The practice of obstetrics, designed for the use of students and practitioners of medicine . the occipital bone, which latter, of course, is inthe hollow of the sacrum. In difficult cases an application made to the side of thehead over a limb of the lambdoidal suture will be found necessary on account ofthe difficulty in applying the instrument in the sacral hollow over a tightly fit-ting head. Less injury to the maternal soft parts will result if we can graduallywith our downward traction rotate the occiput into an anterior position. Thisrotation of the head with the cranioclast is, under suc


The practice of obstetrics, designed for the use of students and practitioners of medicine . the occipital bone, which latter, of course, is inthe hollow of the sacrum. In difficult cases an application made to the side of thehead over a limb of the lambdoidal suture will be found necessary on account ofthe difficulty in applying the instrument in the sacral hollow over a tightly fit-ting head. Less injury to the maternal soft parts will result if we can graduallywith our downward traction rotate the occiput into an anterior position. Thisrotation of the head with the cranioclast is, under such circumstances, not onlyjustifiable but advisable, as by so doing a mechanism of labor much more favor-able for the maternal prognosis is obtained. Great caution should be exer-cised, should it be found necessary, after failure of anterior rotation, to deliverwith the occiput to the rear. This with full-sized heads should never be at-tempted until after the head has been well elongated with the cranioclast, and, ifthought necessary, comminuted as well (Fig. 1141). 950 OBSTETRIC


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectobstetrics, bookyear1