. The principles and practice of obstetricy, as at present taught, by James Blundell ... To which are added, notes and illustrations. By Thomas Castle ... ce. It iseasy to replace the instrument, and repeatedly, if necessary. Abstracting the Head. In abstracting the head with the forceps, youwill find it an advantage to swing the instrumenta little from side to side, giving it an oscillatorymovement; sway the instrument extensively, andyou will lacerate the perhueum ; it is only a con-fined motion that may be safely tried. Manyefforts are not usually required ; if when the headis detained at t
. The principles and practice of obstetricy, as at present taught, by James Blundell ... To which are added, notes and illustrations. By Thomas Castle ... ce. It iseasy to replace the instrument, and repeatedly, if necessary. Abstracting the Head. In abstracting the head with the forceps, youwill find it an advantage to swing the instrumenta little from side to side, giving it an oscillatorymovement; sway the instrument extensively, andyou will lacerate the perhueum ; it is only a con-fined motion that may be safely tried. Manyefforts are not usually required ; if when the headis detained at the brim, it cannot be broughtthrough the superior aperture by five or six pulls,it may be better to resign the attempt altogether,wholly or for a time An imaginary line, stretch-ing from the umbilicus to the coccyx, is the line inwhich the cranium passes the brim, and in thisdirection, on the whole, the forceps, however,bearing a little forward from the perinaeum, the Illustration ;—In the above wood-cut, the os externum is shown open, the occiput low downfrom below the pubes, and the forehead past the coccyx, by which both the anus and perinaeum. 316 THE ART OF DELIVERY. embryospastic force should be applied. At this time the perinseum must beguarded with solicitous care. On using the long forceps, according to the rules here prescribed, the cra-nium will frequently be found to descend with facility, more especially if theuterine efforts co-operate. When, however the coarctation is more consider-able, the abstraction of the head may not always be safely , in these cases, if immediate delivery be necessary, you must haverecourse to the perforator, but should this not be requisite, you may with-draw blood—watcli the patient, and wait a few hours, when the head,becoming moulded by the uterine efforts, and descending lower in the pelvis,under a second essay of the forceps, the fetus may be safely brought. Thus,in the evening of the day, I have seen a livi
Size: 1354px × 1844px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookidprinciplespracti00, booksubjectobstetrics
