Cyclopædia of obstetrics and gynecology . )ull downthe tliigli, and then must seek the second foot and endeavor to extract it,but direct traction must never be made, else fracture will result. Thebest practice, in such cases, is to continue extraction irrespective of thesecond foot, when, sooner or later, this will spontaneously appear. If,. Fig. 12.—Position of Hands in Kxtraction. Delivery of the Inferior Extremities. when the nates appear, the foetus is found astriJe of the cord, we musttry to loosen this by passing it over the natis belonging to the undeliveredfoot. If the cord cannot be l
Cyclopædia of obstetrics and gynecology . )ull downthe tliigli, and then must seek the second foot and endeavor to extract it,but direct traction must never be made, else fracture will result. Thebest practice, in such cases, is to continue extraction irrespective of thesecond foot, when, sooner or later, this will spontaneously appear. If,. Fig. 12.—Position of Hands in Kxtraction. Delivery of the Inferior Extremities. when the nates appear, the foetus is found astriJe of the cord, we musttry to loosen this by passing it over the natis belonging to the undeliveredfoot. If the cord cannot be loosened, then it may be ligated in twoplaces and cut between. Of course, in such event, very rapid extractionis indicated. The breech delivered, ths thumbs are applied over the sacrum, the VERSION. 29 other fingers over the anterior of the pelvis, (Fig. 13,) and traction ismade downwards and slightly backwards, until the thorax appears^ Ifthe cord is tense at the navel, it is pulled gently downward, in order toavoid traction on it. If it cannot be disengaged, it must be cut and thefoetal end compressed by an assistant till extraction is completed. Usu-ally, as the body descends the foetus rotates, so that the dorsum looks for-
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Keywords: ., bo, bookcentury1800, booksubjectgynecology, booksubjectobstetrics
