. A Reference handbook of the medical sciences : embracing the entire range of scientific and practical medicine and allied science. Fio. First Fart of Second Stage of Bipolar Version, when theHead is extended. (Galabin.) After the completion of the version the treatment isthat of an ordinary footling case. Podalic version by the bipolar method is seldom per-formed in transverse presentations ; for until it has be-come impossible bipolar cephalic version is generally tobe preferred. In case it is done, the position at the be-ginning of the operation is that represented in Fig. 4561,and
. A Reference handbook of the medical sciences : embracing the entire range of scientific and practical medicine and allied science. Fio. First Fart of Second Stage of Bipolar Version, when theHead is extended. (Galabin.) After the completion of the version the treatment isthat of an ordinary footling case. Podalic version by the bipolar method is seldom per-formed in transverse presentations ; for until it has be-come impossible bipolar cephalic version is generally tobe preferred. In case it is done, the position at the be-ginning of the operation is that represented in Fig. 4561,and the procedure is in every way that which has justbeen described. Internal Method.—This operation differs from those pre-viously described in that its performance presupposes adegree of preparation of the soft parts which permits ofan immediate extraction after the completion of the ver-sion. If preceded by artificial dilatation of the os, it is capa-. Fig. Stage of Bipolar Version. (Galabin.) bleof effecting a rapid delivery in almost all cases, and atanv period ofpregnancy or labor. It is the most gen-erally valuable of all obstetric operations ; as Barnessays:1 If we were restricted to one operation in mid-wifery as our sole resource, I think the choice must fall 630 REFERENCE HANDBOOK OF THE MEDICAL SCIENCES. upon turning. Probably no other operation is capableof extricating patient and practitioner from so many andso various difficulties. It is our main operative re-source in eclampsia, placenta praevia, concealed haemor-rhage, and many other of the gravest obstetrical emer-gencies. Internal version is not, however, an indifferent opera-tion. It exposes the mother to grave dangers, both ofinjury to the tissues by too rough manipulations, andfrom the introduction of infected material from should not be attempted while the less dangerousmethods are possible,* nor, in any case, without full
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