The practice of obstetrics, designed for the use of students and practitioners of medicine . oom in the pelvis, especially when the latter is contracted. Operations.—The principles governing the application of the cephalotribe areprecisely the same as in the case of forceps. Following perforation, projectingspiculas of bone must be carefully extracted with the fingers or dressing forcepsand the exact presentation and position again determined. High Cephalotribe Operation (Fig. 1153).—When the head or breech isstill free above the pelvic inlet, great care must be taken to have the presentingpar
The practice of obstetrics, designed for the use of students and practitioners of medicine . oom in the pelvis, especially when the latter is contracted. Operations.—The principles governing the application of the cephalotribe areprecisely the same as in the case of forceps. Following perforation, projectingspiculas of bone must be carefully extracted with the fingers or dressing forcepsand the exact presentation and position again determined. High Cephalotribe Operation (Fig. 1153).—When the head or breech isstill free above the pelvic inlet, great care must be taken to have the presentingpart firmly held at the inlet by suprapubic pressure by an assistant. Adap-tation of the cephalotribe to the sides of the fetal head at the pelvic inlet is notsafe, or in fact necessary. Objection has been raised to the use of the cephalo-tribe here, that seizing the head antero-posteriorly increases the transversediameters to an equal extent, and that this would be particularly disadvanta-geous, especially in contracted pelves (Figs. 1149 and 1150). This would be 954 OBSTETRIC Fig. 1153.—Broad-bladed Cephalotribe Applied in Ver-tex Presentation. Median Operation. true were the head fixed transversely in the pelvis, but when the head isfree it will be found in an oblique diameter, and the cephalotribe seizesthe bead in the opposite oblique and not in an antero-posterior of head compression thus takes place in an oblique diameter op-posite to the one grasped by the instrument and not in a transverse diameter ofthe head. Should, by chance, the head be seized in a transverse diameter, rotation of the head with thecephalotribe into an ob-lique diameter can read-ily be of a head orbreech through the pel-vic inlet with so heavyand powerful an instru-ment as the cephalo-tribe should rarely beattempted, because ofthe danger of pressureof the blades upon thematernal soft parts be-tween the symphysisand sacral ant
Size: 2243px × 1114px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, booksubjectobstetrics, bookyear1
