Practical midwifery; handbook of treatment . rceps should be appliedexactly to the sides cf the head, and with the tips anterior. Thetips should be anterior on account of the impossibility of securinga secure grasp Avith the reversed forceps. The blades should beapplied Avith aeeui-acy to the sides of the head, since in any otherpossible position their compressive force would be directly op-posed to the occurrence of rotation, which is the immediate ob-ject of the operation. They should of course be applied as nearto the occipital end of the head as is convenient; and during theapplication the
Practical midwifery; handbook of treatment . rceps should be appliedexactly to the sides cf the head, and with the tips anterior. Thetips should be anterior on account of the impossibility of securinga secure grasp Avith the reversed forceps. The blades should beapplied Avith aeeui-acy to the sides of the head, since in any otherpossible position their compressive force would be directly op-posed to the occurrence of rotation, which is the immediate ob-ject of the operation. They should of course be applied as nearto the occipital end of the head as is convenient; and during theapplication the handles should be Avell ele\^ated. so that the tipsmay be Avell posterior Avhen it is concluded. The first tractions should be directed as far backward as theperineum Avill allow; andsincethe pelviccurA-eof the instrument 218 PRACTICAL MIDWIFERY. makes it difficult to secure this line of traction in posterior posi-tions by the ordinary methods of traction, it is not infrequentlywell to employ the force of one hand upon the shanks of the in. Fig. 57.—Method op Making Traction in Posterior Positions. strument in the immediate neighborhood of the vulva, while theother steadies the extreme end of the handles (Fig. 57). Duringthe extraction it must be remembered that, owing to the angle
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectmidwifery, bookyear18
