The principles and practice of obstetrics . rtainly be the case without the precau-tion just named. If, however, the head should have completelyfreed the cervix, and rest in the vagina, then it is not necessary tocarry the fingers within the cavity of the organ, but care should betaken thai the extremity of either blade be so adjusted on the sidesof the head that no injury he done to the mouth of the uterus; andto accomplish this, let the fingers be carried up as far as the cervix,so that this may be guarded against violence. 8. Except when theocciput corresponds withthe left lateral portionof
The principles and practice of obstetrics . rtainly be the case without the precau-tion just named. If, however, the head should have completelyfreed the cervix, and rest in the vagina, then it is not necessary tocarry the fingers within the cavity of the organ, but care should betaken thai the extremity of either blade be so adjusted on the sidesof the head that no injury he done to the mouth of the uterus; andto accomplish this, let the fingers be carried up as far as the cervix,so that this may be guarded against violence. 8. Except when theocciput corresponds withthe left lateral portionof the pelvis, the malebranch should be intro-duced first. 9. At the time of intro-duction, the accoucheurshould gently seize onebranch of the instrument(the male branch withthe left hand, the femalebranch with the right),BO that the thumb shall beapplied on the convexSurface, midway betweenthe extremity of the han- Pro. 89. die and blade (Fig. 89), while the middle and ring fingersgrasp the branch on the concave surface just below the ring,. THE PRINCIPLES AND PRACTICE OF OBSTETRICS. with the index finger applied upon the outer portion of the ring itself.* 10. The introduction must be made during the interval ofuterine contraction; and before making any attempt to introducethe branch thus seized, I am in the habit of placing the instrumentin such way thai it shall be nearly parallel to the axis of the body(if the male branch, the parallel will be on the right side; if thefemale, on the left side) ; then the extremity of the blade is to hepressed on the palm of the hand already introduced into the vagina(Fig. 89), and in proportion as it penetrates the vagina, handleof the instrument is brought toward the operator. 11. Remember that, in the introduction of the forceps, nothingwill justify brute force ; should there be some slight impediment toits passage, let the accoucheur employ his judgment, and not vio-lence, and with a little skilful manipulation the obstacle will, unde
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Keywords: ., bookcentury1800, bookdecade1860, bookpubli, booksubjectobstetrics
