Practical midwifery; handbook of treatment . usual, they become extended above the head by fric-tion against the Avails of the canal, their release becomes a moredifficult matter. In easy extractions it is generally possible tobring the slioulders outside the vulva by simple traction uponthe thighs; the body of the child is then dropped toward thefloor and drawn as far backward as the perineum alloAvs; andtwo fingers are then passed over one shoulder and along theupper surface of the arm to the bend of the elbow. The arm ispushed downward and backward across tlie face of the child bypressure i
Practical midwifery; handbook of treatment . usual, they become extended above the head by fric-tion against the Avails of the canal, their release becomes a moredifficult matter. In easy extractions it is generally possible tobring the slioulders outside the vulva by simple traction uponthe thighs; the body of the child is then dropped toward thefloor and drawn as far backward as the perineum alloAvs; andtwo fingers are then passed over one shoulder and along theupper surface of the arm to the bend of the elbow. The arm ispushed downward and backward across tlie face of the child bypressure in the bend of the elbow, and, as the elbow appears at ABNORMAL LABOR. 233 the vulva, the fingers slide along the forearm to the hand andeasily sweep it outside the vulva. The other hand of the operator then repeats the same proce-dure with the other arm. The child is then laid astride of one forearm, and the handwhich belongs to it is passed into the vagina until its first andsecond fingers He upon the canine fossse of the child, while the. Fig. 65.—Method of Grasping the Pelvts (Lusk). other hand is hooked over the shoulders, with the neck betweenits first and second fingers, and their tips upon the supra-clavicularregion. The assistant then presses the head downward by supra-pubic pressure in the axis of the superior strait, and both handsof the operator make simultaneous traction, as nearly as possiblein the same direction, the internal hand at the same time exert-ing itself to preserve the necessary flexion of the head (Fig. 6G).As the head emerges the line of traction sweeps forward in thecurve of Carus, until at the end of the extraction the body of the 234 PRACTICAL Mn>WlFEKY. child rests upon the other forearm and along the abdomen of themother. When the mouth appears at the vulva, all hurry ceases, andthe operators efforts should be directed to the preservation ofthe perineum. All traction should cease, the upper hand shouldpromote flexion by restraininj^ the desc
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectmidwifery, bookyear18
