The practice of obstetrics, designed for the use of students and practitioners of medicine . ency Hospital.) 488 PHYSIOLOGICAL LABOR. with the hands placed on the sides of the head, taking care not to injure the peri-neum. If this does not succeed, traction may be made by a finger in the axilla.(See Part X.) Delivery of Body, Pressure on Fundus.—After delivery of the shoulders thebody is, as a rule, rapidly expelled. Should there be delay, however, the thoraxmay be grasped with the hands and gentle traction made, or, better, the fetusexpelled by pressure upon the fundus. In the delivery of the
The practice of obstetrics, designed for the use of students and practitioners of medicine . ency Hospital.) 488 PHYSIOLOGICAL LABOR. with the hands placed on the sides of the head, taking care not to injure the peri-neum. If this does not succeed, traction may be made by a finger in the axilla.(See Part X.) Delivery of Body, Pressure on Fundus.—After delivery of the shoulders thebody is, as a rule, rapidly expelled. Should there be delay, however, the thoraxmay be grasped with the hands and gentle traction made, or, better, the fetusexpelled by pressure upon the fundus. In the delivery of the shoulders andbody of the fetus the general principle—namely, to make use of all the availablespace of the pubic arch—is followed. To accomplish this, the shoulders and bodyare not permitted to press too closely against the perineum, but are rather pushedcarefully into the pubic arch. During the expulsion of the fetus the fundus isfollowed down by the hand of the physician or assistant, and must be watchedfor at least an hour. This dutv mav be releg^ated to an assistant or a \ Fig. 630.—Method of Lifting the Newly Born Child with Two Hands.—{From aphotograph taken at the Emergency Hospital.) Care and Posture of the Child in Bed.—If the child cries vigorously, measuresfor establishing respiration are unnecessary, and all rough handling should beavoided. It should be wrapped in a warm blanket previously prepared andallowed to rest between the mothers thighs until after ligation of the cord (). It should be placed upon the right side, since this posture tends to aid thephysiological changes in the fetal circulation, and with head low to prevent cere-bral anemia. Establishment of Respiration.—Should the child cry out feebly, or should therebe any delay in the establishment of respiration, it should be smartly slapped uponthe buttocks or a few drops of cold water should be dashed upon the face andchest. In feeble or premature children, however, all rough
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectobstetrics, bookyear1
