. An American text-book of obstetrics. For practitioners and students. es would be lost in cleaning a con-taminated outer hand. Next, the vagina is well lathered with a wad of gauze and green soap, everyfold being stretched and scrubbed. The douche is then given. If time andmaterial serve, each leg should be rolled in a separate sheet and the coveringsecured with safety-pins. In our hospital work the patient wears a pair ofcombination stocking-drawers tied about the waist. The sheet-sling (Fig. 563)is employed when working short-handed. A clean towel, or one wrung outof an antiseptic, on a cha
. An American text-book of obstetrics. For practitioners and students. es would be lost in cleaning a con-taminated outer hand. Next, the vagina is well lathered with a wad of gauze and green soap, everyfold being stretched and scrubbed. The douche is then given. If time andmaterial serve, each leg should be rolled in a separate sheet and the coveringsecured with safety-pins. In our hospital work the patient wears a pair ofcombination stocking-drawers tied about the waist. The sheet-sling (Fig. 563)is employed when working short-handed. A clean towel, or one wrung outof an antiseptic, on a chair or table, holds the instruments, which have beenwrapped in another towel, and which have been boiling ten minutes while thepatient was being shaved and anesthetized. Posture of the Patient: Dorsal Posture.—Usually the patient is laid withbuttocks close to the lower end of the table or across the bed, her thighsflexed and supported by assistants or, in cases in which the operator works veryshort-handed, by the sheet-sling (Fig. 56-3). The shoulders may be low; a. Kelly pad Fig. 563.—The sheet-sling: a sheet caught by diagonally opposite corners and rolled is passed underthe neck and flexed knees. To keep the legs well apart the knees should be widely separated before thefeet are allowed to drop into this position. pillow under the hips covered with water-shedding material will lift the pelvisadvantageously, and a light blanket protects the body from chilling. Thisposture is most commonly employed, because it is the only one that allows freeplay to the outer hand ; the chances of infecting the outer hand are lessened ;if working alone, one can better direct the anesthetic and watch the breathing; 960 AMERICAN TEXT-BOOK OF OBSTETRICS. and extraction can be completed in the position in which version has been ac-complished. The accompanying illustrations (Figs. 564-566) show that with
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectobstetrics, bookyear1
