A text-book of practical obstetrics, comprising pregnancy, labor, and the puerpal state, and obstetric surgery . o o CL LLI VERSION. 109 be in good condition and the outlook for saving the child nottoo poor, resort to symphysiotomy. The indications for version almost always presupposeimmediate delivery. Much has been written on the subject, Which foot shouldbe drawn down V9 If there is no immediate reason for hasteand the operator has time to make his selection, it would seemthat it is best to draw down that foot which is nearest theanterior surface of uterus. In actual work, however, it doesn
A text-book of practical obstetrics, comprising pregnancy, labor, and the puerpal state, and obstetric surgery . o o CL LLI VERSION. 109 be in good condition and the outlook for saving the child nottoo poor, resort to symphysiotomy. The indications for version almost always presupposeimmediate delivery. Much has been written on the subject, Which foot shouldbe drawn down V9 If there is no immediate reason for hasteand the operator has time to make his selection, it would seemthat it is best to draw down that foot which is nearest theanterior surface of uterus. In actual work, however, it doesnot make much difference which foot is brought down. That. Fig. 51.—Introduction of the Left Hand to Bring down the Posterior (Left) Leg. i jone is usually best which can be soonest recognized and mostifirmly grasped (Plate VI). It is better, in primiparae certainly, and often in multipara,that one foot only be brought down, for the cervix which haspermitted a half-breech to escape will be less likely to graspIthe after-coming head than if it has been dilated by the pelvisialone. If, however, traction on one leg does not prove success-ion, it will be necessary to draw down the other (Fig. 51 andjPlate VII). As the foot emerges from the vulva it is to be(wrapped in a warm towel, which not only offers a better grasp 110 OBSTETRIC SURGERY. on the part, but also tends to prevent the cool air of the roonfrom causing enough reflex irritation to establish respiratorefforts on the part of the child. Soon the leg can be grasped iithe same way, and at this time traction is to be made in th<axis of the brim downward (Fig. 52). It is very necessary
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Keywords: ., bookcentury1800, bookdecade1890, bookpubli, booksubjectobstetrics
