A treatise on the science and practice of midwifery . nd, using only sufficient compression togive a firm grasp of the head, and to keep the blades from left hand may be advantageously used in assisting and support-ing the right during our efforts at extraction, and, at a late stage ofthe operation, may be employed in relaxing the perineum whenstretched by the head of the child. Traction must always be madein reference to the pelvic axes; being at first backwards towards theperineum (Fig. 156), in the direction of the axis of the brim, and asthe head descends and the vertex protru
A treatise on the science and practice of midwifery . nd, using only sufficient compression togive a firm grasp of the head, and to keep the blades from left hand may be advantageously used in assisting and support-ing the right during our efforts at extraction, and, at a late stage ofthe operation, may be employed in relaxing the perineum whenstretched by the head of the child. Traction must always be madein reference to the pelvic axes; being at first backwards towards theperineum (Fig. 156), in the direction of the axis of the brim, and asthe head descends and the vertex protrudes through the vulva, itmust be changed to that of the outlet. We must extract only duringthe pains; and, if these should be absent, we must imitate them by THE FORCEPS. 469 acting at intervals. This is a point which deserves special attention,for there is no more common error than undne hurry in only valid objection I know of against a more frequent resortto the forceps in lingering labors is, that the sudden emptying of the Fig. Forceps in Position. Traction in the Axis of the Brim, downwards and backwards. uterus, in the absence of pains, may predispose to hemorrhage; andit cannot be denied that it is one of some weight. However, if duecare be taken to operate slowly, and to allow several minutes toelapse between each tractive effort, while, at the same time, uterinecontractions be stimulated by pressure and support, this need not beconsidered a contra-indication. Besides direct traction we may im-part to the instrument a gentle waving motion from handle to handle,which brings into operation its power as a lever; but this must notbe done to any great extent, and must always be subservient to directtraction. Descent of the Head.—Proceeding thus in a slow and cautiousmanner, carefully regulating the force employed according to theexigencies of the case, we shall perceive that the head begins todescend; and its progress should be determined, from time to t
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Keywords: ., bookcentury1800, bookdecade1870, bookidtre, booksubjectobstetrics
