. Obstetrics: the science and the art. breechlabor. 736. The Turning.—The Student has learned that the most natu-ral labor, one in which the vertex presents in the first position, maysuddenly become a preternatural one in consequence of the comingon of hemorrhage, a series of bad fainting fits, convulsions, &, any of which might establish theindication to proceed at once to thedelivery. Fig. 99 serves to show thesituation of the child presenting inthe first position of the vertex. Itmay be that this childs head had, ina good measure, occupied the circle ofthe OS uteri before the accident
. Obstetrics: the science and the art. breechlabor. 736. The Turning.—The Student has learned that the most natu-ral labor, one in which the vertex presents in the first position, maysuddenly become a preternatural one in consequence of the comingon of hemorrhage, a series of bad fainting fits, convulsions, &, any of which might establish theindication to proceed at once to thedelivery. Fig. 99 serves to show thesituation of the child presenting inthe first position of the vertex. Itmay be that this childs head had, ina good measure, occupied the circle ofthe OS uteri before the accident occur-red which established the indication todeliver by turning. If the head hadwholly escaped from the circle, theindication to deliver by turning musthave been considered wholly set asidein favor of a forceps operation; forwhen the head has once escaped fromthe OS into the vagina, it cannot be thrust into the womb again, because the cervix uteri will by thattime have contracted around the neck of the infant. Hence the rule. 510 PEETEKNATURAL LABOR. Fig. 100. of practice is to turn and deliver if the head be still in the womb;but if it be in the vagina, we are to extract it by the forceps. Infact, if it be wholly in the vagina, it is below the superior strait; butto attempt to return the head through the superior strait and througha contracted os uteri also, is a thing too preposterous to be thoughtof. The drawing above mentioned. Fig. 99, will show the Studentwhat he will have to do if he makes up his rnind to turn. It willshow him, namely, that he will be obliged to thrust the head out ofthe plane of the superior strait, which it now occupies, to let hishand pass upwards in exploration: he will see, by inspecting the figure, that he must seek for thefeet in the right posterior upperpart of the womb, and as he mustpush the head, therefore, upwardsand to the left, and not upwardsand to the right, and must grasp thefeet with the palmar, and not withthe dorsal surface of the h
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Keywords: ., bookcentury1800, bookdecade1860, booksubjectobstetrics, bookyear1
