A textbook of obstetrics . Fig- 5S8-—Combined version, Wrights method. VERSION. 759 The advantages of resting content with the anterior foot, andof drawing upon it alone without seeking for the other, are these :A further entrance into the uterus is unnecessary, it is easierto hold one foot than two. The other leg is folded up upon theabdomen, and thus secures a more thorough dilatation of thecervical canal. Finally, by pulling upon the anterior foot oneis more likely to secure a sacro-anterior position of tin- making traction upon the foot, the version of the child isfacilitated
A textbook of obstetrics . Fig- 5S8-—Combined version, Wrights method. VERSION. 759 The advantages of resting content with the anterior foot, andof drawing upon it alone without seeking for the other, are these :A further entrance into the uterus is unnecessary, it is easierto hold one foot than two. The other leg is folded up upon theabdomen, and thus secures a more thorough dilatation of thecervical canal. Finally, by pulling upon the anterior foot oneis more likely to secure a sacro-anterior position of tin- making traction upon the foot, the version of the child isfacilitated by external manipulation of the head (Fig. 562). Itis occasionally easier to seize a leg or the knee than the foot(Figs. 503, 564). In such a case time need not be wasted seek-. Fig. 559.—Version in dorsoposterior Fig. 560.—Version in dorso-anterior position. Traction in upper limbs (Fara- position, first stage of traction in lowerbeuf and Varnier). limb (Farabeuf and Varnier). ing for the foot. Combined version by the breech may precedeor replace podalic version with great advantage, as first pointedout by Braxton Hicks, obviating the necessity of introducing thehand into the uterine cavity and enabling the operator easily toseize the knee or foot after it is brought near or into the supe-rior strait. As soon as the knee is born, the operation of podalic versionis finished, and, unless there is some indication for immediatedelivery, the anesthetic should be removed, the patient shouldbe turned upon her back, and should be allowed to expel thechild spontaneously until the umbilicus appears in view. Thisdelay secures a more thorough dilatation of the cervical canal, j6o OBSTK TRIC OPKR. 1 TIONS. and produces a paretic condition of the circular muscle of th
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Keywords: ., bookcentury1800, bookdecade1890, bookidtex, booksubjectobstetrics
