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This atlas was collected, along with fifteen other items, from St George's Hospital in Kew, Victoria, on the final day of obstetric services provided by the hospital. After 28/11/1998, all obstetric deliveries from the Birralee Maternity Service (St George's) were via Box Hill Hospital. Black hardcover book, with silver lettering on cover. Text printed on cover reads 'BIRTH ATLAS/SECOND EDITION/MATERNITY CENTRE ASSOCIATION/NEW YORK'. Book contains 17 pages with 24 plates of sculptures depicting the stages of fetal growth from conception to 14 days postpartum. Published by Dickinson & Buskie.st georges hospital kew, obstetrics

This is a destructive instrument which, when placed around the neck of the fetus and twisted, succeeded in severing the head. This type of instrument was used in emergency surgery when the fetus was already dead and the mother's condition was critical. This instrument might also have been used to remove tumors. Source: Yale University Library, 'Blunt hook and crochet', https://collections.library.yale.edu/catalog/17322011 This was included with other obstetric instruments, mostly destructive instruments, from Box Hill Hospital labour ward given to RANZCOG in February- March 1998. The maternity service at Box Hill hospital combined with St George's hospital in Kew to be known as Birralee Maternity Service. These instruments were collected by Julie Collette, Unit Manager, St George's Kew and given to RANZCOG Museum Curator, Susan Barnett.Obstetrical crotchet. Nickel plated stainless steel, with large blunt hook at one end and crotchet hook at the other, and fluting at the centre. "B.H.H.L. Ward"destructive instruments

Similar to Willett's placenta praevia forceps [see Down Bros Catalogue of Surgical Instruments and Appliances, c1930, p 940]. John Abernethy Willett (1872 -1932) modified an existing pair of surgical scalp forceps for use in bringing down the head of a foetus in the case of placenta praevia. As the safety of c-sections increased and fetal viability became a dominant consideration, these were used only for the dead/pre-viable foetus. (Source: Baskett, Thomas. 'On the Shoulders of Giants - Eponyms & Names in O&G'.) This was included with other obstetric instruments, mostly destructive instruments, from Box Hill Hospital labour ward given to RANZCOG in February- March 1998. The maternity service at Box Hill hospital combined with St Geroge's Hospital in Kew to be known as Birralee Maternity Service. These instruments were collected by Julie Collette, Unit Manager, St George's Kew and given to RANZCOG Museum Curator, Susan Barnett.Pair of long handled forceps, placenta praevia style. Inscribed "B.H.H.L Ward" inner handle."B.H.H.L Ward"destructive instruments

Carl Rudolph Braun (1823-1891) was the inventor of this instrument, as well as a type of decapitation hook. Braun was born and practiced in Austria, and followed Semmelweis as assistant to Klein at the Vienna Maternity Clinic in 1847, before becoming its head in 1856. Braud added a gynaecology section to the clinic in 1858, being convinced that obstetrics and gynaecology should be together. (Source: Baskett, Thomas. 'On the Shoulders of Giants: Eponyms and Names in Obstetrics and Gynaecology'). This device was included with a range of other obstetric instruments, mostly destructive instruments, given to RANZCOG from Box Hill Hospital labour ward in February- March 1998. The maternity service at Box Hill Hospital combined with St George's hospital in Kew to be known as Birralee Maternity Service. These instruments were collected by Julie Collette, Unit Manager, St George's Kew and given to RANZCOG Museum Curator, Susan Barnett.Craniotomy forceps, Braun's. Stainless steel forceps, with wingnut. Upper blade has open oval section and ridged grip section on the handle. Lower blade has serrated inner edge and ridged grip section on the handle. Wingnut is used for attaching the upper and lower blades of the forceps. Inscribed "B.H.H.L Ward" on forceps."B.H.H.L Ward"destructive instruments

Used for probing a woman's uterus through the cervix, to measure the length and direction of the cervical canal and uterus. Dilators are primarily used to open and dilate the cervix to gain access to the uterine cavity but can also be used as sounds. This device was included with other obstetric instruments, mostly destructive instruments, given to RANZCOG from Box Hill Hospital labour ward in February- March 1998. The maternity service at Box Hill Hospital combined with St George's Hospital in Kew to be known as Birralee Maternity Service. These instruments were collected by Julie Collette, Unit Manager, St George's Kew and given to RANZCOG Museum Curator, Susan Barnett.Three bladed Sims uterine dilator, consisting of upper blade, lower blade, bridge, and wingnut. Blades are polished stainless steel with matte steel handles. Upper surface inscribed, (trademark) MADE IN GERMANY INOXIDABLE", "21"."21"box hill hospital

