A treatise on the science and practice of midwifery . Third Stage of Bi-polar Version : Seizure of the Knee and PartialElevation of the Head. (After Barnes.) and third positions the steps of the operation should be reversed : thehead is pushed upward and to the right, the breech downward and tothe left. When the position cannot be made out with certainty, it is well TUBXIXG. 465 to assume that it is the first, since that is the one most frequently metwith; and even if it be not, no great inconvenience is likely to the os be not sufficiently open to admit of delivery being concluded,th
A treatise on the science and practice of midwifery . Third Stage of Bi-polar Version : Seizure of the Knee and PartialElevation of the Head. (After Barnes.) and third positions the steps of the operation should be reversed : thehead is pushed upward and to the right, the breech downward and tothe left. When the position cannot be made out with certainty, it is well TUBXIXG. 465 to assume that it is the first, since that is the one most frequently metwith; and even if it be not, no great inconvenience is likely to the os be not sufficiently open to admit of delivery being concluded,the lower extremity can be retained in its new position with one fingeruntil dilatation is sufficiently advanced or until the uterus has perina- Fig. Fourth Stage of Bi-polar Version : Drawing Down of the Legsand Completion of Version. (After Barnes.) nently adapted itself to the altered position of the child ; cither of whichresults will generally be effected in a short space of time. In transverse presentations the same means are to be adopted, theshoulder being pushed upward in the direction of the head, while thebreech is depressed from without. This is frequently sufficient to bringthe knees within reach, especially if the membranes are entire, hut ver-sion is much facilitated by pressing the head upward from with depression of the breech, [f the liquor amnii hasescaped, and the uterus is firmly contracted round the body of the child,it will be found impossible to effect an alteration in its position withoutthe introduction of the hand, and the ordinary method of turning muslbeemployed. The peculiar advantage of the combined process is thaiit in no way interferes with the latter, lor should it not succeed t
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectobstetrics, bookyear1
