Cyclopædia of obstetrics and gynecology . n carried downwardand backward to increase flexion, and deliver the occiput over the peri-neum. (Fig. 107.) 2. Head extended.—The clun is in front and high \\\), behind the sym-physis. The body must be lifted above, the blades inserted below theffftal body, and carry the handles ujiwards to deliver hdly to J)elly.(Fig. 108.) c. Ohlique Positions.—Make forward rotation if jiossible, and, accord-ing as the liead is flexed or extended, deliver in 0. P or in The THE FORCEPS. 139 blades, hence, are applied according to the case, above or below the fcet
Cyclopædia of obstetrics and gynecology . n carried downwardand backward to increase flexion, and deliver the occiput over the peri-neum. (Fig. 107.) 2. Head extended.—The clun is in front and high \\\), behind the sym-physis. The body must be lifted above, the blades inserted below theffftal body, and carry the handles ujiwards to deliver hdly to J)elly.(Fig. 108.) c. Ohlique Positions.—Make forward rotation if jiossible, and, accord-ing as the liead is flexed or extended, deliver in 0. P or in The THE FORCEPS. 139 blades, hence, are applied according to the case, above or below the fcetalbody. d. Transverse Positions.—The head is grasped irregularly, and thisis the only difference in the manoeuvre. In this case (irynfeltt advises rotation by the hand, or by a single bladeof the forceps acting as a lever. II. Head at Superior Strait.—Usually Champetier de Kibes method,described above, answers here—the infant, however, ordinarily dies. Itis not the forceps, then, which should be used, but cranioclasty or cepha-. FiG. 103.—Head posterior and extended. lotripsy. Certain authors advise decapitation, and then forceps to thehead in the uterus. III. Head after Decapitation.—The head must be fixed at the superiorstrait by an assistant, and then the entire hand in the uterus places thehead in the most favorable situation, and the blades are a]3plied to thesides of the head. The operation is very difficult. Happilj^, the handalone suffices usually to extract the head. C. Forceps to the Breech. If the child is dead, the blades are applied, after the German fashion,at the sides of the pelvis. But if the child is alive, the breech must begrasped in its bi-iliac or hi-trochanteric diameter. Exaggerated com-pression must be avoided, and, therefore, the blades often slip. We must^ 140 A TREATISE ON OBSTETRICS. hence make traction gently. Tarniers forceps, not allowing variation incom{)ression, is, according to his pupils, more advantageous than theclassic. (Fig
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