Practical midwifery; handbook of treatment . Fig. 5 a.—First Position op the Examining Hand. soft; and by very gentle stretching should endeavor to ascertain:its degree of dilatability; but in this last manoeuvre it is neces-sary to employ the greatest gentleness in order to avoid the in-. Fig. 5 b.—Second Position of the Examining Hand. excusable accident of manual laceration of the os during examin-ation. The characteristically different sensations yielded to thefinger by the smooth and velvety cervix, the rough but slipperymembranes, and the hairy scalp, is a matter with which it is iui- 78
Practical midwifery; handbook of treatment . Fig. 5 a.—First Position op the Examining Hand. soft; and by very gentle stretching should endeavor to ascertain:its degree of dilatability; but in this last manoeuvre it is neces-sary to employ the greatest gentleness in order to avoid the in-. Fig. 5 b.—Second Position of the Examining Hand. excusable accident of manual laceration of the os during examin-ation. The characteristically different sensations yielded to thefinger by the smooth and velvety cervix, the rough but slipperymembranes, and the hairy scalp, is a matter with which it is iui- 78 PRACTICAL MIDWIFERY. portant to Ijecome familiar; for it is easy to recoffiiize these diflfer-euces if the physician has trained himself to observ them in evenea comparatively small number of cases; and the possession ofthis faculty may preserve him from the danj^erous or even fatalerror of making an application of the forceps to the intact mem-branes, or over an undilated cervix. DiAGOxsis OF Pkeskxtatiox.—The diagnosis of presentationby vaginal examination, though ordinarily easy, is sometimes diffi-cult when the presenting part is still high in the pelvis; it wouldbe supposed, a 2^flo>% that the distinction between the hardhead and the yielding breech could be made in al
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectmidwifery, bookyear18
