The practice of obstetrics, designed for the use of students and practitioners of medicine . hatz-Thoms methods, fol-lowed by high forceps or spontaneous labor in posterior chin positions, andpodalic version and extraction in anterior chin positions, or conversion and highforceps in both. In multiparae I prefer podalic version and extraction to theexclusion of other com-bined methods. 2. In the Pelvic Cav- ~ ity.—Application of thehand or forceps bladebeneath the chin willgive the latter a point ofsupport which will favoranterior rotation. Trac-tion with forceps willbring the chin upon thepelv
The practice of obstetrics, designed for the use of students and practitioners of medicine . hatz-Thoms methods, fol-lowed by high forceps or spontaneous labor in posterior chin positions, andpodalic version and extraction in anterior chin positions, or conversion and highforceps in both. In multiparae I prefer podalic version and extraction to theexclusion of other com-bined methods. 2. In the Pelvic Cav- ~ ity.—Application of thehand or forceps bladebeneath the chin willgive the latter a point ofsupport which will favoranterior rotation. Trac-tion with forceps willbring the chin upon thepelvic floor and slightrotation will enable it torotate forward. No at-tempt should ever bemade to deliver thechin over the the face is im-pacted, the indication must lie between forceps for rotation, symphyseotomy, Cassarean section, and em-bryotomy. The original teaching of Scanzoni and others that forceps might beused to turn the chin forward is now almost universally condemned. Popescule f * Amer. Jour. Obstet., vol. li. No. 5, Centralbl. f. Gynakol., Aug. 4, Fig. 756.—-Persistent Mento-Posterior Position. FETAL DYSTOCIA FROM FAULTY POSITION. 553 followed this advice and lost the mother. He states that he would never use theforceps in another case. Von Braun states that the use of the forceps for thiscomplication means death for mother and child. Doderlein appears to think thatgreat technical skill might accomplish something with the forceps. I have re-peatedly used the forceps successfully as rotators of the chin anteriorly when thechin had not become embedded in the pelvic fioor, and when it did not pointdirectly posteriorly. Popescule first brought the face into the transverse posi-tion. He then detached the blades, reapplied them, turned the chin under thesymphysis, and extracted the child. In the past most authorities agreed thatperforation is the indication of necessity, even in the living child. Symphyseo-tomy has been suggested as applica
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectobstetrics, bookyear1
