. The principles and practice of obstetricy, as at present taught, by James Blundell ... To which are added, notes and illustrations. By Thomas Castle ... f the positionis not usually discovered in the earlv part of the labor, or even when the first stage is completed,the practitioner being generally satisfied with knowing that it is a presentation oi the head. Butwhen there is an unusual delay, perhaps without any very obvious cause it then becomes aduty to investigate and explore the cause; and it is not a very unfrequent thing to rind theface turned towards the pubes. This position is most
. The principles and practice of obstetricy, as at present taught, by James Blundell ... To which are added, notes and illustrations. By Thomas Castle ... f the positionis not usually discovered in the earlv part of the labor, or even when the first stage is completed,the practitioner being generally satisfied with knowing that it is a presentation oi the head. Butwhen there is an unusual delay, perhaps without any very obvious cause it then becomes aduty to investigate and explore the cause; and it is not a very unfrequent thing to rind theface turned towards the pubes. This position is most readily known by our being able to feel*he greater fontanel in a common examination, though it is also proved by other circumstancesrelating to the features of the face, or various parts of the head, which may be readily discri-minated.—Denmans Midwifery, 7th edit. p. 249. The forehead inclined towards the pubes is the most common of all the wrong presentationsof the head. The following are the indications; the presenting part is not so conical towardsthe arch of the pubes. the bones do not ride one over the other, the scalp does not readily form. THE ART OF DELIVERY. 179 short diameter of the brim, it is not without strong uterine effort and manypains, that the descent is effected, and the bladder, rectum, and vagina areall of them liable to suffer from the severe pressure to which they are sub-jected; besides the face lying forward, you will find that no part of the headlies out under the arch of the pubes, as in ordinary labor, nor does the occi-put lodge itself in the hollow of the sacrum, without that loss of room justmentioned. You may observe, moreover, when the head emerges, that on therectum and perinseum, the occiput must bear most forcibly, and in those casesespecially in which instruments are unskillfully employed, contusions, lacera-tions, and sloughings, will not improbably be produced. To all which wemay add, that, occasioning so much compression, the head is i
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Keywords: ., bookcentury1800, bookidprinciplespracti00, booksubjectobstetrics
