Obstetrics : the science and the art . turning, itlooked towards the right sacro-iliac junction. Let him look again atFig. 101, to see how he would make the nice of the child come to thefront of the pelvis if he should incautiously make tractions upon theleft foot only. When he has extracted the child as far as the navel, let him dowhat is represented in Fig. 102, that is to say, let him carefully drawdown a considerable loop of the umbilical cord, so that no dangermay be incurred of breaking it or tearing it out by its roots at theumbilical ring. The patient should now be turned upon her back
Obstetrics : the science and the art . turning, itlooked towards the right sacro-iliac junction. Let him look again atFig. 101, to see how he would make the nice of the child come to thefront of the pelvis if he should incautiously make tractions upon theleft foot only. When he has extracted the child as far as the navel, let him dowhat is represented in Fig. 102, that is to say, let him carefully drawdown a considerable loop of the umbilical cord, so that no dangermay be incurred of breaking it or tearing it out by its roots at theumbilical ring. The patient should now be turned upon her back, and the childs should be wrapped in a napkin, to hold them securely. As soon as a good part of the thorax is expelled, let him pass two fingers Upwards to the top of the shoulder that is most, within reach, raising the body of the child upwards towards the womans abdomen if he ires to get at the posterior shoulder, or depressing it towards theI mi if he wishes to act on the anterior shoulder. Sliding his TRET ERNA TURAL LA BOR. 507. fingers from the acromion as far as lie can towards the Lend of theelbow, let him force the elbow downwards, causing it to sweep a]the breast of the child. As soon as theelbow is withdrawn, the hand will comeforth and the shoulder be extricated, afterwhich let him proceed in like manner withthe remaining shoulder, using the fingersof the other hand as in Fig. 103. Both shoulders being delivered, let theStudent next raise the trunk of the childupwards towards the mothers abdomen,much higher than is represented in theannexed design, Fig. 104. It is extremelyimportant not to forget this rule. Whatthe Student wants at this point, is a greatflexion of the head; let him, therefore,carry the breast far away from the chinby turning the childs trunk upwards to-wards, or even on the mothers abdomen, as above directed, and then introducing one or two fingers into thechilds mouth, let him pull the chin towards the uplifted breast ofthe child—thus restoring
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Keywords: ., boo, bookcentury1800, booksubjectmidwifery, booksubjectobstetrics
