A manual of obstetrics . be obtained by bimanualpalpation, the hands beingplaced in either of the sev-eral positions shown in theillustrations.^ Thus, it maybe elicited by passing theindex finger of the left handfar up into the rectum andthe thumb into the anteriorvaginal fornix, at the sametime pressure being exertedabove with the right handupon the abdomen between the symphysis and the method may be facilitated by hooking down the cervix with a tenaculum. An-other method is to placethe index finger in theposterior vaginal fornixwhile counter-pressure ismade with the oppositehand


A manual of obstetrics . be obtained by bimanualpalpation, the hands beingplaced in either of the sev-eral positions shown in theillustrations.^ Thus, it maybe elicited by passing theindex finger of the left handfar up into the rectum andthe thumb into the anteriorvaginal fornix, at the sametime pressure being exertedabove with the right handupon the abdomen between the symphysis and the method may be facilitated by hooking down the cervix with a tenaculum. An-other method is to placethe index finger in theposterior vaginal fornixwhile counter-pressure ismade with the oppositehand upon the uterusthrough the abdominalwall just above the sym-physis, the uterus beingstrongly third method con-sists in pressing the indexfinger of the left hand intothe anterior vaginal fornix,Avhile the right hand is forced down behind the fundus andin front of the sacrum. The sensation imparted to the exam-iner is that of two distinct bodies, the cervix below and the ^ Am. Jciir. of Obs., Aug., Fig. 39. -Second method of eliciting Hegars signof pregnancy (Sonntag). 90 A MANUAL OF OBSTETRICS.


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Keywords: ., bookcentury1800, bookdecade1890, booksubjectobstetrics, bookyear1