Practical midwifery; handbook of treatment . thehead by retaining the forceps in position, believing that theeffort to remove them before delivery is completed is likely to beitself productive of laceration, while others think that this dan-11 162 PRACTICAL MIDWIKEHY. ger is more than counterbalanced by tlie relaxation of the tissuesAvhich results from the extra space j^ained by the removal of theinstruments. If this latter method is chosen, two fingers of the right handsliould be inserted into the rectum and should have reached thechin before the blades are taken off; and during their removal
Practical midwifery; handbook of treatment . thehead by retaining the forceps in position, believing that theeffort to remove them before delivery is completed is likely to beitself productive of laceration, while others think that this dan-11 162 PRACTICAL MIDWIKEHY. ger is more than counterbalanced by tlie relaxation of the tissuesAvhich results from the extra space j^ained by the removal of theinstruments. If this latter method is chosen, two fingers of the right handsliould be inserted into the rectum and should have reached thechin before the blades are taken off; and during their removalthe advance of the head must be controlled by pressure with theright thumb against the occiput, if this be possible, or by thehand of an assistant. The forceps should then be unlocked, andthe left hand should withdraw Avhichever blade seems the lessfirmly fixed; the motion of Avithdrawal being the reverse of thespiral curve Avhich Avas followed in the introduction. Should theblade first selected be arrested when partly Avithdrawn, it should. Fig. 30.—Perineal Stage of Operations. be steadied by an assistant until the removal of its fellow, whenit will probably be released by the additional space gained; if,however, one or both blades are firmly held, it is better to relin-quish the attempt to withdraAV them, rather than to use anyforce, since either of them might be looped about an ear, and anyforce might result in its laceration. If the operator prefers to conclude the extraction by means ofthe forceps he sliould continue his tractions with them, in thecurve of Carus, watching the perineum closely, preserving flex-ion both by means of the forceps and by pressure on the fore-head over the tissues about the anus, forcing the head to hugthe symphysis as closely as possible, and constantly holdinghimself in readiness to cheek any unduly rapid advance, bybackward pressure with the instrument, or by applying the fin-gers of the right hand to the occiput. OBSTETRIC SURGERY
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectmidwifery, bookyear18
