A system of obstetrics . ter, called to a woman in labor and finding thatfour feet had descended, thus causing locking of the pelves, succeededin unlocking by having the womans hips lifted up while her head waslow: The husband and brother-in-law of the woman passed theirhands under her hams, and thus held her suspended, so that only thehead and shoulders rested on the bolster. I intended, as soon as Imounted on the bed, to press back one or more of the free extremitiesinto the womb, but two had already returned from the mere positionof the mother, and the other three followed by the aid of my
A system of obstetrics . ter, called to a woman in labor and finding thatfour feet had descended, thus causing locking of the pelves, succeededin unlocking by having the womans hips lifted up while her head waslow: The husband and brother-in-law of the woman passed theirhands under her hams, and thus held her suspended, so that only thehead and shoulders rested on the bolster. I intended, as soon as Imounted on the bed, to press back one or more of the free extremitiesinto the womb, but two had already returned from the mere positionof the mother, and the other three followed by the aid of my afterward I was enabled to introduce my hand into theuterus, and to withdraw successively therefrom three children by thefeet. The first child may present by the head, and the second be trans-verse, and locking occur. Thus Jacquemier1 has narrated from thepost-mortem examination the situation of the twins in a woman whodied during labor: the head of the first foetus was in the pelvic cavity, Fig. Shows Head-locking, first child coming feet first; impaction of heads from wedging in brim;D, apex of wedge ; E-C, base of wedge which cannot enter brim; A-B, line of decapitationto decompose wedge and enable head of second child to pass. but its further descent had been stopped by the neck of the secondchild, which was below the shoulder of the first and formed a halfring. The first child may present by the pelvis, and the second betransverse, and difficulty occur, for the feet and the trunk may pass 1 Manuel des Accouchements, t. ii. p. 131. ANOMALIES CAUSED BY DISEASE OF THE FCETUS. 777 the obstructing body of the other, but the head be arrested. The lastvariety of obstruction given by Besson1 is that in which the first childis transverse and the second presents by the pelvis. He quotes anillustrative case from Bartschler, in which two feet being found in thevagina, and delay occurring, exploration showed that the feet haddescended, one on each side of the
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectobstetrics, bookyear1
