A treatise on the science and practice of midwifery . icians preferthe less curved and broader-bladed instrumentof Great Britain as a tractor; but for the generalpurposes of picking away the cranial bones anddrawing down the base of the skull in cases ofextreme pelvic deformity there is no more simpleappliance than that of Dr. Meigs. To act upon an oval body like the foetal headDr. M. was obliged to prepare two forms of for-ceps—straight and curved—to be used as mightbe required according to the part of the skull tobe broken down or drawn upon. These arelightly made, serrated, and 12^- inches
A treatise on the science and practice of midwifery . icians preferthe less curved and broader-bladed instrumentof Great Britain as a tractor; but for the generalpurposes of picking away the cranial bones anddrawing down the base of the skull in cases ofextreme pelvic deformity there is no more simpleappliance than that of Dr. Meigs. To act upon an oval body like the foetal headDr. M. was obliged to prepare two forms of for-ceps—straight and curved—to be used as mightbe required according to the part of the skull tobe broken down or drawn upon. These arelightly made, serrated, and 12^- inches in —Ed.] Embryotomy in Transverse Presentations inwhich Turning is Impossible.—There only re-mains for US to Consider the second class of destructive operations. These may be necessary in long-neglected cases of arm presentation in which turning is found to be impracticable. Here, fortunately, the question of killing the foetus does nol aria it will, almost necessarily, have already j pressure. We have two operation- in Curvi CraniotomyForceps. moe?erished from the continuous-elect Prom—decapitation and [l The illustrations i?ivon are taken from the instruments devised by Dr. Meigs as animprovement upon his original pattern, and will he Been to differ from those usually presented in American obstetrical publications.— Ed.] 510 OBSTETRIC OPERATIONS. Decapitation.—The former of these is an operation of great antiquity,having been fully described by Celsus. It consists in severing the neck,so as to separate the head from the body; the body is then withdrawnby means of the protruded arm, leaving the head in utero to be subse-quently dealt with. If the neck can be reached without great difficulty—and in the majority of cases the shoulder is sufficiently pressed downinto the pelvis to render this quite possible-—there can be no doubt thatit is much the simpler and safer operation. Methods of Dividing the Neck.—The whole question rests on the
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectobstetrics, bookyear1
