. A Reference handbook of the medical sciences : embracing the entire range of scientific and practical medicine and allied science. w clasps the body of thechild with the occiput caught below it, and the half-breech above and to the other side. No progress cannow occur until the ring has been sufficiently dilated to permit the escape of the occiput from beneath it, and any,attempt to overcome the obstacle rapidly and by forcemust surely result in rupture of the uterus. The first attempt at release should be by steady, gentletraction on the foot, which, if prolonged for some mo-ments, may grad
. A Reference handbook of the medical sciences : embracing the entire range of scientific and practical medicine and allied science. w clasps the body of thechild with the occiput caught below it, and the half-breech above and to the other side. No progress cannow occur until the ring has been sufficiently dilated to permit the escape of the occiput from beneath it, and any,attempt to overcome the obstacle rapidly and by forcemust surely result in rupture of the uterus. The first attempt at release should be by steady, gentletraction on the foot, which, if prolonged for some mo-ments, may gradually overcome the resistance of thering, and dilate it to an extent which will permit theocciput to rise, after which the breech slips easilythrough ; but if this fortunate result does not occur, theoperator must turn to other expedients, of which thebest for this case is usually the following: A fillet isnoosed around the foot, and, while the disengaged handmakes gentle, steady traction upon this, the hand whichwas before external is passed into the uterus, grasps theocciput in the palm of the extended hand (Fig. 4571), and,. Fig. 4571.—Version by Combining Traction on the Foot with upwardPressure on the Occiput. by a gentle, pushing movement, attempts to lift it past theobstacle, and into the upper part of the uterus ; or moremay sometimes be gained by repeatedly alternating trac-tion upon the foot with upward pressure upon the neither of these manoeuvres should be undertakenunless in the presence of a trained assistant who is ca-pable of making efficient counter-pressure at the fundus. When the ring is situated about the neck the aboveexpedient is usually the best, and, if persisted in, willrarely fail ; but occasionally it may be better to replacethe foot above the ring after the application of the noose,and thus to lessen the tension on the ring before at-tempting to push up the head with the hand. In thiscase the disengaged hand should be used to press thebree
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectmedicine, bookyear188
