A treatise on the science and practice of midwifery . r pressed on the body of the child than on theuterus. If the pains be strong, much inconvenience may be felt fromthe compression; and, were the onward movement continued, or thehand even kept bent in the conical form in which it was introduced,rupture of the uterine Avails might easily be caused. This is notlikely to occur in the class of cases now under consideration, for itis chiefly when the waters have long escaped that the progress of thehand is a matter of difficulty. Valuable assistance may now be givenby pressing the breech downward
A treatise on the science and practice of midwifery . r pressed on the body of the child than on theuterus. If the pains be strong, much inconvenience may be felt fromthe compression; and, were the onward movement continued, or thehand even kept bent in the conical form in which it was introduced,rupture of the uterine Avails might easily be caused. This is notlikely to occur in the class of cases now under consideration, for itis chiefly when the waters have long escaped that the progress of thehand is a matter of difficulty. Valuable assistance may now be givenby pressing the breech downwards from without, so as to bring theknees or feet more easily within the reach of the internal arrived at the knees or feet, they may be seized between the TURNING 453 fingers, and drawn downwards in the absence of a pain (Fig. 147).This will cause the foetus to revolve on its axis, the breech will de-scend, and, at the same time, the ascent of the head may be assistedbv the right hand from without. It is a question with many ac- Fio. Seizure of the Feet when the Hand is Introduced into the Uterus. coucheurs which part of the inferior extremities should be seizedand brought down. Some recommend us to seize both feet, othersprefer one only, while some advise the seizure of one or both a simple case of turning, before the escape of the waters, it doesnot much matter which of these plans is followed, since version isaccomplished with the greatest ease by any one of them. The seizureof the knee, however, instead of the feet, offers certain advantageswhich should not be overlooked. It is generally more accessible,affords a better hold (the fingers being inserted in the flexure of theham), and, being nearer the spine, traction acts more directly on thebody of the child. Any danger of mistaking the knee for the elbowmay be obviated by remembering the simple rule that the salientangle of the former looks towards the head of the child, of the lattertowards its f
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Keywords: ., bookcentury1800, bookdecade1870, bookidtre, booksubjectobstetrics
