard's], 4) decapitation hook Braun's, 5) Phenomenov's scissors, 6) blunt buttock hook, 7) large wide mirrors (preferably Duayen's, dimensions 9:4), 8) two bullet forceps, 9) long long forceps, 10) two clamps for vessels, 11) long uterine forceps, 12) Braun's colpeurynter in 200, 300 and 400 cubic cm, forceps for its introduction and syringe in 200 cubic cm for its filling, 13) anatomical and surgical forceps, 14) catheter for uterine lavage (Fritsch-Bosemann's, large size), tape for tying the umbilical cord - 2 m, 15) umbilical scissors straight and curved, 16) Martin's pelvimeter, 17) centimeter tape, 18) metal male catheter (No. 17), 19) two Nelatonsky (elastic) catheters (Nos. 12 and 20), 20) tracheal catheter with central opening, 21) everything necessary for applying sutures (needle holder, 6 needles of sufficient size and not too flat, silk or catgut), 22) two Kocher's forceps, 23) Pinard's stethoscope, 24) maximum thermometer, 25) Rekord's syringe in 2 cubic cm in a metal case, with two needles, 26) everything for anesthesia (mask, dropper, rotator, tongue holder), 27) apparatus for infusion of saline solution with needles, 28) Momburg's tourniquet, 29) Dürsen's box for uterine tamponade, 30) Esmarch's cup with apparatus, 31) two eye droppers, 32) vaginal and enema nozzles, 33) accessories for hand washing (two hand brushes, nail cleaner, nail scissors, soap in soap dish), 34) two pairs of rubber gloves, 35) razor, 36) sterilizer for instruments, metal, large, with stand and lamp (or with primus), rubber bag for ice, 37) dressing material (absorbent sterile cotton-200 g in packets of 50 g, in double wrapping, soft sterile gauze-2 m, sterile two-tailed bandages-3 pieces), 38) medicines: ether for anesthesia-200 g, chloroform-100 g, sublimate in tablets of 1 g-10 pieces, lysol-100 g, alcohol-200 g, tincture of iodine in a bottle with ground stopper-100 g, table salt in tablets of 0.5-24 pieces, pituitrin in amp.-12 pieces, ergotin in ampoules-12 pieces, quinine in tablets of 0.3-10 pieces, 2% solution of argentic nitrate in a dark bottle-10 g, camphor in ampoules-12 pieces, caffeine in ampoules-12 pieces, morphine or pantopon in ampoules-6 pieces, tincture of opium-10 g, chloral-hydrate in a dark bottle with ground stopper in powders of 2 g-6 pieces, valerian drops-25 g, boracic vaseline-10 g, 39) necessary linen (gown, mitten apron, 4 towels and 2 sheets). Some also include in the kit everything necessary for producing an abortion (Otto's leg holder, Simon's mirror set, Hegar's dilators set, curet set, two bullet forceps, utine sound).-This obstetric kit can, of course, also be shortened, especially if the doctor has a midwife at his disposal, who should have her own kit. All instruments, medicinal substances and care items are arranged in the kit in any order, at the discretion of the obstetrician himself. Medicines should be placed in wooden cases, while all other items should be well packed in several separate bags (of canvas or tarpaulin), which can be conveniently packed in a wooden or metal box for long trips. On some bags, appropriate inscriptions are made: "Linens", "Abortion", "Forceps and perforation" etc. The obstetric kit for a midwife also consists of several bags, which are placed in some box. Contents of the kit: 1) wooden obstetric stethoscope, 2) maximum thermometer, 3) Martin's pelvimeter, 4) centimeter tape, 5) curved umbilical scissors, 6) Kocher's clamp for compressing * umbilical cord-1 piece, 7) tape for tying the umbilical cord, 8) anatomical forceps, 9) tracheal rubber catheter with central opening, 10) metal male catheter (No. 17), 11) elastic catheter (No. 18), 12) Rekord's syringe in 2 cubic cm, in a metal case with two needles, 13) eye droppers, 14) everything necessary for hand washing (2 brushes, nail cleaner, nail scissors, soap in soap dish), 15) straight scissors for removing sutures, 16) pair of rubber gloves, 17) sterilizer for instruments, 18) vaginal and enema nozzles, 19) Esmarch's cup with rubber tube and Mora's clamp, 20) rubber baby syringe in 60 cubic cm with soft end, 21) water thermometer, 22) graduated beaker in 100 cubic cm, rubber bag for ice, 23) dressing material (absorbent sterile cotton-200 g in packets of 50 g, in double wrapping, soft sterile gauze-1.5 m, sterile two-tailed bandages-2 pieces), 24) necessary medicines (sublimate in tablets of 1 g-12 pieces, tincture of iodine in a bottle with ground stopper-50 g, lysol-100 g, denatured alcohol-200 g, ether-25 g, 2% solution of argentic nitrate-10 g, chloral-hydrate in a dark jar with ground stopper in powders of 2 g-8 pieces, ergotin in ampoules-6 pieces, morphine 1% in amp.-4 pieces, quinine in tablets of 0.3-12 pieces, camphor oil in amp.-12 pieces, tincture of opium-10 g, valerian drops-25 g, table salt for physiological solution in tablets of 0.5-10 pieces, boracic vaseline-10 g) and, finally, 25) necessary linen (6 pads, 2 sheets, 1.5 m of rubberized sheeting, sack for straw, 4 towels, 2 shirts for parturients, gown and mitten apron). A bedpan and primus should be packed separately.