A treatise on the science and practice of midwifery . butthat of the right being much the greater. The peculiar forceps ofTarnier, or of Cleemann, being designed to meet this form of exi-gency, may be brought into requisition. In latter years it has become much more common than formerlyto introduce the forceps into the uterus, before it is fully dilated, in THE FORCEPS 481 consequence of the success claimed for the plan as carried out in theDublin Lying-in Hospital. As this should never be done where theos is not readily dilatable, and requires much skill in execution, it isnot safe to recomme
A treatise on the science and practice of midwifery . butthat of the right being much the greater. The peculiar forceps ofTarnier, or of Cleemann, being designed to meet this form of exi-gency, may be brought into requisition. In latter years it has become much more common than formerlyto introduce the forceps into the uterus, before it is fully dilated, in THE FORCEPS 481 consequence of the success claimed for the plan as carried out in theDublin Lying-in Hospital. As this should never be done where theos is not readily dilatable, and requires much skill in execution, it isnot safe to recommend its general adoption in cases of delay in pri-vate practice. The forceps should not be introduced with any force, but the leftblade should be slid in gently, and with a spiral motion, and thenthe right; care being taken that they should also lock without force,which they will do if properly adjusted. Traction is to be exertedslowly, and during a pain, the whole movement being made to cor-respond with the natural as closely as possible. Fig. Direction of the Forceps as the Head is being Delivered. As the foetal head comes under the arch of the pubes, the handlesof the forceps must rise more and more from the bed, until at lastthey are over the abdomen, as the head emerges from the last movement of instrumental delivery should be a very slowone, for fear of rupture. It has been proposed to remove the bladesbefore delivery is complete; but there is no occasion for this, if theforceps are applied to the sides of the head over the parietal protru-berances; as where these protrude, and the blades are flat and thin,there is very little additional space required. With such instrumentsas the old Levret, Baudelocque, and Rohrer forceps, with looped or 482 OBSTETRIC OPERATIONS. kite-shaped fenestra, and thick edges, this was a much more impera-tive direction, than with the better instruments of the present a Sawyer forceps the perineum ought to be safer, an
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Keywords: ., bookcentury1800, bookdecade1870, bookidtre, booksubjectobstetrics
