A treatise on the science and practice of midwifery . ngitudinal axis, and the presentingarm and shoulder more easily withdrawn from the os. Dr. Galabinhas carefully investigated this point in a recent paper,1 and contendsthat there is a greater mechanical advantage in seizing the leg whichis nearest to, and on the same side as, the presenting arm, and this,moreover, is generally more readily done. Management of the Case after Version.—As soon as the head hasreached the fundus, and the lower extremity is brought through theos, the case is converted into a foot or knee presentation, and it come
A treatise on the science and practice of midwifery . ngitudinal axis, and the presentingarm and shoulder more easily withdrawn from the os. Dr. Galabinhas carefully investigated this point in a recent paper,1 and contendsthat there is a greater mechanical advantage in seizing the leg whichis nearest to, and on the same side as, the presenting arm, and this,moreover, is generally more readily done. Management of the Case after Version.—As soon as the head hasreached the fundus, and the lower extremity is brought through theos, the case is converted into a foot or knee presentation, and it comesto be a question whether delivery should now be left to nature orterminated by art. This must depend to a certain extent on the caseitself, and on the cause which necessitated version, but generally, it Obst. Trans., vol. xix. 187 7. TURNING 455 will be advisable to finish delivery without unnecessary delay. Toaccomplish this, downward traction is made during the pains, anddesisted from in the intervals (Fig. 148). As the umbilical cord Fig. Showing the Completion of Version. (After Bcarnes.) appears, a loop should be drawn down ; and if the hands be abovethe head, they must be disengaged and brought over the face, in thesame manner as in an ordinary footling presentation. The manage-ment of the head, after it descends into the cavity of the pelvis, mustalso be conducted as in labors of that description. Turning in Placenta Prsevia.—In cases of placenta prsevia the oswill, as a rule, be more easily dilatable than in transverse presenta-tions. Hickss method offers the great advantage of enabling us toperform version much sooner than was formerly possible, since itonly requires the introduction of one or two fingers into the os we not succeed by it, and the state of the patient indicatesthat delivery is necessary, we have at our command, in the fluiddilators, a means of artificially dilating the os uteri which can beemployed with ease and safety. If we hav
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Keywords: ., bookcentury1800, bookdecade1870, bookidtre, booksubjectobstetrics
