Cyclopædia of obstetrics and gynecology . n, Robert Lee, it was a method ap-plicable to cephalic version, and Hohl, according to Naegele and Grenser,practised it as follows: The parturient lies horizontally, until the headhas engaged. When the uterus is inclined to one side, the woman re-clines on the opposed side. The uterus is steadied by an assistant, whosehands are applied fiat against the lateral superior sides of the uterus. At 10 A TR?:ATrSE ox OIJSTETRICS. the moment when, by manipulation, the head is brought towards thesuperior strait, tlie assistiint gently pushes the uterus towards
Cyclopædia of obstetrics and gynecology . n, Robert Lee, it was a method ap-plicable to cephalic version, and Hohl, according to Naegele and Grenser,practised it as follows: The parturient lies horizontally, until the headhas engaged. When the uterus is inclined to one side, the woman re-clines on the opposed side. The uterus is steadied by an assistant, whosehands are applied fiat against the lateral superior sides of the uterus. At 10 A TR?:ATrSE ox OIJSTETRICS. the moment when, by manipulation, the head is brought towards thesuperior strait, tlie assistiint gently pushes the uterus towards tlie sameside, for example, to the left, when the head is deviated to the we place the left hand above the horizontal rami of the pubes on theside of the head, while the index and the middle finger of the right hand,in the vagina, rest on the fcetal shoulder. These fingers gently lift thebody and push it towards the mothers right, during the intervals of apain if the membranes are intact, constantly if they have ruptured, while. Fig. 3.—Bipolar Version. Cephalic Version. (After Braxton-Hicks.) with the left hand the head is pushed towards the superior strait. Thehead once engaged, we rupture the membranes, but only when the liquoramnii is abundant. Braxton-Hicks applies these manoeuvres to every variety of version,both cephalic and podalic, whatever the presentation, and this not onlywhen the presenting part is above the brim, but also after the waters haveescaped, even though the foetus is deep in the cavity, and the cord or anarm have prolapsed. (Figs. 3 and 4.) He thus describes his method: Introduce the left hand into thevagina, place the right hand on the abdomen, in order to recognize theposition of the fatus, and the direction of the head and the feet. If, for VERSION. 11 example, the shoulder presents, it should be pushed by one or two fingersin the direction of the feet; at the same time pressure is ei^ercised withthe other hand on the pelvic extremity of
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Keywords: ., bo, bookcentury1800, booksubjectgynecology, booksubjectobstetrics
