. An American text-book of obstetrics. For practitioners and students. s line. in dorso-posterior positions, it should be on the side on which lies that end ofthe fetus which it is desired to bring down ; that is, when the breech is to theright the mother should be placed on the right side. By this method theoperator stands behind or infront of the patient in such away that he faces in the samedirection as the child. The ne-cessity for the operator to assumethese positions is somewhat lessimperative if he proceeds byslipping his hand beneath thechild along the lateral aspect ofthe uterus, sinc
. An American text-book of obstetrics. For practitioners and students. s line. in dorso-posterior positions, it should be on the side on which lies that end ofthe fetus which it is desired to bring down ; that is, when the breech is to theright the mother should be placed on the right side. By this method theoperator stands behind or infront of the patient in such away that he faces in the samedirection as the child. The ne-cessity for the operator to assumethese positions is somewhat lessimperative if he proceeds byslipping his hand beneath thechild along the lateral aspect ofthe uterus, since he can theneasily pass his hand in eitherdirection (Fig. 568). Thismethod is particularly availablein dorso-posterior positions andin cases of pendulous abdomen,because in these one can reach into the bay-window-like uterine cavity abovethe pubes to seize the feet without that distressing backward bend caused bythe over-extension of the wrist-joint about the symphysis that is required inoperating in the dorsal position (Fig. 553). The right hand would naturally 61. Fig. 568.—Lateral posture for version: the hand ispassed along the side wall of the uterus to the feet. Bet-ter adapted to dorso-posterior positions. 962 AMERICAN TEXT-BOOK OF OBSTETRICS. be employed with the patient on her right side, and vice versa. Later, whenthe feet have been drawn well down into the vagina, the patient may be turned over on the back to facilitate theexternal manipulations necessary tocomplete the turning. Knee-elbow Posture.—This atti-tude should be chosen in difficultcases when the presenting parts aresnugly fitted into the inlet. It oc-casionally yields brilliant results,rendering version possible when thefetus could not be dislodged in anyother posture of the mother (). One of the disadvantages ofthis posture is that unless the motherbe supported anesthesia is not avail-able. The writer has been able tohold patients in this position byswinging a sheet between the backsof chairs
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectobstetrics, bookyear1
