The practice of obstetrics, designed for the use of students and practitioners of medicine . ion of the head bytraction on the handles, the instrument was liable to injure the fetus, and itshold on the occiput to increase flexion of the head was always uncertain and dan-gerous by reason of the tendency of the fillet to slip. As in the case of the vectis,the hand of the obstetrician passed into the vagina combined with bimanualmanipulation will do all and more than the fillet. (See page 911.) The contin-gency might possibly arise when in the absence of instruments an improvised filletof whalebo
The practice of obstetrics, designed for the use of students and practitioners of medicine . ion of the head bytraction on the handles, the instrument was liable to injure the fetus, and itshold on the occiput to increase flexion of the head was always uncertain and dan-gerous by reason of the tendency of the fillet to slip. As in the case of the vectis,the hand of the obstetrician passed into the vagina combined with bimanualmanipulation will do all and more than the fillet. (See page 911.) The contin-gency might possibly arise when in the absence of instruments an improvised filletof whalebone or wire could be used to flex the extended head of a dead fetus,and possibly of one living. X. REPOSITION OF SMALL PARTS. 1. Umbilical Cord.—(See page 525.) (Also Figs. 1107 to 1113.) 2. Other Small Parts.—If in the course of labor in cranial presentations withunruptured membranes, some small part—the hand, for example—prolapses, itwill almost always be found at the facial side of the head. Reposition canusually be effected by placing the woman on the side opposite that of the. \ \ >\ Fig. 1107.—Manual Reposition of a Prolapsed Cord. prolapse, and when the head is allowed to re-engage the obstacle will be out of theway. (i) In case the membranes have ruptured and a hand or arm has pro-lapsed, reposition may often be effected by a simple manipulation, if the os isfully dilated and the head high up. The woman is placed in the latero-proneposition (Fig. 1051) and the operator introduces his hand into the vagina andendeavors to conduct the prolapsed part up along the face. The woman shouldlie on the side opposite the prolapse until the head engages. If this manoeuverfails, the operator may sometimes leave the case to nature. In a roomy pelvis REPOSITION OF SMALL PARTS. 917 it is quite possible for the head and an arm to engage at the same time. Butif the pelvis is contracted or if an indication arises to terminate labor at once,podalic version may be attempted if th
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectobstetrics, bookyear1
