. An American text-book of obstetrics. For practitioners and students. Fin. 277.—Forceps applied to Fig. 278.—Forceps applied to an oblique position of the a transverse position of thebreech. breech. 480 AMERICAN TEXT-BOOK OF Fig. ^V -Method of grasping the thighs duringthe extraction of the breech. the fingers of one hand, the thumbs of the operator lying along the sacrum ;this grasp should be maintained throughout the extraction, no other grasp being so secure, and any pressure uponthe crests of the ilium or upon the ab-domen of the child being dangerous toits bones and ab


. An American text-book of obstetrics. For practitioners and students. Fin. 277.—Forceps applied to Fig. 278.—Forceps applied to an oblique position of the a transverse position of thebreech. breech. 480 AMERICAN TEXT-BOOK OF Fig. ^V -Method of grasping the thighs duringthe extraction of the breech. the fingers of one hand, the thumbs of the operator lying along the sacrum ;this grasp should be maintained throughout the extraction, no other grasp being so secure, and any pressure uponthe crests of the ilium or upon the ab-domen of the child being dangerous toits bones and abdominal viscera. Theline of traction should be directed asfar backward as the perineum allows,in order to facilitate the passage of theshoulders through the superior strait,and the back of the child should bekept steadily directed upward—that is,toward the anterior portion of themothers pelvis—to secure an anteriorposition of the occiput for the after-coming head. When the umbilicus ap-pears at the vulva a loop of the cordshould be drawn downward, as is doneduring the normal delivery of the Extraction of the After-comingHead and Arms.—If, by any chance,either arm remains flexed upon the in-fants chest, it may ea


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Keywords: ., bookcentury1800, bookdecade1890, booksubjectobstetrics, bookyear1