. A system of midwifery, including the diseases of pregnancy and the puerperal state. ses us to rotate the face by the finger before extracting it;but, if this cannot easily be done, it will be better to adopt the plansuggested by Velpeau, and endeavor to drag down the occiput beyondthe edge of the perineum, and deliver the head by a movement of ex-tension, instead of, as is usual, by the ordinary one of flexion. Thereare cases, also, in which the head, after turning or in breech presenta-tion, is arrested at the brim in consequence of deformity, when it mightbe possible to deliver by applying


. A system of midwifery, including the diseases of pregnancy and the puerperal state. ses us to rotate the face by the finger before extracting it;but, if this cannot easily be done, it will be better to adopt the plansuggested by Velpeau, and endeavor to drag down the occiput beyondthe edge of the perineum, and deliver the head by a movement of ex-tension, instead of, as is usual, by the ordinary one of flexion. Thereare cases, also, in which the head, after turning or in breech presenta-tion, is arrested at the brim in consequence of deformity, when it mightbe possible to deliver by applying the forceps along the sides of thepelvis; and there are instances, rarer still, in which the head is sepa-rated, and left behind in the cavity of the uterus, where we must attemptextraction by the forceps, so adjusting the blades as to prevent the pos-sibility of the occipito-mental diameter being thrown across the difficulties which, under special circumstances, attend the intro-duction of the forceps have given rise to innumerable modifications of Fig. 109. Fig.


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Keywords: ., bookcentury1800, bookdecade1870, booksubjectobstetrics, bookyear1