. The principles and practice of obstetricy, as at present taught, by James Blundell ... To which are added, notes and illustrations. By Thomas Castle ... k me, perhaps, how are we to know thegreater and the lesser fontanel ? Easily ; for wherethe large fontanel is, there you will find four sutures;it is the only part of the head at which four suturesmay be found ; besides, it is of rhomboidal (diamond)shape, it is of considerable extent, and when tan-gible, therefore, easily recognized. But how are youto know the little fontanel ? In general with facility,because it is of a triangular form of
. The principles and practice of obstetricy, as at present taught, by James Blundell ... To which are added, notes and illustrations. By Thomas Castle ... k me, perhaps, how are we to know thegreater and the lesser fontanel ? Easily ; for wherethe large fontanel is, there you will find four sutures;it is the only part of the head at which four suturesmay be found ; besides, it is of rhomboidal (diamond)shape, it is of considerable extent, and when tan-gible, therefore, easily recognized. But how are youto know the little fontanel ? In general with facility,because it is of a triangular form of small extent, andhas three sutures concurrent. Feeling the little fon-tanel, therefore, of triangular shape of small extent,with a coalition of three sutures, you know the situation of the occiput; and feel-ing the greater fontanel of diamond shape of great extent, and of four concur-rent sutures, you know the situation of the face. In ordinary deliveries, thesenice examinations are not required, but in cases of difficulty, where help isrequired, these points should be ascertained if practicable, as without this h Large Fontanel. i Small THE ART OF DELIVERY. 195 knowledge a dexterous and scientific assistance cannot be the face of the child presents, you will not, I trust, confound this pre-sentation with the breech, though the error has been committed. It is roundand soft, and so far it resembles the nates ; but then the nose, the protuberanteyes, and above all, the toothless mouth, readily known, if you have been in thehabit of feeling this cavity, will enable you to distinguish the face. Feeling theeyes, nose, mouth, and forehead, you will not only be able to make out thepresentation but the situation, likewise; the ears, when felt, further assistingyour diagnosis of the position of the head. A forehead presentation is probablymore easily than any other, confounded with a vertex presentation, when youfirst feel it. On examining the forehead, you
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Keywords: ., bookcentury1800, bookidprinciplespracti00, booksubjectobstetrics
