Practical midwifery; handbook of treatment . he shoulderscan be brought readily into view. By this method the after-coming head and the extended armsare extracted together, by simple traction on the feet and shoul-ders. When the shoulders appear at the vulva the body of thechild is swung sharply backward, the feet are grasped by onehand and the shoulders by the other, and both hands make trac-tion simultaneously, and directly toward the floor (Fig. 67). By ABNORMAL LABOR. 235 tliis mancBUvre the arms, which lie by the side of the head, arepressed against the yielding and elastic sacro-sciatic
Practical midwifery; handbook of treatment . he shoulderscan be brought readily into view. By this method the after-coming head and the extended armsare extracted together, by simple traction on the feet and shoul-ders. When the shoulders appear at the vulva the body of thechild is swung sharply backward, the feet are grasped by onehand and the shoulders by the other, and both hands make trac-tion simultaneously, and directly toward the floor (Fig. 67). By ABNORMAL LABOR. 235 tliis mancBUvre the arms, which lie by the side of the head, arepressed against the yielding and elastic sacro-sciatic ligaments,the chin is arrested by the pelvic floor, extension occurs, the occi-put appears at the vulva, the head is born by extension, and thearms follow. The advocates of the method believe that it nevertears the perineum, and my own rather limited experience withit certainly supports this somewhat astonishing claim. The ease and rapidity with which delivery can sometimes beeffected by this manoeuvre is very surprising; but it is as yet a. Fig. 67.—Devknter3 Method of Extraction. comparatively untried measure, and further experience may de-velop contra-indications to it. It is certainly inapplicable whenthe head and arms are arrested at the superior strait. After the delivery of the child the uterus should be watchedby an assistant, and every precaution taken against post-partumhaemorrhage, which is peculiarly likely to follow a rapid empty-ing of the uterus under the profound surgical anaesthesia whichis proper and necessary in the performance of version. Unless the child has reached the stage of pale asphyxia andfeeble heart, it is well to hold it suspended by the feet for some 2o(J PRACTICAL MIDWIFERY. minutes after delivery before cutting the cord. This promotesthe return of blood to the brain, permits the normal influx ofljU)od from the placenta, tends to drain away inspired li(iuoramnii or mucus, and is in itself a valuable method of resuscita-tion. In case it is thou
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectmidwifery, bookyear18
