. A system of obstetrics . directed toward that side ofthe pelvis to which the chin point- : when the chin is toward the rightside of the pelvis, the forceps should be applied in the right obliquediameter. The instrument should very rarely he applied when the faceextends transversely across the pelvis: in favorable cases Carl Braunadmits tentative traction, in the hope that rotation will occur; the forcepsis to be removed as soon as the chin rotate-, and reapplied if needed. When the chin rotates into the hollow of the sacrum, the rule thatforceps delivery i- impossible and not to be attempted
. A system of obstetrics . directed toward that side ofthe pelvis to which the chin point- : when the chin is toward the rightside of the pelvis, the forceps should be applied in the right obliquediameter. The instrument should very rarely he applied when the faceextends transversely across the pelvis: in favorable cases Carl Braunadmits tentative traction, in the hope that rotation will occur; the forcepsis to be removed as soon as the chin rotate-, and reapplied if needed. When the chin rotates into the hollow of the sacrum, the rule thatforceps delivery i- impossible and not to be attempted i- very rarely tbe disregarded. It is occasionally possible to imitate the delivery ian occipito-posterior position and draw the chin downward by narrow,straight forceps : straight forceps ha- proven an efficient instru-ment in liis hand- in two such Others have rarely succeeded inthis procedure, and it i- most exceptional. The Forceps applied to the Breech.—The danger of injur- FlG. Tarnleri Poreepi applied t>> the Breech ing (h<- abdominal viscera and genitalia of the foetus has prevented the application of the forceps t.» the breech. With the introduction of his1 Schroeder: op. dL | 1/ 144 THE FORCEPS. axis-traction forceps Tarnier has demonstrated the possibility of deliv-ering the foetus safely by applying the blades in the iliac or trochantericdiameter of the pelvis. He has also applied his forceps in the saero-pubic diameter, the genitalia occupying the fenestra of the blade, andextracted a foetus without injury. When the foetus lives, the instrumentshould grasp its pelvis in a transverse diameter. When the death of thefoetus has occurred, the only precaution necessary is the obtaining of asecure hold with the forceps. Great gentleness in making traction isrequisite, and in delivering a living child it is well to take every pre-caution against undue compression. The High Application of the Forceps.—By this term weunderstand the applic
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectobstetrics, bookyear1
