The practice of obstetrics, designed for the use of students and practitioners of medicine . all backward unrestrained. The palm supports the shoulders whilethe three last fingers in the axilla lift the arm upward and outward. The leftpalm is placed beneath the thighs with the fingers grasping the knees (Fig. 1014).Inspiration is induced by arching the body of the child. The depression of thepelvis and lower limbs causes descent of the diaphragm through the traction uponthe abdominal viscera, while flexion at the upper portion of the vertebral columnelevates the ribs and separates them. Expira
The practice of obstetrics, designed for the use of students and practitioners of medicine . all backward unrestrained. The palm supports the shoulders whilethe three last fingers in the axilla lift the arm upward and outward. The leftpalm is placed beneath the thighs with the fingers grasping the knees (Fig. 1014).Inspiration is induced by arching the body of the child. The depression of thepelvis and lower limbs causes descent of the diaphragm through the traction uponthe abdominal viscera, while flexion at the upper portion of the vertebral columnelevates the ribs and separates them. Expiration is induced by reversing themovements. The hyperextension of the spine is changed to extreme flexion (). The elevation of the head and shoulders tends to approximate the ribs,while extreme flexion of the thighs crowds the diaphragm upward through thepressure of the abdominal viscera. At the completion of expiration the childshould be inverted, head downward, while an assistant clears the mouth and nose * Baltimore Med. Jour., 1S70, i, 646. 820 THE PATHOLOGY OF THE NEWLY Fig. 1013.—Byrds Method of Artificial Respira-tion. Position for Inspiration. rr^- ^^^ of any accumulated mucus with a gauze-wrap^jed finger (Fig. 1015). Byrdsmovements should be repeated six or eight times a minute. If properly per-formed, the air can be heardentering the glottis duringartificial inspiration, whileexpiration often results in theexpulsion of aspirated amni-otic fluid and mucus. (b) Schultzes Method.—This has been recently (1901)described by Schultze himselfas follows: The child lyingupon its back is grasped bythe shoulders, the open handshaving been slipped beneaththe head. The last three fin-gers remain extended in con-tact with the back while eachindex is inserted into an ax-illa, the thumbs lying uponand in front of the shoulders(Fig. 1016). When the childthus held is allowed to hangsuspended, its entire weightrests upon the two fingers inthe arm-pits. It is now swungfo
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectobstetrics, bookyear1
