The American text-book of obstetrics for practitioners and students . Fig. 294.—Hanging dorsal posture. it; the lower limbs hanging downward without support. Employed toenlarge the anteroposterior diameter of the inlet for high forceps operationor for extraction of the after-coming head (Figs. 294 and 299). OBSTETRIC SURGERY. 197 5. Inclined Dorsal or Trendelenburg Posture.—On the back, mi anincline, the downward dope from knee (or heel) i shoulder. Employedto make the intestines gravitate from the pelvic cavity toward the upperpari of the abdominal cavity. In laparotomy for ectopic gestation,
The American text-book of obstetrics for practitioners and students . Fig. 294.—Hanging dorsal posture. it; the lower limbs hanging downward without support. Employed toenlarge the anteroposterior diameter of the inlet for high forceps operationor for extraction of the after-coming head (Figs. 294 and 299). OBSTETRIC SURGERY. 197 5. Inclined Dorsal or Trendelenburg Posture.—On the back, mi anincline, the downward dope from knee (or heel) i shoulder. Employedto make the intestines gravitate from the pelvic cavity toward the upperpari of the abdominal cavity. In laparotomy for ectopic gestation, reposi-tion of prolapsed cord, (lesarean section ( E ig. 305). ii. Arched Dorsal or Mercurio Posture.—On the back, the pelvis higherthan the shoulders or knees (being a combination of the inclined dorsal andthe hanging dorsal), the sacrum resting n the apex of the slope of theoperating-table or on the back of the Beat of a tilted chair on its face, thelower limits swinging clear. Employed for high forceps extraction where. Fig. 295.—Arched dorsal posture. an enlarged inlet is needed; for internal version when a straight canal andaccessible fundus and relaxed uterus are desired ; for reposition of the cord(Figs. 295 and 300). 7. Lateroprone or Sims Posture.—On the left side, the left arm behindthe patients hack, the face and right shoulder and right knee near one sideof a table, the buttocks just overhanging the other side, at a point about 15cm. (6 inches) from the lower end of table, the right knee on the table. Em-ployed for tamponing the vagina and cervix ; for internal version at times. 8. The Knee-chest Posture (Campbells).—Kneeling on the lied with theknees a little separated, with thighs perpendicular, with chest on the bed,arms spread apart, and face turned to one side. Employed for tamponingthe vagina and cervix ; for reposition of the cord ; for placing a bag withinthe cervix; or passing the bougie; for reposition of the retroverted uterusin early pregnan
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectobstetrics, bookyear1
