The matron's manual of midwifery, and the diseases of women during pregnancy and in childbed .. . ircling oneside of ;he vulva, and the forefinger the other. Thehand is then gently, but firmly, pressed against thepart during every pain, so as to prevent the headpassing too quickly, and also to elevate it, and thusrelieve the perineum of part of the strain, and throwthe occiput under the pubes. Some practitioners also pass the left hand over thethigh, at the same time, and grasp the back of thelead with it, thus holding the head as it were be-ween the two hands, so as to direct it at pleasure.
The matron's manual of midwifery, and the diseases of women during pregnancy and in childbed .. . ircling oneside of ;he vulva, and the forefinger the other. Thehand is then gently, but firmly, pressed against thepart during every pain, so as to prevent the headpassing too quickly, and also to elevate it, and thusrelieve the perineum of part of the strain, and throwthe occiput under the pubes. Some practitioners also pass the left hand over thethigh, at the same time, and grasp the back of thelead with it, thus holding the head as it were be-ween the two hands, so as to direct it at pleasure. The manner of doing this is represented in plate exxix. PLATE XXXIX. The manner of supporting the perineum, during the passagt)of the head. The right hand is placed underneath, so as to push the headgently back, when it presses on the perineum too forcibly,before it is dilated ; and also to elevate it towards the pubes. The left hand is seen above, grasping the top of the head,to assist. This may be done or not, according to the neces-sities of the ease, or the custom of the assistant mm^r^mm. Plate XXXIX. The manner of supporting the perineum, during the passageof the head. 21= MANAGEMENT OF A NATURAL LABOR. 235 It is also necessary to request the female at thistime to moderate her elforts, and not bear down toostrongly. If however she be too excited, and eagerto do so, more care must be used, and the headpressed back still more forcibly, till the parts arefully relaxed. For want of these precautions thereis often serious lacerations of the perineum andvulva, particularly in first labors, and when theparts are unusually rigid. If proper care be be-stowed however, these accidents ought to occur butseldom, even in the worst cases, and nothing can bemore hurtful to the reputation of an accoucheur thanfor them to happen. Sometimes it is necessary tosupport the perineum for hours, and to bestow con-stant attention the whole time. It is often useful tokeep applying a little simple o
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Keywords: ., bookcentury1800, bookdecade1840, bookidmat, booksubjectobstetrics
