. The science and art of midwifery . he left handshould encircle thechilds neck from be-hind, while the thumbis placed upon the an-terior surface. Theneck should then hefirmly grasped anddrawn down into thepelvis as far as pos-sihle. The decollator should he passed up Hat under the sym-physis pubis along thethumb of the opera-tor, until the button-end has advanced farenough to he turned to the rear over the ueck. Finally, the in-strument Bhould he seized hy the handle with the righl hand, and rotated to and fro, while tractions are simultaneously made in a down-ward direction. It is surprising
. The science and art of midwifery . he left handshould encircle thechilds neck from be-hind, while the thumbis placed upon the an-terior surface. Theneck should then hefirmly grasped anddrawn down into thepelvis as far as pos-sihle. The decollator should he passed up Hat under the sym-physis pubis along thethumb of the opera-tor, until the button-end has advanced farenough to he turned to the rear over the ueck. Finally, the in-strument Bhould he seized hy the handle with the righl hand, and rotated to and fro, while tractions are simultaneously made in a down-ward direction. It is surprising how quickly, as a rule, the spinalcolumn may he divided by this manoeuvre. After the separation ofthe vertebras, care must he taken no1 to draw down with too niutdiforce, Lesi the integuments and Bofi structures yield suddenly, andviolence he done by the rapid withdrawal of the instrument. Thisaccidenl may be avoided by using moderate tractions and dividing thelasl remnanl of the tissues with ;i pan- of Bcissors. The decapitating38. Fig. -Brauns method f decapitation. 4:34 OBSTETRIC SURGERY. hoot nt Ramsbotham, which is curved, and has a catting edge upon theconcave part, is more difficult to apply, and is a less safe instrument inunskillful hands. ;>. Pajol originated an ingenious method of decapitation, which, indefault of special instruments, is capable of rendering valuable consists in passing a strong cord around the childs neck, and, by asawing movement, cutting through the parts. The vagina should beprotected by a speculum from the friction produced by the to-and-fromovement of the string. The chief difficulty of the operation lies ingetting the string around the neck. Pajot caused a groove to he madeupon the concave surface of the blunt hook which forms a constantattachment to one of the handles of the ordinary French this groove he passes a string, to the end of which he fastensa round lead bullet; when the blunt hook is adjusted ab
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Keywords: ., bookcentury1800, bookdec, booksubjectobstetrics, booksubjectwomen
