The American text-book of obstetrics for practitioners and students . e outer becomes theinner hand at a time when valuable minutes would be lost in cleaning a con-taminated outer hand. Next, the vagina is well lathered with a wad of gauze and green soap, everyfold being stretched and scrubbed. The douche is then given. If time midmaterial serve, each leg should be rolled in a separate sheet and the coveringsecured with safety-pins. In our hospital work the patient wear- a pair ofcombination stocking-drawers tied about the waist. The sheet-sling i Fig. 282is employed when working short-handed.
The American text-book of obstetrics for practitioners and students . e outer becomes theinner hand at a time when valuable minutes would be lost in cleaning a con-taminated outer hand. Next, the vagina is well lathered with a wad of gauze and green soap, everyfold being stretched and scrubbed. The douche is then given. If time midmaterial serve, each leg should be rolled in a separate sheet and the coveringsecured with safety-pins. In our hospital work the patient wear- a pair ofcombination stocking-drawers tied about the waist. The sheet-sling i Fig. 282is employed when working short-handed. A clean towel, or one wrung utof an antiseptic, on a chair or table, holds the instruments, which have beenwrapped in another towel, and which have been boiling ten minutes while thepatient was being shaved and anesthetized. Posture of the Patient: Flexed Dorsal Posture.—Usually the patient is laidwith buttocks close to the lower end of the table or across the bed, her thighsHexed and supported by assistants, or, in cases in which the operator works very. Fig. 282.—Sheet-sling applied broadly and properly to shoulders and tied below and outside the kithus the knees are held apart, und the patient can elevate the feet very little. short-handed, by the sheet-sling (Fig. 2S2). The shoulders may be low; apillow under the hips covered with water-shedding material will lift the pelvisadvantageously, and a light blanket protects the body from chilling. Thisposture is most commonly employed, because it is the only one that allow- freeplay to the outer hand; the chances of infecting the outer hand are lessened :if working alone, one can better direct the anesthetic and watch the breathing ;and extraction can bo completed in the position in which version ha- beenaccomplished. By reference to the series of tans of postures it will be seen AMERICAN TEXT-BOOK OF OBSTETRICS. (Figs. 296-301) that, with the thighs nearly full flexed, for internal versionthe route to the fundus is direct.
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectobstetrics, bookyear1
