Practical midwifery; handbook of treatment . ction should be made alternately on one or the other, orboth legs. If simple traction fails, it should be supplemented byupward pressure on the presenting part, employed either in al-ternation with the tractions or coincidently with them, and bythe use of a fillet as described above. 184 PKACTICAL MIDWIFERY. In some cases of completely transverse jjresentation successmay be attained, after the failure of the preceding methods, bythe application of the following manoeuvre. A noose is placedaround both feet, and the hand which corresponds to the breec
Practical midwifery; handbook of treatment . ction should be made alternately on one or the other, orboth legs. If simple traction fails, it should be supplemented byupward pressure on the presenting part, employed either in al-ternation with the tractions or coincidently with them, and bythe use of a fillet as described above. 184 PKACTICAL MIDWIFERY. In some cases of completely transverse jjresentation successmay be attained, after the failure of the preceding methods, bythe application of the following manoeuvre. A noose is placedaround both feet, and the hand which corresponds to the breechis placed within the uterus with its palmar surface applied to thebreech. An assistant then makes counter-pressure upon the headin the direction of the breech, while the operators external handmakes traction upon the feet and his internal hand presses thebreech directly toward the head (Fig. 43). The child is thusdoubled upon itself, and the breech is brought into the lumen ofthe inlet by flexion of the abdomen upon the chest, and, as soon. Fig. 43.—An Expedient in Transverse Presentations. as the breech has fairly entered the superior strait, the head willrise spontaneously to the fundus, or may be assisted to rise bygentle external pressure. This method, however, is not without its risks to the uterus,and undoubtedly exposes the viscera of the child to some dangerof injury from compression. Indicatiok^s for VERSi02f.—Version may be performed inany case of head presentation in which speedy delivery becomesnecessary, in the interest of either mother or child, before thehead has passed the brim, ^ or in arrest of a head ^presentationat the brim of a normal pelvis by inertia uteri or excessive size ofthe head. It is the preferable operation when a brow, or a pos-terior position of the occiput or face, is arrested at the brim of1 As in eclampsia, placenta praevia, concealed hsemorrhages, prolapsed cord, etc. OBSTETRIC SURGERY. 185 the pelvis; in head presentations complicated
Size: 1611px × 1550px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1890, booksubjectmidwifery, bookyear18
