. On the theory and practice of midwifery . by pressure on the funis, continued during thetime the ordinary efforts have been diligently but unsuccessfully employedfor its delivery. If the pulsation in the cord have ceased, the only safeplan under these circumstances, will be to lessen the head by means ofan opening made behind one or both ears. If the pulsation be good, itwill be worth while trying the forceps, provided they can be introducedwithout difficulty ; but we must remember that we cannot in these casesgain much space by compression, because we grasp the base of the skull. 603. 2. Pr
. On the theory and practice of midwifery . by pressure on the funis, continued during thetime the ordinary efforts have been diligently but unsuccessfully employedfor its delivery. If the pulsation in the cord have ceased, the only safeplan under these circumstances, will be to lessen the head by means ofan opening made behind one or both ears. If the pulsation be good, itwill be worth while trying the forceps, provided they can be introducedwithout difficulty ; but we must remember that we cannot in these casesgain much space by compression, because we grasp the base of the skull. 603. 2. Presentation of the inferior extremities. — Under thishe .d I include presentations of one or both of the knees or feet, as the MAL-PRESENTATION OF THE CHILD. 391 former are always converted into footling cases as the labour point of frequency they stand next to breech presentations. 604. Mechanism.—Adopting Naegeles arrangement, we shall makebut two divisions of this mal-presentation. 1. When the toes are directed Fig. backwards, and 2, when the toes are directed forwards. The former isthe more frequent, and both correspond to the two classes of breech pre-sentations. As we should expect, the feet, meeting with no resistance to fix them,are liable to change their position during their descent until the hips enter Fig. 131.
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