A theoretical and practical treatise on midwifery : including the diseases of pregnancy and parturition and the attentions required by the child from birth to the period of weaning . case, we havenothing to do but to wait for spontaneous evolution, if the child is living; but,as soon as it is dead, we must promptly relieve the mother from the dangerousconsequences of a prolonged labor. To amputate the arm under such circumstances is altogether useless, becauseits presence cannot incommode the operator; and, besides, it may afterwardsprove very serviceable by favoring the tractions; it is on th
A theoretical and practical treatise on midwifery : including the diseases of pregnancy and parturition and the attentions required by the child from birth to the period of weaning . case, we havenothing to do but to wait for spontaneous evolution, if the child is living; but,as soon as it is dead, we must promptly relieve the mother from the dangerousconsequences of a prolonged labor. To amputate the arm under such circumstances is altogether useless, becauseits presence cannot incommode the operator; and, besides, it may afterwardsprove very serviceable by favoring the tractions; it is on the body we have toact. Various plans have been suggested for this purpose, but those describedby Celsus and Dr. Lee are the t>nly ones that appear practicable. In casesof this kind, Celsus had recourse to decapitation; and I have known this planto be employed by M. Dubois on several different occasions. He acts inthe following manner: Having ascertained the exact situation of the childsneck,.be introduces the whole hand into the uterus (the left one when the head isat the right side, and the right one when it is at the left), and, hooking the index EMBRYOTOMY. 873 Fig. finger over the cervical region, he endeavors to draw it downwards, so as to makethis part more accessible; should the finger not prove sufficient, the blunt hookis advantageously substituted for the samepurpose (see Fig. 132). A pair of longscissors, having thick and very sharp blades,and moderately curved on the side, so as tocorrespond with the axis of the pelvis, isthen guided up to the infants neck alongthe palmar surface of the hand previouslyintroduced; then the blades are opened alittle, and a small portion of the neck is cut,then a second, and thus, by repeated smallincisions, its whole extent is graduallydivided. When the decapitation is com-pleted, he draws on the arm which is usuallyfound in the vagina, in this way extractingthe trunk without much difficulty; andafterwards he delivers the head
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Keywords: ., boo, bookcentury1800, booksubjectmidwifery, booksubjectobstetrics
