Operative midwifery : a guide to the difficulties and complications of midwifery practice . / Fig. 66.—Locking of After-coming Head of First Child with Fore-coming Head ol - (Bumm.) deep anaesthesia this may succeed. It did so in a case under my that manceuvre prove unsuccessful, it is inadvisable to do ashas been suggested, even although it has been successfully carried LOCKE]) TWINS 11!) out—viz., apply forceps to the fore-coming head of the second dangers to the second child are great and the risks to the mothernot inconsiderable, as she will, almost certainly, have he


Operative midwifery : a guide to the difficulties and complications of midwifery practice . / Fig. 66.—Locking of After-coming Head of First Child with Fore-coming Head ol - (Bumm.) deep anaesthesia this may succeed. It did so in a case under my that manceuvre prove unsuccessful, it is inadvisable to do ashas been suggested, even although it has been successfully carried LOCKE]) TWINS 11!) out—viz., apply forceps to the fore-coming head of the second dangers to the second child are great and the risks to the mothernot inconsiderable, as she will, almost certainly, have her parturientcanal considerably lacerated. Consider the condition of Flu. 67.—Locking of Two Fore-coming Heads. The chances of the first child being saved are almost nil. It hasalready had its circulation seriously interfered with, owing to pressureupon its cord. The second child, on the other hand, has not yet hadits life in the least endangered. Of course, if it is known that thesecond child is dead, then everything must be done to try and save 120 OPERATIVE MIDWIFKIIY the first; but presuming that the second child is living, the onl\course is to decapitate the first, apply forcep3 to the head of the secondchild and deliver it, and, finally, remove the severed head of the firstwith forceps or the cephalotribe. As regards the locking of two fore-coming heads (Fig. 7), it is


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Keywords: ., bookcentury1900, bookdecade1910, bookpubli, booksubjectobstetrics