A textbook of obstetrics . n their long axes so as to twist the body andthus bring the anterior arm into the posterior portion n( the fingers of the left hand are inserted into the vagina past theelbow-joint. The arm is swept forward over the face, as thoughit were a single piece without the elbow-joint. The elbow isthen flexed, pulled downward, and the forearm extended at thevulvar orifice. Should the shoulders occupy a transverse posi-tion, either arm may be brought down and delivered first. .After VERSION. 763 delivering the arms, the head may be extracted by one of thefollowing
A textbook of obstetrics . n their long axes so as to twist the body andthus bring the anterior arm into the posterior portion n( the fingers of the left hand are inserted into the vagina past theelbow-joint. The arm is swept forward over the face, as thoughit were a single piece without the elbow-joint. The elbow isthen flexed, pulled downward, and the forearm extended at thevulvar orifice. Should the shoulders occupy a transverse posi-tion, either arm may be brought down and delivered first. .After VERSION. 763 delivering the arms, the head may be extracted by one of thefollowing methods, given in the order of their efficiency andsafety : Wiegands Method.— In this method the first three fingers ofthe supinated hand are inserted into the vagina, that hand beingemployed whose palm corresponds to the abdomen of the the forearm of this hand the childs body rests index-finger of the hand in the vagina is inserted in thechilds mouth, care being exercised to avoid the Fig. 567.—Delivery of the after-coming head by flexion through seizure of lowerjaw, and extrusion by means of pressure in axis of brim (Dickinson). Sufficient traction is exerted upon the lower jaw to secure andmaintain flexion of the head. The disen;a<jed hand now locatesthe head through the abdominal wall above the pubes, anddelivery is accomplished by suprapubic pressure in the axis ofthe parturient canal, and by the elevation of the childs bodytoward the mothers abdomen. Mauriceaus Method.—( me hand is inserted in the vagina, asdescribed above, and one finger is placed in the childs other hand is passed alon^ the childs back until the middlefinger rests upon the occipital protuberance. The index- and ;64 OBSTETRIC OPERA TIOXS. ring-fingers are flexed over the clavicles, and traction is made byboth hands at once, the force upon the jaw and the pressureupon the occipital protuberance keeping the head well flexed,
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Keywords: ., bookcentury1800, bookdecade1890, bookidtex, booksubjectobstetrics
