. The science and art of midwifery . position, first stage. Traction on lower limb.(FaraboBuf and Varnier.) section of the humerus. In this way he succeeded in elevating thecephalic pole until with the index-finger alone in the cervix uteri hemanaged to reach the breech of the child. With the poinl of hisfinger he gently urged this along to the mothers righl side, and boohencountered the left foot, which he readily hooked down into thevagina.* When, after rupture of the membranes, aid La nol promptly ren-dered, the shoulder becomes crowded into the pelvic brim. If the * Fobteb, On Prolapse of
. The science and art of midwifery . position, first stage. Traction on lower limb.(FaraboBuf and Varnier.) section of the humerus. In this way he succeeded in elevating thecephalic pole until with the index-finger alone in the cervix uteri hemanaged to reach the breech of the child. With the poinl of hisfinger he gently urged this along to the mothers righl side, and boohencountered the left foot, which he readily hooked down into thevagina.* When, after rupture of the membranes, aid La nol promptly ren-dered, the shoulder becomes crowded into the pelvic brim. If the * Fobteb, On Prolapse of the Ann in Transverse Presentations, Jour, ofObstet., \..l. i\. p. 203. VKUSION. 409 pains arc feeble the uterus may remain relaxed, so that hours after-ward version may be readily performed. 11 the pains are good, how-ever, as the waters escape the uterus retract-, ami finally becomes rigid-ly applied to the surface of the foetus. Under these conditions, the lower uterine segment, which contains the head and shoulder of the. Fig. 173.—Version in dorso-anterior position, second stage. Traction on lower limb.(Farabreuf and Varnier.) child, is often stretched to an extreme degree of tenuity. Version,under the circumstances, is embarrassed by the difficulty of introducingthe hand into the uterus to seize the foot; by the fad that when trac-tions are made upon an extremity, in place of the child turning inUtero, both child and the closely applied uterus are apt to move to-gether; and by the danger of rupture due to the difficulty o\ Loweringthe breech without simultaneously increasing the pressure exerted uponthe thinned lower segment by the childs head. 4:10 OBSTETRIC SURGERY. In operating after the retraction of the uterus lias become complete,the physician should seek to effect the utmost relaxation by pushinganaesthesia to complete insensibility. The hand should be introducedslowly and with the utmost gentleness. Precipitate action, or an at-tempt to overcome the uteri
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