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ticity limit is reached; (below) gradient of extensibility con- tinued beyond buy cheap zithromax online elasticity limit a, rupture point at b. November 6, 1920.J KOSTER: ABDOMINAL EXERCISES IX OBSTETRICS: 723 forcements, pads, and bandages, with considerable 'success. Such rehef, however, is not permanent. When the mechanical support is removed, the symp- toms recur because nothing has been done to strengthen the muscles which have lost their nat- ural elasticity after having been subjected to a period of increasingly forcible extension, exceeding the limit of generic zithromax no prescription physiological extensibility with perfect elastic recoil. The careful analysis of obstetrical case records yields as one of the conclusions the belief that many forceps deliveries might have been avoided by the application generic zithromax z pack of a tight abdominal binder. The proper development of the muscles of the abdominal wall before pregnane}' will obviate safe order zithromax online the use of an ab- dominal binder. If the tone of these muscles had Ijeen raised sufficiently before preg^ahcy, the wall would yield less readily and less completely to the gradually increasing pressure of the enlarging uterus, and their synergistic rhythmic contractions during the uterine expulsive efforts would furnish valuable aid. A point in the improvement could also be reached which would allow a margin of extensibility beyond that encountered in the par- turient period without reaching the elastic recoil limit, and thus insure perfect elastic recoil. Progressive muscular exercise can raise the qual- ity of muscle to a higher standard of efficiency. That order zithromax online uk the elastic tension of any muscle may be in- creased by exercise, order zithromax over the counter generic zithromax 250mg has been demonstrated beyond controversy. This is well exemplified in the partial flexion during rest of the forearm of the blacksmith, and the great order zithromax online no prescription degree of order zithromax for chlamydia flexion of the phalanges of the trained weight lifter or the day laborer. Be- fore maternity, therefore, the abdominal muscles should be prepared for the expected strain by rais- ing their power through progressive exercise, in- creasing the limit of extensibility with complete elastic recoil, beyond the amount of extension en- countered in pregnancy. In the case of muscles already relaxed, their tone must be increased generic zithromax cheap and a corresponding diminution in muscle length obtained, to secure a generic zithromax z pak wall which will offer resistance to the tendency of the viscera to prolapse, and which will also be a valuable aid in subsequent pregnancy. An exercise is here suggested which is ideal, in- asmuch as generic zithromax (azithromycin) it meets with all requirements regarding results, is capable of universal application because it can be practised at home without apparatus, and presents a wide range of gradation of effort neces- sary for its accomplishment, thus making it applic- able to individuals having different strengths of ab- dominal walls. With the patient lying flat on order zithromax canada her cheap zithromax back, the entire lower extremities from the hips down, acting like a single lever, are flexed on the abdomen to a line l)erpendicular to the resting surface, and then low- ered (Fig. 4). Throughout the exercise cheap zithromax online there should be no flexion at the knee joints. This generic zithromax 500mg movement should be repeated as many times generic zithromax price as possible atid the number noted, at each succeeding trial, strenuous effort being made to increase zithromax-cheap.net the number of move- ments. This exercise should be practised in the morning, before dressing, or at bedtime, the former, however, being preferable, as it is then not superim- posed on the arduous labors of the day. When the exercise is first attempted, the average woman will find difficulty in repeating the maneuvre twenty-five times without pause, but it is aston- ishing to note the rajiidity of increase possible, and ihe concomitant improvement in muscular tone. For the flabby, muscularly unfit woman, who might not lie able to perform the exercise properly even once, the simple modification of allowing slight flexion at the knee joints, brings it within the range of her possibilities, can you order zithromax online and in her case, the first aim of progres- sion should be the development of enough ]iower to perform the exercise without flexion. An expen-

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