. A treatise on obstetrics for students and practitioners . Traction in the groin ; delayed breech labor. (Faraboeuf and Vaenieb.) BREECH LABOR AND ITS MANAGEMENT. 229 child can endure not longer than five or ten minutes after the birth ofthe body and the retention of the head, if these measures are unsuc-cessful, the mother will be best protected by craniotomy. Many methods of delivery of the after-comiug head are described,but those mentioned have borne the test of experience and are success-ful in the great majority of cases. It occasionally happens in the course of breech labor that compli
. A treatise on obstetrics for students and practitioners . Traction in the groin ; delayed breech labor. (Faraboeuf and Vaenieb.) BREECH LABOR AND ITS MANAGEMENT. 229 child can endure not longer than five or ten minutes after the birth ofthe body and the retention of the head, if these measures are unsuc-cessful, the mother will be best protected by craniotomy. Many methods of delivery of the after-comiug head are described,but those mentioned have borne the test of experience and are success-ful in the great majority of cases. It occasionally happens in the course of breech labor that complica-tions arise by reason of an arm or leg which may be bent backwardacross the body or in front across the face of the child. When delayoccurs in labor from these causes, if the legs and thighs be flexed uponthe body of the child, the breech can usually be brought down by hook-ing a finger into the groin and making traction with the pains. Fig. Dislodging an impacted arm. (Faeaboeuf and Vabniee.) If undue force is avoided, no greater harm can come to the childthan chafing of the skin, which soon heals. In cases where the armis drawn upward and across the face, and where strong uterine con-tractions may have forced the child into the pelvis, anaesthesia bychloroform should be carried sufficiently deeply to relax the uterusand enable the operator to carry the hand up and dislodge the arm. In cases where the legs are flexed upon the thighs and the trunk of 230 PREGNANCY AND LABOR. the foetus is forced into the pelvic brim like a wedge, the child mustbe dislodged by carrying the hand up and bringing down a leg audfoot. Footling cases are those in which the feet and legs are born inadvance of the breech. They do not necessarily occasion complica-tions, although dilatation of the uterus may be slow because of thesmall size of the presenting part. There can be no question that a child can be more rapidly ex-tracted in breech presen
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