A manual of obstetrics . on of ergot or in neglected cases;{d) any increase in the bulk of the uterine contents, as inmultiple pregnancy or when a fetal monstrosity presents;(e) fixation of the fetus in the uterine cavity, as after escapeof the liquor amnii; (/) spasmodic contraction of the ab-dominal muscles from any cause (hysteria or eclampsia);[g) obesity of the patient. Advantages.—The reasons whypodalic version is preferable in the properly selected casesare—{a) It permits of a rapid delivery; {b) it may be per-formed early in labor. Dangers.—There are, however, somedangers to both mothe
A manual of obstetrics . on of ergot or in neglected cases;{d) any increase in the bulk of the uterine contents, as inmultiple pregnancy or when a fetal monstrosity presents;(e) fixation of the fetus in the uterine cavity, as after escapeof the liquor amnii; (/) spasmodic contraction of the ab-dominal muscles from any cause (hysteria or eclampsia);[g) obesity of the patient. Advantages.—The reasons whypodalic version is preferable in the properly selected casesare—{a) It permits of a rapid delivery; {b) it may be per-formed early in labor. Dangers.—There are, however, somedangers to both mother and child in its performance. Theseare—(i) Maternal.—{a) Sepsis may follow the introductionof the hand into the uterine cavity, especially if proper pre-cautions be not observed ; (/;) rupture of the uterus mayoccur from injudicious haste in the operation ; (r) lacerationof the cervix is not uncommon, since the operation is fre-quently performed before complete dilatation has been ac- VERSION, OR TURNING. 471. complished ; (c/) subsequent metritis and endometritis havebeen noted from injuries received during the necessary ma-nipulations. (2) Fetal.—Injury or death of thefetus may occur duringthe necessary —Podalic ver-sion may be performedby the combined andthe internal methods. The combined., bipolar,or B r axto n Hicksmethod.—In this meth-od not only are the fin-gers introduced into theuterine cavity, but themanipulations are as-sisted by pressure ex-erted upon the fetalellipse through the ab-dominal walls. Advan-tages.—This method isto be recommended for the following reasons: {a) It may be performed early inlabor; (^) there is a minimum of danger of sepsis; (r) thedanger of uterine rupture is less than in internal —The operation includes—(i) Complete anesthetiza-tion (etherization) of the patient, with evacuation of thebladder and rectum. (2) Thorough asepsis of the vaginaland cervical canals. (3) The Position.—The pa
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectobstetrics, bookyear1
