. A system of obstetrics . t upon the symphysisand soft parts in front. Ifthe head is presenting, itmust be propelled towardthe side on which the occi-put lies. For example, if Braxton Hicks Method of Combined Podalic Version, the Vertex presents ill thefirst stage: One or two fingers of the left hand lift the £rc+ ,, fl10 i; , •head from the brim and push it toward the left iliac nrSI Position, Oie nilgClS Ill-fossa, while the right hand pushes the breech trans- side the litems ffClltlv liftversely toward the right side (Hicks). , , , i -. i the head and push it towardthe left iliu
. A system of obstetrics . t upon the symphysisand soft parts in front. Ifthe head is presenting, itmust be propelled towardthe side on which the occi-put lies. For example, if Braxton Hicks Method of Combined Podalic Version, the Vertex presents ill thefirst stage: One or two fingers of the left hand lift the £rc+ ,, fl10 i; , •head from the brim and push it toward the left iliac nrSI Position, Oie nilgClS Ill-fossa, while the right hand pushes the breech trans- side the litems ffClltlv liftversely toward the right side (Hicks). , , , i -. i the head and push it towardthe left ilium, while the right hand outside presses the breech overtoward the right side (Fig. 79). As the head glides away toward the 1 Where the dorsal position is preferred the right hand is usually chosen when thefeet of the child are turned to the right side; the left hand, when they are turned tothe left. 2 In Germany, when the patient lies on the right side the left hand i> used ; when onthe left side, the right METHODS OF OPERATING. 223 Fig. 80. left the shoulder comes within reach, and is pushed along in a similarmaimer (Fig. 80). When the breech has been pressed well down intothe ilia*- fossa, the membranes are ruptured during a pain. A knee willthen be found not far from the os internum, and can be readily hookeddown into the vagina (). The outer hand is thenremoved from the breech andtransferred to the head. Thesimultaneous action of down-ward traction upon the legand upward pressure uponthe head readily cause- ro-tation of the foetus (). In transverse presenta-tions the presenting shoulderis first gently dislodged, andthen similar manipulationsemployed. The combined method usu-ally succeeds if the liquor am-nii i- still present or has hutrecently drained away andconsiderable foetal mobilityremains. If it fails, thewhole hand must be passedinto the uterine cavity andsearch made for a knee orf« •< »t . 2. Internal Method. — Intransversa presenta
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectobstetrics, bookyear1
