. A system of obstetrics . Internal Podalic Version. French method. dorso-anterior transverse positions the French select the same hand asthe presenting shoulder, while the Germans use the hand correspondingto the side on which the feet are to be found (Figs. 77 and 78). Forexample, if the child is lying with back to the front, head in the left PRELIM JX A RY DETAILS. 221 iliac fossa, feet on the right side, and right shoulder presenting, theFrench would use the right hand and the Germans the left. In dorso-posterior transverse presentations both French and Germans would usethe same hand. The
. A system of obstetrics . Internal Podalic Version. French method. dorso-anterior transverse positions the French select the same hand asthe presenting shoulder, while the Germans use the hand correspondingto the side on which the feet are to be found (Figs. 77 and 78). Forexample, if the child is lying with back to the front, head in the left PRELIM JX A RY DETAILS. 221 iliac fossa, feet on the right side, and right shoulder presenting, theFrench would use the right hand and the Germans the left. In dorso-posterior transverse presentations both French and Germans would usethe same hand. The difference between the French and German meth-ods as regards the choice of hand is explained by the fact that the French Fig. Internal Podalic Version, German method. pass the hand along the side, hip, and thigh of the child as a guide to theknee or foot, while the Germans pass the hand directly up to the anteriorplane of the child, and thence, without any guide, toward the spot wherethe foot or knee i- expected to be found. A> a rule, the hand whose palmfaces the abdomen of the child will seize the fool more readily andeffect rotation more rapidly than the other. When once the operatorha- introduced his hand into the uterus, he should not withdraw it, it*possible, till version is complete, even if it turns out t«« be the wronghand theoretically; he should merely adopt the form of manipulation(French or German) for which the hand in utero i- best Buited. Of far greater importance than the choice of the hand i- a correctdiagnosis, [f by means of external palpation the practitioner is ablet<» make a correct diagnosis and form a mental picture of the relativeposition of the foetal parts and the materna
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectobstetrics, bookyear1
