Practical midwifery; handbook of treatment . sition of the hand should bealtered by rotation of the fore-arm, into that represented by , h. The space between the second and third fingers is now 1 The author strongly recommends the practice of roughly measuring the conjugatediameter, by reaching upward for the promontory of the sacrum, as a routine mea-sure, at the conclusion of the first examination in each case, and believes tliat manyoperative difficulties may be avoided bj- this simple procedure. 2 Unless this precaution of hooking the finger about the edge of the os be observed,the be
Practical midwifery; handbook of treatment . sition of the hand should bealtered by rotation of the fore-arm, into that represented by , h. The space between the second and third fingers is now 1 The author strongly recommends the practice of roughly measuring the conjugatediameter, by reaching upward for the promontory of the sacrum, as a routine mea-sure, at the conclusion of the first examination in each case, and believes tliat manyoperative difficulties may be avoided bj- this simple procedure. 2 Unless this precaution of hooking the finger about the edge of the os be observed,the beginner is Uable to mistake a fold of the vaginal wall, or in breech presentationsthe anus, for the os uteii, both of which mistakes have been made many times bymedical students in the presence of the author. LABOR. 77 pressed firmly against the edge of tlie pubic arch, and tlie pulpof the finger is directed anteriorly. The OS having been reached, the finger should note its size,the thickness of its edge, and its consistency, whether hard or. Fig. 5 a.—First Position op the Examining Hand. soft; and by very gentle stretching should endeavor to ascertain:its degree of dilatability; but in this last manoeuvre it is neces-sary to employ the greatest gentleness in order to avoid the in-
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectmidwifery, bookyear18
