The practice of obstetrics, designed for the use of students and practitioners of medicine . ceps areapplied to the fetal head and delivery proceeds as in the usual forceps is used only after failure of manual extraction and never in cases with thehead above the inlet. 10. Delivery of Head in Persistent Sacro-posterior Cases (Figs. 1200).—Ifmanual rotation, as described above, of the head whose occiput fails to rotateanteriorly is unsuccessful, the head must be extracted with the face is accomplished in one of two ways: (i) If the chin is caught above the sym-physis
The practice of obstetrics, designed for the use of students and practitioners of medicine . ceps areapplied to the fetal head and delivery proceeds as in the usual forceps is used only after failure of manual extraction and never in cases with thehead above the inlet. 10. Delivery of Head in Persistent Sacro-posterior Cases (Figs. 1200).—Ifmanual rotation, as described above, of the head whose occiput fails to rotateanteriorly is unsuccessful, the head must be extracted with the face is accomplished in one of two ways: (i) If the chin is caught above the sym-physis, traction upon the fetus should be directly forward toward the ceiling when 980 OBSTETRIC SURGERY. the woman is in the dorsal position. External abdominal pressure is made down -ward and backward upon the head at the same time. The head rotates around thesymphysis and the occiput is bom first. (2) If the chin is below the symphysis,the woman is placed upon her back with the hips over the edge of the bed ortable, so that traction can be exerted directly backward—toward the floor. The. Fig. 1195.—Extraction ok the After-coming Head. Smellie Method. Face and Shoulder Traction, Other hand presses downward upon the head above the pubis, and, if necessary, a finger in the rectum can further increase flexion of the head by pushing up the occiput. Jaw traction will also assist. By this method the face is bom first. Method Advised.—As a general rule, preference should be given to the Smellie-
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectobstetrics, bookyear1
