A System of midwifery : including the diseases of pregnancy and the puerperal state . as abandoned hisingenious instrument for the use of the finger. Be this as it may, weshould always try, when the fingers fail, what we can do with a reposi-t mum, hastily constructed though it may be from such materials as areat hand. The success attained by others is ample warrant for perse-vering efforts in this direction. The Postural Method of treatment has from time to time attractedattention during the last thirty years, and is associated chiefly with thenames of Bloxam, Thomas of New York, and Dyce of
A System of midwifery : including the diseases of pregnancy and the puerperal state . as abandoned hisingenious instrument for the use of the finger. Be this as it may, weshould always try, when the fingers fail, what we can do with a reposi-t mum, hastily constructed though it may be from such materials as areat hand. The success attained by others is ample warrant for perse-vering efforts in this direction. The Postural Method of treatment has from time to time attractedattention during the last thirty years, and is associated chiefly with thenames of Bloxam, Thomas of New York, and Dyce of this plan is adopted, the woman is placed upon her elbows andknees, so as to raise the pelvis above the level of the fundus uteri, andthus to take advantage of the law of gravity. That a certain amountof advantage is thus gained may be admitted, and it would appearthat in practice the results have been in a measure satisfactory. Wecannot, however, anticipate such results as the supporters of this pro-cedure seem to claim for it. The posture in question will doubtless. XXI.] GENERAL CONSIDERATIONS. 365 tend so far to the gravitation of the cord towards the fundus, but itmust at the same time cause the head to retreat from the lower segmentof the uterus, and thus remove what we are accustomed to regard asthe most effectual harrier to prolapse, for, when a pain comes on,gravity is a mere feather-weight in comparison with the power ofuterine contraction. This may possibly explain why it has not beenattended with more marked success. AVe should not hesitate to availourselves of the postural method in any case of difficulty, and it isquite possible that by combining the instrumental with the posturalmethod as has been suggested by Dr. Barnes, more favorable resultsmay ensue than have hitherto followed the use of either separately. So long as vigorous pulsation shows that the life of the child is notin immediate danger—and this we should also ascertain by ausculta-tion
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Keywords: ., bookcentury1800, bookdecade1870, booksubjectobstetrics, bookyear1
