The practice of obstetrics, designed for the use of students and practitioners of medicine . ternal and Internal Method :If the above method fails, which is pretty sure to be the case, one of the followingcan be tried, (a) Digital pressure: In bregma and brow, and occasionally inface presentations, passing two or three fingers into the vagina and pressingup upon the bregma, brow, and at the same time using counter-pressure with CORRECTION OF FAULTY POSTURE. 913 the whole of the remaining hand upon the breech of the fetus, will often rotatethe fetal head upon its transverse axis (Fig. 1103). In
The practice of obstetrics, designed for the use of students and practitioners of medicine . ternal and Internal Method :If the above method fails, which is pretty sure to be the case, one of the followingcan be tried, (a) Digital pressure: In bregma and brow, and occasionally inface presentations, passing two or three fingers into the vagina and pressingup upon the bregma, brow, and at the same time using counter-pressure with CORRECTION OF FAULTY POSTURE. 913 the whole of the remaining hand upon the breech of the fetus, will often rotatethe fetal head upon its transverse axis (Fig. 1103). In this method the dorsalposture with flexed thighs is used for the patient, and the operator stands or,better, sits on the side of the patient toward which the occiput points. (6)lAjting of the brow and face: With the same positions of patient and operator,but under anesthesia, the hand, the palm of which corresponds with the fetalface, is passed into the vagina and grasps the forehead or face and carries itaway from the pelvic inlet in the direction of the fetal chest, while the external. Fig. 1103.—Combined Manual Method for the Correction of Face and Brow Pres ENTATIONS. ScHATZ-ThORN MeTHOD. hand presses the occiput down, through the abdominal walls, into the pelvicinlet (Fig. iioi). Before the internal hand is removed the operator must satisfyhimself that the large fontanelle is actually higher than the small one, and thatthe vertex is about to engage. In difficult cases the Trendelenburg posture willbe of great assistance. Humphrey used the knee-elbow posture for the patient,(c) Drawing down the occiput {Thorns method): The posture of the patient isthe same as above, but the operator sits or stands on the side toward whichthe fetal abdomen points. The hand, whose palm would naturally graspthe occiput, is passed into the vagina, and draws down the occiput with58 . 914 OBSTETRIC SURGERY. an even traction, while at the same time the external hand pushes the chestof the fetus
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectobstetrics, bookyear1
