Adolphe Pinard

Adolphe Pinard (1844–1934)

Adolphe Pinard (1844–1934) was a French obstetrician

Pinard was a pioneer of modern perinatal care; his provision of social care to deprived pregnant women progressed to a recognition of the value of medical care of mother and baby before as well as after birth; and demonstrated the value of a logical and systematic approach to abdominal palpation in pregnancy

Pinard opened the first child welfare clinic in France and used to follow up his children from birth until they were 2 years of age. Inventor of the Pinard horn (fetoscope)


Biography
  • Born on February 4, 1844 at Méry-sur-Seine, France
  • Etienne Stéphane Tarnier (1828-1897) at the Paris Maternité Hospital
  • mayor of Mérysur-Seine
  • held a seat in the parliament at the Palais Bourbon
  • Died on March 1, 1934 at Méry-sur-Seine, France

Medical Eponyms
Pinard Obstetric Palpation

External cephalic version. Pinard provided clear guidelines for abdominal palpation of the foetus, in particular seeking the presenting part at the pelvic brim

The head may be in relation with the superior uterine segment, while the breech remains below.

When the presentation is really transverse, as is shown in figs. 24 and 25, the operative procedure is essentially the same as that employed in presentation of the breech. The head in one of the iliac fosses, and the breech in the opposite flank.

In this case apply one hand over the foetal head, the other over the breech, and by gentle and sustained pressure exerted inversely over one and the other extremity, turn the two poles of the foetus under the median line. (See fig. 26)

This manoeuvre is the simplest, and I have never seen it fail during gestation.

Pinard 1878

External cephalic version by Pinard 1878
Fig. 26.— Position of the hands, and direction of the pressure to conduct the head by external manoeuvres above the plane of the superior strait, in presentation of the shoulder.

Pinard horn (1895) [Stéthoscope obstétrical de Pinard]

Monaural stethoscope designed specifically for auscultation of the heart sounds of an foetus in the womb. The device consists of a hollow, trumpet-shaped tube that is pressed against the mother’s abdomen, allowing the practitioner to listen to the foetal heart sounds through the inner channel by air conduction

Most commonly cited as being designed in 1895, however, obstetric instrument manufacture of the ‘Stéthoscope de Pinard’ started in 1885…

Stéthoscope de Pinard 1887
Stéthoscope de Pinard (1887)
Stéthoscope de Pinard en aluminium (1905)
Stéthoscope de Pinard en aluminium (1905)

Pinard obstetric instruments and models
 Nouveau mannequin obstétrical de Budin et Pinard
Obstetric mannequin by Budin and Pinard
Pince à faux-germe, à branches croisées et contre-croisées, de Pinard.
Pinard’s forceps, with crossed and counter-crossed branches.
Balance pèse-bébés avec "Hamac, modèle du docteur Pinard
Baby scale with “Hammock,” Dr. Pinard’s model
Ceinture eutocique du Dr Pinard
Pinard eutocic belt to maintain the foetus in a normal presentation, after bringing the head to the level of the upper strait area by external manoeuvres.

Pinard labour suites at Tarnier
Pinard labour suites at Tarnier
Pinard labour suites at Tarnier. 1880

Le nouveau pavillon d’accouchements est situé à l’extrémité des vastes jardins de la Maternité de Paris. Ce pavillon comprend un rez-de-chaussée et un premier étage. Il a la forme d’un parallélogramme rectangulaire et mesure 14m, 20 de longueur, 7m, 80 de largeur. Ses deux façades sont orientées au nord et au midi ; les deux pignons regardent le levant et le couchant

Pinard 1880

The new labor ward is located at the end of the vast gardens of the Paris Maternity Hospital. This ward comprises a ground floor and a first floor. It is shaped like a rectangular parallelogram and measures 14.20 meters in length and 7.80 meters in width. Its two facades face north and south; the two gables face east and west.

Pinard 1880


Major Publications

References

Biography

Eponymous terms


Eponym

the person behind the name

BA MA (Oxon) MBChB (Edin) FACEM FFSEM. Emergency physician, Sir Charles Gairdner Hospital.  Passion for rugby; medical history; medical education; and asynchronous learning #FOAMed evangelist. Co-founder and CTO of Life in the Fast lane | Eponyms | Books | Twitter |

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