ObstetricsA manual for students and practitioners . Version: second step. drawn down into the vagina (Fig. 40). The external hand should thenbe changed to the cephalic extremity, and upward jiressure made uponthis. If the shoulder present, and the arm be not prolapsed, and if themembranes are still intact, we would naturally attempt a cephalic ver-sion. Failing in this, the course of procedure described above would bepursued. VERSION. Fig. 40. 153. Version : third step (beginning). What advantages has this method over the internal? The hand does not have to be introduced into the nterus. This
ObstetricsA manual for students and practitioners . Version: second step. drawn down into the vagina (Fig. 40). The external hand should thenbe changed to the cephalic extremity, and upward jiressure made uponthis. If the shoulder present, and the arm be not prolapsed, and if themembranes are still intact, we would naturally attempt a cephalic ver-sion. Failing in this, the course of procedure described above would bepursued. VERSION. Fig. 40. 153. Version : third step (beginning). What advantages has this method over the internal? The hand does not have to be introduced into the nterus. This is aprocedure alwaj^s accompanied with some considerable risk, not onlythat there is greater danger of carrying in sepsis, but with the organ inactive contraction and its cavity completely filled we add the danger ofpossible rupture by over-distension. Describe the operation of internal version. This is usually a very easy operation, provided the membranes havebut recently ruptured. In vertex cases the hand is introduced into thevagina with a slow, boring motion until the cervix is reached. If thisbe dilated sufficiently to allow its passage, push the hand through, bythe fice and up along the abdomeii of the child. As soon as a uterinecontraction begins cease all manipulations and allow the palm of thehand to press firmly against the of the foetus, that the knucklesmay not injure the uterus. As we pass along up, the elbows, arms, and
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectobstetrics, bookyear1
