A treatise on the science and practice of midwifery . oyed with the patient lying on her back, a posi-tion involving much needless exposure of the person, and requiringmore assistance from others. In certain cases of unusual difficultythe position on the back is of unquestionable utility, but we may, atleast, commence the operation in the usual way, and subsequentlyturn the patient on her back if desirable. Importance of a Suitable Position.—Much of the facility with whichthe blades are introduced depends on the patients being properlyplaced. Hence, although it gives rise to a little more trou
A treatise on the science and practice of midwifery . oyed with the patient lying on her back, a posi-tion involving much needless exposure of the person, and requiringmore assistance from others. In certain cases of unusual difficultythe position on the back is of unquestionable utility, but we may, atleast, commence the operation in the usual way, and subsequentlyturn the patient on her back if desirable. Importance of a Suitable Position.—Much of the facility with whichthe blades are introduced depends on the patients being properlyplaced. Hence, although it gives rise to a little more trouble at first,I believe that it is always best to pay particular attention to thispoint, whether the high or low forceps operation be about to be per- 466 OBSTETRIC OPERATIONS. formed. The patient should be brought quite to the side of the bed,with her nates parallel to, and projecting somewhat over its body should lie almost directly across the bed, and nearly atright angles to the hips, with the knees raised towards the abdomen Fig. Position of Patient for Forceps Delivery and Mode of Introducing Lower Blade. (Fig. 154). In this way there is no risk of the handle of the upperblade, when depressed in introduction, coming in contact with thebed. The blades should be warmed in tepid water, lubricated with coldcream or carbolic oil, and placed ready to hand. These preliminaries having been attended to, we proceed to the in-troduction of the blades, sitting by the side of the bed, opposite thenates of the patient. Direction in which the Blades are to be Introduced.—The importantquestion now arises, in what direction are the blades to be passed?The almost universal rule in our standard works is, that they mastbe passed as nearly as possible over the childs ears, without any re-ference to the pelvic diameters. Hence, if the head have not madeits turn, but is lying in one oblique diameter, the blades would re-quire to be passed in the opposite oblique diameter; in s
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Keywords: ., bookcentury1800, bookdecade1870, bookidtre, booksubjectobstetrics
