. A system of midwifery, including the diseases of pregnancy and the puerperal state. therefore, impendingsuffocation, and call for immediate action. It is assumed, of course,that before matters have gone so far as this, we have in readiness suchrestoratives as may be approved of, hot and cold water, and the forceps—everything in fact which may be requisite, whether for the deliveryof the child, or its restoration should it be born, as frequently occurs,in a state of suspended animation. When the signs just mentioned indicate that the moment for opera-tion has arrived, wTe must act without a m
. A system of midwifery, including the diseases of pregnancy and the puerperal state. therefore, impendingsuffocation, and call for immediate action. It is assumed, of course,that before matters have gone so far as this, we have in readiness suchrestoratives as may be approved of, hot and cold water, and the forceps—everything in fact which may be requisite, whether for the deliveryof the child, or its restoration should it be born, as frequently occurs,in a state of suspended animation. When the signs just mentioned indicate that the moment for opera-tion has arrived, wTe must act without a moments delay, a few secondsmaking all the difference between success and failure, life and death. 340 PELVIC PRESENTATIONS, [CHAP. The body and shoulders must not be grasped and pulled directly down-wards, as is sometimes done. To do so would probably defeat our ob-ject, by pulling down the occiput towards the pubic arch, instead offavoring the natural movement of flexion; and, besides, forcible trac-tion of the neck is by no means free from the risk of causing instant Fig. Artificial delivery of the head in breech cases. death by injury to the spinal marrow. The following simple manoeuvreanswers admirably in ordinary cases; and will rarely fail to release thehead. The body of the child rolled in a napkin is laid along the rightforearm, which is then carried upwards between the thighs, so as tobring the back of the child quite towards the abdomen of the gentle traction is all that is necessary to combine with this move-ment, in order to permit the extraction of the head, which is mainlyeffected, indeed, by the flexion of the neck which is thus this fail, the same movement may be combined with extractiveforce, applied directly to the head by one or two fingers in the childsmouth, or what is better and safer, two fingers applied to the superiormaxilla, one on either side of the nose. Some of the best authoritiesrecommend a simple method by wh
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Keywords: ., bookcentury1800, bookdecade1870, booksubjectobstetrics, bookyear1
