The practice of obstetrics, designed for the use of students and practitioners of medicine . he back of the fetal ellipse to thefront by external manipulation, fol-lowed by the application of the forceps; (2) rotation of the vertex from the pos-terior to the anterior position by internal manual means, followed by the use ofthe forceps; (3) the application of the forceps without previous attempts atanterior rotation of the occiput; (4) internal podalic version followed by breechextraction, (i) External manual rotation: The possibility under favorable con-ditions—namely, intact membranes and thi
The practice of obstetrics, designed for the use of students and practitioners of medicine . he back of the fetal ellipse to thefront by external manipulation, fol-lowed by the application of the forceps; (2) rotation of the vertex from the pos-terior to the anterior position by internal manual means, followed by the use ofthe forceps; (3) the application of the forceps without previous attempts atanterior rotation of the occiput; (4) internal podalic version followed by breechextraction, (i) External manual rotation: The possibility under favorable con-ditions—namely, intact membranes and thin abdominal walls—of rotation ofthe occiput forward by external manipulation must be granted, but such atheoretical refinement of obstetrical palpation can scarcely be of much practicalvalue. (2) Internal manual rotation: Anterior rotation of the occiput by meansof the hand passed into the uterus and grasping the head or shoulders andallowing the anterior position to terminate spontaneously, or delivering imme-diately with the forceps, is the favorite treatment with many operators in. Fig. 753.—Persistent Occipito-posteriorPosition of the Head. R. O. P. Pro-longed labor; secondary inertia; rest; strych-nia; spontaneous delivery with anterior ro-tation of the occiput.— {From a Hospital, October 7, 1892.) FETAL DYSTOCIA FROM FAULTY POSITION. 549 America, and by some used to the exclusion of other methods of have been more successful with other methods, and I am convinced afterrepeated trials that the mortality with this method equals that of internalpodalic version, for the reason that successfully to carry out the anterior rotationthe hand must be used not only to rotate the head, else it will immediatelyreturn to its malposition, but it must be passed up to rotate the shouldersas well. This grasping of the fetal body I have foxmd disturbs the circulatoryequilibrium of the fetus, favors intrauterine asphyxia, and, unless the fetusis immediat
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectobstetrics, bookyear1
