. The science and art of midwifery . ld be restrained, as far as compatible withthe birth of the child, by pressure upon the sides of the pelvis exertedby the hands of assistants, «»r, still better, by tlie fixation-forceps con-trived by Farabceuf. When labor is ended three sutures of strong silk should be passedthrough the entire thickness of the fibro-tendinous covering of thesymphysis to the bone, beginning outside the longitudinal hand which •Farabceuf has invented an ingenious instrument, termed by him the men-surateur-levier-prehenseur, which is capable at the same time of measuring theb
. The science and art of midwifery . ld be restrained, as far as compatible withthe birth of the child, by pressure upon the sides of the pelvis exertedby the hands of assistants, «»r, still better, by tlie fixation-forceps con-trived by Farabceuf. When labor is ended three sutures of strong silk should be passedthrough the entire thickness of the fibro-tendinous covering of thesymphysis to the bone, beginning outside the longitudinal hand which •Farabceuf has invented an ingenious instrument, termed by him the men-surateur-levier-prehenseur, which is capable at the same time of measuring thebilateral diameter of the childs head and f serving asaleverto further its it the necessary degree of separation can be estimated in advance with approxi-mate exactitude, He ha- likewise devised a pelvimeter by means of which the antero-posterior diameter of the pelvis can be accurately measured in place of beingesl imated. SYMPHYSIOTOMY. 743 furnishes on each side the boundary to the Bymphyseal fossa. In tying. Fro. ^.-Symphysiotomy. The division of the symphysis is accomplished bj (1) section be-tween the recti muscles, to sever as far as possible the hard, creaking bundles ol the fibrousin front a lint tween the reelcovering;, and tract- in trout a une corresponding to the groove of the guard, which isheld firmly againsl the ridge corresponding to the articulation behind. 2) By means of aShort, narrow blade, with a rounded extremity the operator then cttte through the symphysisfrom above downward, with the cutting edge of the blade directed forward,and under the protection of the grooved guard. 44 APPENDIX. the sutures care should be taken to bring the pubic bones into closecontact—an action admirably accomplished by the fixation-forceps ofFaraboeuf. Caruso* gives the Italian method as follows: Prepare and disinfecteverything required for the operation (matting, gauze, sutures, a curvedblunt-pointed bistoury with solid handle, forceps, etc.). Place patientin
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Keywords: ., bookcentury1800, bookdec, booksubjectobstetrics, booksubjectwomen
