ObstetricsA manual for students and practitioners . head, and. as the child is likely to be born asph3xiated,hot and cold water, ice, warm blankets, alcohol, etc. must be in readi-ness, that no delay in its resuscitation may occur. An anaesthetic—preferably ether—should be administered. The choiceof the hand to be introduced into the vagina is generally considered oihttle importance: however, as it may become necessary to introduce itentirely into the uterine cavity, it is advisable to follow this plan : If theabdomen ol the foetus points to the left side of the mother, the righthand of the op
ObstetricsA manual for students and practitioners . head, and. as the child is likely to be born asph3xiated,hot and cold water, ice, warm blankets, alcohol, etc. must be in readi-ness, that no delay in its resuscitation may occur. An anaesthetic—preferably ether—should be administered. The choiceof the hand to be introduced into the vagina is generally considered oihttle importance: however, as it may become necessary to introduce itentirely into the uterine cavity, it is advisable to follow this plan : If theabdomen ol the foetus points to the left side of the mother, the righthand of the operator is used, and vice versa. VERSION. 151 Describe the combined or Braxton-Hicks method. It resolves itself into three stages: (1) The introduction of the hand;(2) the removal of the presenting part and substitution of the leg; (3)extraction. The hand is gently and carefullj^ introduced into the vagina, pressingcontinually upon the perineum, and not the soft parts under the sym-physis, and the two fingers passed through the cervix. Fig. Braxton-Hicks Method of Version : first step. If the case be a vertex, the fingers are in contact with the crown ofthe head, and an attempt must be made to push it in the directiontoward which the occiput points (Fig. 38). Thus in the first and fourth 152 OBSTETRIC OPERATIONS. positions it is pushed toward the left, and in the second and third towardthe right. With the other hand over the abdomen the breech is pusheddownward on tlie opposite side. The shoulder will now come withinreach, and it is pushed along in a similar manner (Fig. 39); at the sametime the breech is still further depressed. The membranes, if not al-read}^ so, must now be ruptured, that a knee or foot ma} be seized and Fig. 39.
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectobstetrics, bookyear1
