. The science and art of midwifery . ing them, or bysinking the handle of the posterior blade and raising the handle of theanterior one. When the parietal bosses are in the act of passing through thevulva, tractions should no longer he made during the pains. The operator should stand to the righl of the patient, and >ei/e the handlesin the left hand. During the intervals of a pain, by alternately sink- 374 OBSTKTRIC srilGKUY. ing and raising the handles, the perinaeum and vulva can be gradually dilated. So soon as the convexity of the perinaeum is marked, andthe parietal bosses press upon t


. The science and art of midwifery . ing them, or bysinking the handle of the posterior blade and raising the handle of theanterior one. When the parietal bosses are in the act of passing through thevulva, tractions should no longer he made during the pains. The operator should stand to the righl of the patient, and >ei/e the handlesin the left hand. During the intervals of a pain, by alternately sink- 374 OBSTKTRIC srilGKUY. ing and raising the handles, the perinaeum and vulva can be gradually dilated. So soon as the convexity of the perinaeum is marked, andthe parietal bosses press upon the commissure, it is better to sink thehandles during a pain, so as to flex the head to its greatesi extent, andcause the vertex to present. When the vulva is sufficiently dilated, itis only necessary to raise the handles toward the abdomen to completethe extrusion of the head and finish the delivery. —Although not generally recommended, it is always mycustom to remove the forceps so soon as the chin can be reached by the.


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Keywords: ., bookcentury1800, bookdec, booksubjectobstetrics, booksubjectwomen