Embryotomy is a destructive procedure whereby a fetus is dismembered to facilitate removal from the uterus when delivery is obstructed or impossible. It carries a risk of trauma (such as uterine rupture or vaginal/cervical injury) but aims to reduce the risks of mortality and impaired function to the patient. (Source: Medecins Sans Frontieres, 'MSF medical guidelines - Essential obstetric and newborn care - 9.7 Embryotomy'') This instrument was included with other obstetric instruments, mostly destructive instruments, given to RANZCOG from Box Hill Hospital labour ward in February- March 1998. The maternity service at Box Hill Hospital combined with St George's Hospital in Kew to be known as Birralee Maternity Service. These instruments were collected by Julie Collette, Unit Manager, St George's Kew and given to RANZCOG Museum Curator, Susan Barnett.Embriotomy scissors. Curved-on-flat scissors with take-off point.destructive instruments

A pelvimeter is used in obstetrics for measurement of the female pelvis, with the aim of attempting to determine whether there will be any potential issues with a vaginal birth. The style of this pelvimeter is similar to Collyer's pelvimeter as depicted in Aesculapius Surgical Instruments p. 2195. This instrument was included with other obstetric instruments, mostly destructive instruments, given to RANZCOG from Box Hill Hospital labour ward in February- March 1998. The maternity service at Box Hill Hospital combined with St George's Hospital in Kew to be known as Birralee Maternity Service. These instruments were collected by Julie Collette, Unit Manager, St George's Kew and given to RANZCOG Museum Curator, Susan Barnett.Pelvimeter. Similar in style to Collyer's pelvimeter. Has adjustable arms hinged with a wingnut, and a scale graduated in inches and centimetres.obstetrics

A pelvimeter is used in obstetrics for measurement of the female pelvis, with the aim of attempting to determine whether there will be any potential issues with a vaginal birth. This pelvimeter is similar in style to Martin's pelvimeter (see Aesculapius). This instrument was included with other obstetric instruments, mostly destructive instruments, given to RANZCOG from Box Hill Hospital labour ward in February- March 1998. The maternity service at Box Hill Hospital combined with St Geroge's Hospital in Kew to be known as Birralee Maternity Service. These instruments were collected by Julie Collette, Unit Manager, St George's Kew and given to RANZCOG Museum Curator, Susan Barnett.Pelvimeter, manufactured by Ramsay. Metal device with calibrator graduated to 18 inches/ 45 cms. Inscribed " Ramsay" upper arm."Ramsay"obstetrics

Victor Bonney (1872- 1953) was a gifted and innovative surgeon. One of Bonney’s most notable achievements was his development of a successful procedure for myomectomy. After his wife developed fibroids and had her uterus removed early in their marriage, Bonney took a great interest in the practice of conservatism in surgery. Prior to Bonney, myomectomy “had fallen into disuse because of excessive blood loss during the operating and the infections that commonly followed” (Chamberlain, 'The master of myomectomy') , but Bonney saw an opportunity to revolutionise this practice. In his words: “I set myself to make myomectomy so feasible, successful and safe as to render it a fair alternative to hysterectomy in every case… Excepting only in a very few instances… I have succeeded, and now enter the operating theatre free of the trammels which at one time too often compelled my hand against my heart.” (Bonney, 'The fruits of conversatism') Bonney’s crucial innovation was the development of a new surgical clamp, an instrument which is now referred to as Bonney’s myomectomy clamp. The clamp was ingeniously designed to cut off blood supply to the uterus by compressing the uterine arteries, immediately reducing the excessive blood loss which had previously been associated with the procedure. Although technological advances mean that these are now seldom used, Bonney’s success with this procedure was such that his clamps were regularly used for myomectomy procedures for decades after his death. This instrument was included with other obstetric instruments, mostly destructive instruments, given to RANZCOG from Box Hill Hospital labour ward in February- March 1998. The maternity service at Box Hill Hospital combined with St George's Hospital in Kew to be known as Birralee Maternity Service. These instruments were collected by Julie Collette, Unit Manager, St George's Kew and given to RANZCOG Museum Curator, Susan Barnett. Stainless steel clamp. Scissor type instrument with two sets of finger grips and a locking ratchet mechanism. The blades close to form two apertures which can be selectively decreased in size."DOWN BROS LONDON STAINLESS" upper surface of RH handle; "B.H.H.L. WARD" inner surface of LH handle.surgery, obstetrics

This is a destructive instrument. Perforators were used to pierce and empty the skull in a craniotomy (which is a form of embryotomy). A craniotomy is a procedure whereby "a perforation is made in the foetal skull to reduce the volume of the foetal head which prevents delivery." (Source: Medecins Sans Frontieres, 'MSF medical guidelines - Essential obstetric and newborn care - 9.7 Embryotomy'') This instrument was included with other obstetric instruments, mostly destructive instruments, given to RANZCOG from Box Hill Hospital labour ward in February- March 1998. The maternity service at Box Hill Hospital combined with St George's Hospital in Kew to be known as Birralee Maternity Service. These instruments were collected by Julie Collette, Unit Manager, St George's Kew and given to RANZCOG Museum Curator, Susan Barnett.Simpson's perforator. Stainless steel perforator with fluted handles. Various inscriptions: "ALLEN & HANBURYS LTD/ENGLAND S.S.ut" on shaft, "12" on inner surface of hinged brace, "B.H.H.L. Ward" on inner shaft of blade."B.H.H.L. Ward"destructive instruments