Cyclopædia of obstetrics and gynecology . be-hind the symphysis. This is our practice, and that of Tarnier. Others,on the contrary, advise grasping the superior foot. (Koederer, Joerg,Hohl, Simpson, Kristeller.) Barnes says that thus evolution is morecomplete, while Scharlau and Haselberg point out that by pulling on tliesuperior foot it may lock with the inferior, and thus render version im-practicable. VERSIOlSr. 23 For our part, whether one or another foot is seized matters little ingeneral. Only when the back is posterior may it be advantageous to graspthe superior foot. As Pajot says, Avi
Cyclopædia of obstetrics and gynecology . be-hind the symphysis. This is our practice, and that of Tarnier. Others,on the contrary, advise grasping the superior foot. (Koederer, Joerg,Hohl, Simpson, Kristeller.) Barnes says that thus evolution is morecomplete, while Scharlau and Haselberg point out that by pulling on tliesuperior foot it may lock with the inferior, and thus render version im-practicable. VERSIOlSr. 23 For our part, whether one or another foot is seized matters little ingeneral. Only when the back is posterior may it be advantageous to graspthe superior foot. As Pajot says, Avith truth: The best foot is that whichis grasped the best. To distinguish the superior from the inferior foot, we must rememberthe position of the foetus, and follow the border of the foot. In case ofthe superior foot, the internal border faces below, and in case of the in-ferior foot, it faces above. j If we cannot reach the foot, Ave must grasp the knee. This is particu-larly practised and recommended by Simpson, Barnes and Simon Thomas. Fig. 9.—Grasp of the Upper (Superior) Foot. de Leyde. According to the latter, version by the knee offers the follow-ing adA^antages: ?!. Whenever the uterus is not too much contracted,whatever the presentation, we reach the knee more readily than the foot. 2. Often we knoAV more certainly, beforehand, the position of the knee. 3. In podalic version the force which changes the presentation acts withgreatei advantage on the knee, and further we may use more force on it,without endangering the foetus, in case of difficult version. Barnes addsthat the knee is nearer than the foot, and Avhile the latter must be seizedby the full hand, the finger bent on itself is enough to pull down the for-mer. When the inferior extremities are too far from the superior strait,Deutsch advises the following procedure: 1. Make the foetus undergo a 24 A TREATISE ON OBSTETRICS. movement of rotation around its longitudinal axis. 2. Disengage thefeet. As for the cho
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