A textbook of obstetrics . by hanging in the last month of pregnancy: </,Venous sinuses; b, uterovesical reflection of peritoneum; c, symphysis pubis; </.bladder; e, vagina; f, first lumbar vertebra; g, promontory of sacrum; //, rectum; t, cervix ; /, pouch of Douglas. the last are considered elsewhere. By compound presentationis meant the presentation of two or more parts at the same time,as a head and a hand, a head and a foot, a hand and a foot,nuchal position of the arm, or the head and all four extremities. A compound presentation is met with about once in 250 ANOMALIES IN THE FORCE
A textbook of obstetrics . by hanging in the last month of pregnancy: </,Venous sinuses; b, uterovesical reflection of peritoneum; c, symphysis pubis; </.bladder; e, vagina; f, first lumbar vertebra; g, promontory of sacrum; //, rectum; t, cervix ; /, pouch of Douglas. the last are considered elsewhere. By compound presentationis meant the presentation of two or more parts at the same time,as a head and a hand, a head and a foot, a hand and a foot,nuchal position of the arm, or the head and all four extremities. A compound presentation is met with about once in 250 ANOMALIES IN THE FORCES OF LABOR. 5 I 7 labors. It is usually a head and a hand. The following table isfurnished by Pernice from 2891 births in the clinic at Halle : Hand and head, 26 Ann and head, 8 Hand and umbilical cord, 5 Both hands, 4 Foot and hand, ...... 2 Two hands, umbilical cord, and foot, I Face, hand, and cord, I Kietz found in 7555 labors the foot and head presenting in cause of compound presentations is usually a lack of. Fig. 396.—Compound presentation : head and foot (authors case). conformity in the presenting part with the pelvic inlet, as in mal-position of the fetus, a head of abnormal size, a displaced uterus,twins, hydramnios, contracted pelvis, and anomalous shape ofthe uterus. In the treatment of compound presentations before rupture ofthe membranes an attempt should be made to overcome thedifficulty by postural treatment. The woman should be placedon that side opposite the prolapsed extremity. After rupture ofthe membranes an attempt should be made to dislodge the pro-lapsed extremity and to restore it to its natural position. Version 1 Diss. Enaug., Berlin, 1S90. ;iS THE PATHOLOGY OF LABOR. may, however, be required if this attempt foils, or even crani-otomy if the child is dead. If the head and extremities present,and if the former is engaged, it is usually best to apply forcepsand to disregard the prolapsed extremities. In the case ofnuchal position of the arm,
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Keywords: ., bookcentury1800, bookdecade1890, bookidtex, booksubjectobstetrics
