Practical midwifery; handbook of treatment . ntrol the handle, and then watching the course of its tip. 160 PRACTICAL MIDWIFERY. other -vvithont force; but if they remain slij^htly separated, it isprobable that the head has been chisped, not by the biparietal,but by one of the long oblique diameters; and should this be thecase it is usually better to remove and readjust the instrument,than to subject the child to the increased risk of compressionwhich this application involves. If the indirect method of application is chosen, each l)ladeshould be introduced, and passed to the full height neces
Practical midwifery; handbook of treatment . ntrol the handle, and then watching the course of its tip. 160 PRACTICAL MIDWIFERY. other -vvithont force; but if they remain slij^htly separated, it isprobable that the head has been chisped, not by the biparietal,but by one of the long oblique diameters; and should this be thecase it is usually better to remove and readjust the instrument,than to subject the child to the increased risk of compressionwhich this application involves. If the indirect method of application is chosen, each l)ladeshould be introduced, and passed to the full height necessary, inthe space opposite the sacro-iliac articulation, or at any otherpoint in the pelvis which seems to afford abundant room; andshould then be swept into position on the sides of the head, bypressure with the internal fingers on the edge of the blade; carebeing taken that the whole surface of its cephalic curve remainsclosely applied to the head throughout the whole manffiuvre. When the instrument has been satisfactorily adjusted to the. Fig. 29.—Method of Qraspikg the Forceps. head, the left hand of the operator should grasp the handle withits palmar surface uppermost; and the right hand should beplaced over the head with its palmar surface downward, andwith the shanks of the forceps lying between its second andthird fingers (Fig. 29). The first tractions should be gentle, andgradually applied in order to test the security of the graspwhich the forceps have taken upon the head, and thus guardagainst the possibility of its slipping in case an error in diagnosishas been made. When the operator is fully satisfied that theinstiument is unlikely to slip, he should increase his efforts untilthe maximum force which he thinks advisable has been attained;should maintain them at that height for a space of from one totwo minutes, and then gradually allow them to decrease, in imi-tation of the natural pains. When the forceps have been applied through the partly di-lated cervix, the
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectmidwifery, bookyear18
