. A treatise on obstetrics for students and practitioners . wassought to accomplish the same object by traction from side to side uponthe forceps after the manner of a pendulum. It was also advised insome cases to rotate the head forcibly by turning it in the grasp of theforceps. These procedures, however, have been entirely abandoned bygood operators since the use of axis-traction forceps has become thor-oughly understood and widely practised. The operator should remem-ber that he must not expect delivery to take place so readily as whenthe head was upon the pelvic floor. If flexion is not co
. A treatise on obstetrics for students and practitioners . wassought to accomplish the same object by traction from side to side uponthe forceps after the manner of a pendulum. It was also advised insome cases to rotate the head forcibly by turning it in the grasp of theforceps. These procedures, however, have been entirely abandoned bygood operators since the use of axis-traction forceps has become thor-oughly understood and widely practised. The operator should remem-ber that he must not expect delivery to take place so readily as whenthe head was upon the pelvic floor. If flexion is not complete, it willrequire several tractions to establish this condition, so necessary for THE FORCEPS. 327 delivery. It is much better to practise gentle traction for some time,allowing the head to mould and the birth-canal to dilate, than toextract the head by sudden and forcible delivery. If the patient beunder ether and in good hands, there will be less danger of postpartumbleeding and relaxation of the uterus if she be delivered without haste. Fig. Axis-traction, forceps to sides of head. (Faraboeuf and Vakniek.) In prolonged deliveries with forceps it is very important that theuterus, as it grows smaller by the gradual expulsion of the child, shouldbe followed down in the abdomen by the hand of the operator or anassistant. Before traction is made with the forceps the uterus shouldbe gently rubbed to bring about at least a tonic condition of the uterinemuscle. Pressure should be made upon the fundus during traction ofthe forceps, and absolute relaxation of the uterus should be, if possible,prevented. The passage of the head through the pelvis will be consid-erably aided by this procedure, and especially the engagement anddescent of the shoulders, which are considerably under the control ofthe operator by external manipulation. 328 OBSTETRICAL OPERATIONS. In cases where the womb is kept suitably contracted during forcepsdelivery the placenta is often expelled at the momen
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