The practice of obstetrics, designed for the use of students and practitioners of medicine . os, and rendersdescent and grasping of a foot more easy. At the same time, with the externalhand the breech is pushed down into the lower uterine segment to replace theshoulder. If this substitution can be accomplished, the most available knee orfoot, which is usually the anterior, is sought for by the internal fingers and hookeddown into the vagina through the os. When once the knee or foot is caught,the external hand is transferred from the breech, which it has been pushing down,to the lower portion


The practice of obstetrics, designed for the use of students and practitioners of medicine . os, and rendersdescent and grasping of a foot more easy. At the same time, with the externalhand the breech is pushed down into the lower uterine segment to replace theshoulder. If this substitution can be accomplished, the most available knee orfoot, which is usually the anterior, is sought for by the internal fingers and hookeddown into the vagina through the os. When once the knee or foot is caught,the external hand is transferred from the breech, which it has been pushing down,to the lower portion of the fetal head, which it pushes upward and into the fundusuteri. The ease with which the operation is performed will depend, of course,upon the mobility of the fetus in the uterus, and practically upon the amount ofliquor amnii. It is generally considered that prolapse of an arm renders the per-formance of combined podalic ver-sion in shoulder presentation im-possible. Dr. Frank P. Foster, ofNew York,* operated in such acase by using the prolapsed armas an aid to the version. Thepre-.


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectobstetrics, bookyear1