The practice of obstetrics, designed for the use of students and practitioners of medicine . er and stylet arewithdrawn the fillet passes intoposition. In exerting tractionby means of the fillet, care mustbe taken to pull during the painsin such a direction as to corre-spond with the mechanism oflabor and so to diminish theliability to fracture the femur. 4. The Blunt Hook ( 7).—A blunt hook, consistingof a straight shank with an ex-tremity whose curve should besuch as to fit the inguinal regionof the fetus, is advised by someas affording means for strongertraction. It is passed up, as
The practice of obstetrics, designed for the use of students and practitioners of medicine . er and stylet arewithdrawn the fillet passes intoposition. In exerting tractionby means of the fillet, care mustbe taken to pull during the painsin such a direction as to corre-spond with the mechanism oflabor and so to diminish theliability to fracture the femur. 4. The Blunt Hook ( 7).—A blunt hook, consistingof a straight shank with an ex-tremity whose curve should besuch as to fit the inguinal regionof the fetus, is advised by someas affording means for strongertraction. It is passed up, as isthe catheter for placing the fillet,between two fingers of the lefthand and the childs body. Itspoint is rotated so that whendrawn down its curve lies in thegroin and its point is felt be-tween the thighs. The sameprecautions must be taken inregard to the line of traction as with the fillet. With this, as with the fillet, a finger in the groin may assistwhen the breech has been brought sufficiently low. 5. Forceps.—This may be applied to the breech as a last resortceps, page 1003.). Fig. 117S.;—Breech Presentation with the LeftOR Anterior Buttock Caught at the PelvicInlet behind the Symphysis, as the ResultOF Faulty Traction on the Prolapsed Leg inA Horizontal Plane. (See For- ce) ARREST OF THE BREECH IN THE PELVIC CAVITY. When impaction of the breech occurs in the pelvic cavit}^ it is usually impos-sible to bring down a foot. The obstetrician must rely upon external abdominalpressure alone, or combined with digital traction in the groin, or the use of the 972 OBSTETRIC SURGERY.
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectobstetrics, bookyear1
