Practical midwifery; handbook of treatment . Fig. 37.—MethodOF Grasping theFoot. 178 PRACTICAL MIDWIFERY. to the front, and the thorax has entered the pelvis, it is essentialthat the process of i-elieving the imijaction should begin by thereturn of the part which entered last, ^ that portion of thethorax and abdomen which still lies opposite the sacro-iliac syn-chondrosis ; and no pressure must be exerted upon the shoulderitself until the trunk again occupies an oblique position. It will. Fig. 38.—Neglected Transverse Presentation (Ltjsk). ?be seen that the process of unlocking the impacti
Practical midwifery; handbook of treatment . Fig. 37.—MethodOF Grasping theFoot. 178 PRACTICAL MIDWIFERY. to the front, and the thorax has entered the pelvis, it is essentialthat the process of i-elieving the imijaction should begin by thereturn of the part which entered last, ^ that portion of thethorax and abdomen which still lies opposite the sacro-iliac syn-chondrosis ; and no pressure must be exerted upon the shoulderitself until the trunk again occupies an oblique position. It will. Fig. 38.—Neglected Transverse Presentation (Ltjsk). ?be seen that the process of unlocking the impaction is by a directreversal of the mechanism of spontaneous evolution. Of course,during this whole joroeess the most careful counter-pressure mustbe maintained at the fundus. In simple cases a lorolajDsed arm may be used as a convenienthandle by which to push up the shoulder, and in all cases it iswell to begin the operation by noosing a fillet around the pro- OBSTETRIC SURGERY. 179 lapsed wrist. This answers a double purpose: it may be used, atfirst to draw the arm out of the way of the operating hand; and,secondly, during the process of extraction slight tractions on thefillet will prevent the extension of that arm, and thus greatlyfacilitate the delivery; but care must be taken to remove thenoose as soon as possible, for cases are on record in which slough-ing of a member has followed the too prolonged or violent use ofa fillet. In the search for a foot two methods may be used. T
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectmidwifery, bookyear18
