A treatise on the science and practice of midwifery . ver the abdominal wall. The head willnow pass oat of reach, and the shoulder will arrive at the os, andwill lie on the tips of the fingers. This is similarly pushed upwardsin the same direction as the head (Fig. 143), the breech at the sametime being still further depressed, until the knee comes within reachof the fingers, when (the membranes being now ruptured, if stillunbroken) it is seized and pulled down through the os (Fig. 144).Occasionally the foot comes immediately over the os, when it can beseized instead of the knee. Version may b
A treatise on the science and practice of midwifery . ver the abdominal wall. The head willnow pass oat of reach, and the shoulder will arrive at the os, andwill lie on the tips of the fingers. This is similarly pushed upwardsin the same direction as the head (Fig. 143), the breech at the sametime being still further depressed, until the knee comes within reachof the fingers, when (the membranes being now ruptured, if stillunbroken) it is seized and pulled down through the os (Fig. 144).Occasionally the foot comes immediately over the os, when it can beseized instead of the knee. Version may be facilitated by changingthe position of the external hand, and pushing the head upwardsfrom the iliac fossa, instead of continuing the attempt to depress thebreech (Figs. 144 and 145). These manipulations should always becarried on in the intervals, and desisted from when the pains come 450 OBSTETRIC OPERATIONS. on ; and when the pains recur with great force and frequency, theadvantage of chloroform will be particularly apparent. In the | Fig. Second Stage of Bi-polar Version.—Elevation of the shoulders and depression of the breech. (After Barnes.) second and third positions, the steps of the operation should be re-versed; the head is pushed upwards and to the right, the breech Fig. 144.
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Keywords: ., bookcentury1800, bookdecade1870, bookidtre, booksubjectobstetrics
