Operative midwifery : a guide to the difficulties and complications of midwifery practice . n on the body. When the presentation isthe head, however, unless the case is left to Nature, one must haverecourse to the cephalotribe or forceps. Usually a sufficient hold canbe obtained with the forceps, but should that not be possible, thecephalotribe must be employed. 1 Winckels Handbuch, Bd. ii., Teil iii., p. 1646. - Tarnier and Budin, Traite de lArt des Accouchenients, 1901, tome p. 28. 3 Precis dObst&rique, 190-4, p. 1008. 104 olKHATIYK MinWIFKIlY Quite recently Ballantyne1 drew attention t
Operative midwifery : a guide to the difficulties and complications of midwifery practice . n on the body. When the presentation isthe head, however, unless the case is left to Nature, one must haverecourse to the cephalotribe or forceps. Usually a sufficient hold canbe obtained with the forceps, but should that not be possible, thecephalotribe must be employed. 1 Winckels Handbuch, Bd. ii., Teil iii., p. 1646. - Tarnier and Budin, Traite de lArt des Accouchenients, 1901, tome p. 28. 3 Precis dObst&rique, 190-4, p. 1008. 104 olKHATIYK MinWIFKIlY Quite recently Ballantyne1 drew attention to the advantage of with-drawing the fluid by spinal tapping. This treatment was suggested hyVan Hueval, and first carried out hy Tarnier in 18<;k. Certainly it isa very simple method, especially if there is a spina bifida. Afteropening into the spinal canal, a silver or gum elastic catheter is passedinto it and pushed up into the cranium (Fig. 57). As there is danger of post-partum haemorrhage with this com-plication, it is advisable to have everything ready for such an Fig, 57.—Removal of the Fluid in Hydrocephalus by Spinal Tapping. (Tarnier and Budin.) In cases of cranial presentations, if the hydrocephalus is detectedearly in labour, before the os is dilated, the head should be puncturedand the further progress of the labour left to Nature. Meningocele and Encephaloeele. Such localized tumours of thehead are occasionally encountered. The accompanying illustration(Fig. 58) of a fietus, delivered at the .Maternity Hospital, is anexample of the latter. They appear along the sutures, but especially 1 Edin. Obstet. Trans., 190;), vol. xxx., p. 20. MALFORMATION OF THE FfKTUS 105 it the fontanelles, and more particularly the posterior rarely cause trouble at birth, for, although the sac is sometimes}f large size, it is lax, and becomes stretched or flattened out duringlabour. They frequently, however, as in the case illustrated, causealteration in a
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