. The principles and practice of obstetricy, as at present taught, by James Blundell ... To which are added, notes and illustrations. By Thomas Castle ... pushedto the external parts, in the same manner as inordinary labors the head is pushed down into the outlet, and to these effortswe ought to trust. And when in this manner the breech has gradually de-scended, so that it lies at the outlet, you may then lay your finger upon theone side, and your thumb upon the other, and without violence, (a brutalerror always to be reprobated) with gentleness and firmness, co-operatingwith the pains, if the
. The principles and practice of obstetricy, as at present taught, by James Blundell ... To which are added, notes and illustrations. By Thomas Castle ... pushedto the external parts, in the same manner as inordinary labors the head is pushed down into the outlet, and to these effortswe ought to trust. And when in this manner the breech has gradually de-scended, so that it lies at the outlet, you may then lay your finger upon theone side, and your thumb upon the other, and without violence, (a brutalerror always to be reprobated) with gentleness and firmness, co-operatingwith the pains, if there be any, you may draw, throwing the body a littlefrom side to side; often assiduously, solicitously, examining the perinaeum,that portion of the skin which is lying between the anus and the genital fissure,lest in drawing the nates this part should be torn. Advancing the breechin this manner, and as the part descends, carrying the back of the childtowards the abdomen of the parent, you find the legs spontaneously drop forth ?—what was a breech, becoming of consequence a foot presentation, to bemanaged afterwards by the rules already Illustration.—Represents, in a front view of the pelvis, the breech of the fetus presentingand dilating the os internum, the membranes being too soon broken. The fore-parts of thechild are to the posterior parts of the uterus ; and the funis with a knot upon it, surrounds theneck, arm, and body. I have sometimes felt in these cases, (when labor was begun, and before the breech wasadvanced into the pelvis,) one hip at the sacrum, the other resting above the os pubis, and theprivate parts to one side ; but before they could advance lower, the nates were turned to thesides and wide part of the brim of the pelvis with the private parts to the sacrum; thoughsometimes to the pubes. As soon as advances to the lower part of the basin, thehips again return to their former position, viz : one hip turned out below the os pubis, an
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Keywords: ., bookcentury1800, bookidprinciplespracti00, booksubjectobstetrics
