The practice of obstetrics, designed for the use of students and practitioners of medicine . Fig. 1172.—Shoulder Extraction inHead-first Labors. Delivery of theanterior shoulder by depressing the headand making gentle downward tractionupon it. Fig. 1173.—Extraction of the Poste-rior Shoulder by Traction with OneFinger in the Posterior Axilla andthe Palms of the Hands upon theHead. and gently raise it so that the anterior shoulder is well up behind the symphysis,thus securing at the outlet the cervico-acromial diameter of the fetus instead of 968 OBSTETRIC SURGERY. the bisacromial diameter (Fig
The practice of obstetrics, designed for the use of students and practitioners of medicine . Fig. 1172.—Shoulder Extraction inHead-first Labors. Delivery of theanterior shoulder by depressing the headand making gentle downward tractionupon it. Fig. 1173.—Extraction of the Poste-rior Shoulder by Traction with OneFinger in the Posterior Axilla andthe Palms of the Hands upon theHead. and gently raise it so that the anterior shoulder is well up behind the symphysis,thus securing at the outlet the cervico-acromial diameter of the fetus instead of 968 OBSTETRIC SURGERY. the bisacromial diameter (Fig. 1170). The posterior shoulder is now deliveredover the perineum by pressure on the fundus (Fig. 1171), traction on the head(Fig. 1171) or in the axilla. The posterior shoulder is thus delivered first, con-trary to the custom of many. (Compare Shoulder Delivery, page 486.) (6) Theanterior shoulder, up to this time behind the symphysis, is now delivered by de-pressing the head, and making gentle downward traction upon it (Fig. 1172). Trac-tion with a finger in the anterior axilla may
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectobstetrics, bookyear1
