. An American text-book of obstetrics. For practitioners and students. tion and Position. Location of the Dorsal Plane and Small Parts.—The situation of the dorsalplane and small parts of the fetus may, as a rule, easily be made out by palpat-ing the abdomen. The palmar surfaces of the finger-tips are applied with lightintermitting touches (Fig. 187). Beginning at the lower part of the abdomen, anarrow zone is palpated entirely across from one side of the tumor to the palpation is repeated over a similar area just above the first, and so on untilthe entire surface of the tumor has be
. An American text-book of obstetrics. For practitioners and students. tion and Position. Location of the Dorsal Plane and Small Parts.—The situation of the dorsalplane and small parts of the fetus may, as a rule, easily be made out by palpat-ing the abdomen. The palmar surfaces of the finger-tips are applied with lightintermitting touches (Fig. 187). Beginning at the lower part of the abdomen, anarrow zone is palpated entirely across from one side of the tumor to the palpation is repeated over a similar area just above the first, and so on untilthe entire surface of the tumor has been explored. The situation of the fetuswill usually be learned by the first touches. It presents to the examiningfingers the feel of a solid body, while elsewhere over the tumor only fluidis felt. The location of the child may more readily be made out by placing onehand flat upon the middle section of the abdomen and pressing firmly back-ward (Fig. 188). The liquor amnii is thus displaced to one side and the childto the other, where it can more easily be Fig. 187.—General palpation of abdomen for locating dorsal plane and small parts of fetus (from a photograph). The childs back is identified by the length and breadth of the resistingplane which is offered to the examining touch, and by the absence of a sulcusbetween it and the fetal head. The side of the child presents a narrower CONDUCT OF NORMAL LABOR. Plate 23.
Size: 1518px × 1647px
Photo credit: © Reading Room 2020 / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1890, booksubjectobstetrics, bookyear1
