A textbook of obstetrics . orceps If the os is already about the size of a dollar, and it becomes necessary to deliver the child rapidly, forcepsmay be applied to the head and strong traction made. Thecervix will either stretch or tear, and it is thus possible to extracta child in a very few minutes when there is urgent need for rapiddelivery. Multiple Incisions—This plan is an old one, but in its mod-ern most effective form, of incisions through the cervix to thevaginal vault, it was first proposed by It is to berecommended in cases in which there is need for the utmostrapidity in
A textbook of obstetrics . orceps If the os is already about the size of a dollar, and it becomes necessary to deliver the child rapidly, forcepsmay be applied to the head and strong traction made. Thecervix will either stretch or tear, and it is thus possible to extracta child in a very few minutes when there is urgent need for rapiddelivery. Multiple Incisions—This plan is an old one, but in its mod-ern most effective form, of incisions through the cervix to thevaginal vault, it was first proposed by It is to berecommended in cases in which there is need for the utmostrapidity in the extraction of the child. If the head presents, itis best to apply forceps to pull the head firmly down against 1 Wiener med. Presse, xxxi. ;;. / 5 0 OBSTE TRIL OPERA T/OXS. the cervix, and then with scissors, or a blunt-pointed bistoury,to cut the cervix in one, two, or as main- as four places, untilthe child can be dragged through the cervical canal. It isnecessary afterward to suture the incisions, which bleed pro-. log- 548—Method of performing rapid manual dilatation of the os uteri : I,Position of fingers in the beginning of manual or digital dilatation of the cervix uteri,Inst position; 2, showing limit of dilatation in the first position; 3, second position;4. showing limit o! dilatation in the second position; 5, third position; 6, limit ofdilatation m the third position; 7, fourth position ; S, limit of dilatation in the fourthposition; 9, fifth position; 10, sixth position (Harris). fusely for a time, at least. If the patient should be in a seriouscondition, it may be sufficient to place one suture in the upperangle of each incision. This checks the hemorrhage sufficiently,and promotes, occasionally, the entire repair of the injury. ARTIFICIAL DILATATION OF THE CERVICAL CANAL. J$
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Keywords: ., bookcentury1800, bookdecade1890, bookidtex, booksubjectobstetrics
