The practice of obstetrics, designed for the use of students and practitioners of medicine . Fig. 12 r6.—Method of .Making Trac-tion IN Anterior of theVertex. sagittal suture lying in an oblique pelvic diameter, there are two methods ofoperating. First, the forceps blades may be applied with relation to the sides oftlie pelvis only,—this is the pelvic application (Figs. 1206, 1208); second, theymay be made to correspond or adapt themselves to the sides of the fetal head,—this is the cephalic application (Figs. 1207, 1209). The latter procedureor adaptation of the forceps should alwa
The practice of obstetrics, designed for the use of students and practitioners of medicine . Fig. 12 r6.—Method of .Making Trac-tion IN Anterior of theVertex. sagittal suture lying in an oblique pelvic diameter, there are two methods ofoperating. First, the forceps blades may be applied with relation to the sides oftlie pelvis only,—this is the pelvic application (Figs. 1206, 1208); second, theymay be made to correspond or adapt themselves to the sides of the fetal head,—this is the cephalic application (Figs. 1207, 1209). The latter procedureor adaptation of the forceps should always be aimed at, and, after practice andattention to the mechanism of labor, can always be accomplished. Cephalicapplication secures a better prognosis for both mother and fetus by lesseningthe amount of traction necessary for extraction, the amount of pressure tosecure a firm hold on the presenting part, and the danger of ruptures in thegenital tract. (Compare Rotation, page 1002.) THE FORCEPS. 997. Fig. 1217. -Direction of the Traction in AnteriorPositions of the Vertex. High Operation.—This operation should invariably be done under patient is put in the ex-aggerated lithotomy posi-tion on a table of sufficientheight. The operator is ata great disadvantage if thelevel is low, because inmaking the necessarydownward traction hewould be compelled tokneel. The buttocksshould be at the edge ofthe table. Ordinary Forceps.—Theoperation is performed withthe ordinary forceps as fol-lows: The blades should beapplied in the transverse diameter of the inlet, therefore at the occiput and sinciput respectively, for the head at the brim should usually not beseized otherwise. The left blade is in-troduced in the hollow of the righthand into the left side of the pelvis,and adapted by the aid of the fingersto the fetal head, great pains beingtaken to prevent the inclusion of thethin margin of the dilated right blade is then introduced insimilar fashion and th
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectobstetrics, bookyear1
