The practice of obstetrics, designed for the use of students and practitioners of medicine . rve as an average descrip-tion of the method as commonly used: One finger is passed into the os, andthis is followed by the gradual insertion of the other fingers successively, finallyof the thumb, and later by the expansion of the hand (Figs. 1071 and 1072).When the closed fist can be withdrawn through the os, the operation is regardedas complete. It will be observed that in this operation the natural methodof dilatation is reversed, the dilatation during the greater part of the operationbeing from be
The practice of obstetrics, designed for the use of students and practitioners of medicine . rve as an average descrip-tion of the method as commonly used: One finger is passed into the os, andthis is followed by the gradual insertion of the other fingers successively, finallyof the thumb, and later by the expansion of the hand (Figs. 1071 and 1072).When the closed fist can be withdrawn through the os, the operation is regardedas complete. It will be observed that in this operation the natural methodof dilatation is reversed, the dilatation during the greater part of the operationbeing from below upward rather than from above downward. Some advocatesof this method advise that after the closed fist has passed through the internalOS it should be drawn down at intervals against the resisting cervical ring inimitation of the advance and recession of the fetal head during natural delivery,also that when the closed fist can be drawn through the canal the highest attain-able degree of dilatation has been reached. It is apparent, however, that the MANUAL DILATATION OF THE CERVIX. 897.
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectobstetrics, bookyear1
