The practice of obstetrics, designed for the use of students and practitioners of medicine . thetwo feet present, will indicate theposition of the fetus. Dififerential Diagnosis. — Faceand Breech: Great care must be ex-ercised in distinguishing a face froma breech presentation, for to thetouch the similarity of the mouthand the anus may readily lead toan erroneous diagnosis. The anuslies in a fossa, while the mouth ismore superficially placed. If thefinger is gently introduced into thecavity, the contraction and resist-ance of the sphincter ani give cer-tain evidence of a breech presenta-tion.
The practice of obstetrics, designed for the use of students and practitioners of medicine . thetwo feet present, will indicate theposition of the fetus. Dififerential Diagnosis. — Faceand Breech: Great care must be ex-ercised in distinguishing a face froma breech presentation, for to thetouch the similarity of the mouthand the anus may readily lead toan erroneous diagnosis. The anuslies in a fossa, while the mouth ismore superficially placed. If thefinger is gently introduced into thecavity, the contraction and resist-ance of the sphincter ani give cer-tain evidence of a breech presenta-tion. Foot and hand: The foot isrecognized by the presence of theheel and the absence of the adduci-ble thumb and by the toes beingnearly in a straight line. If thechild is alive, the kicking move-ments also distinguish between feetand hands. Knee and elhow: Thepatella in the knee can usually bedistinguished from the olecranon inthe elbow. In doubtful cases dueto oedema, the part should be fol-lowed up to the trunk. The groinmay be differentiated from the ax-illa bv the absence of the Fig. 729.—Moulding of ) ?{Authors Fig. 730.—Moulding of collection.) -(Au- FETAL DYSTOCIA FROM FAULTY PRESENTATION. 537 Treatment.—During pregnancy we can often convert the breech into a vertexpresentation by external version. It will not always be found easy, however,to maintain the latter presentation. A common method of accomplishing this isto apply two long cylindrical compresses of gauze to the sides of the uterus and tohold them in place with a firm abdominal binder. I gave this method a thoroughtrial in the case of a physicians wife, and each removal of the binder resulted ina return to a breech presentation. External version, however, is more oftensuccessful in the beginning of the first stage, the fetus then being manually heldin the vertex presentation until engagement occurs. I have succeeded withthis method in several instances after labor has b
Size: 1688px × 1481px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, booksubjectobstetrics, bookyear1
