. A Reference handbook of the medical sciences : embracing the entire range of scientific and practical medicine and allied science. is certainlyinapplicable when the head and arms are ar-rested at the superior strait. After the delivery of the child the uterusshould be watched by an assistant, and everyprecaution taken against post-partum haemor-rhage, which is peculiarly likely to follow a rapid emp-tying of the uterus under the profound surgical anaesthe-sia which is proper and necessary in the performance ofversion. Unless the child has reached the stage of pale asphyxiaand feeble heart, i
. A Reference handbook of the medical sciences : embracing the entire range of scientific and practical medicine and allied science. is certainlyinapplicable when the head and arms are ar-rested at the superior strait. After the delivery of the child the uterusshould be watched by an assistant, and everyprecaution taken against post-partum haemor-rhage, which is peculiarly likely to follow a rapid emp-tying of the uterus under the profound surgical anaesthe-sia which is proper and necessary in the performance ofversion. Unless the child has reached the stage of pale asphyxiaand feeble heart, it is well to hold it suspended by thefeet for some minutes after delivery before cutting thecord. This promotes the return of blood to the brain,permits the normal influx of blood from the placenta,tends to drain away inspired liquor amnii or mucus, andis in itself a valuable method of resuscitation. In caseit is thought necessary to proceed at once to more activetreatment, time can often be saved by breaking the funisnear the vulva, and at such a distance from the child thatits end can be readily compressed by the hand which. Fig. 4575.— Deventers Method of Extraction. holds the child. A broken cord rarely bleeds, and canbe tied at the proper distance after all hurry has ceased. Difficult Extraction.—The difficulties met withinextraction are due to : (a) arrest of the head and arms atthe superior strait; (b) arrest of an arm behind the occi-put ; (c) closure of a constriction ring or of an imper-fectly dilated os about the neck ; or, (d) to arrest of thehead, by its excessive size, by extension, by a rigid per-ineum, or by contraction of the pelvis. Arrest of the Head and Arms at the Superior Strait.—When the child is large, or the transverse diameters ofthe pelvis are diminished, the wedge formed by the headand arms is often too large to pass the superior strait. 636 REFERENCE HANDBOOK OF THE MEDICAL SCIENCES. In such a case the release of the arms must
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectmedicine, bookyear188
