A theoretical and practical treatise on midwifery : including the diseases of pregnancy and parturition and the attentions required by the child from birth to the period of weaning . ir-cumstances; but, notwithstanding the greatauthority of their names, cases of this kindmay well be dreaded when such a man asDewees has always failed in the operation ! In fact, what a series of difficultiesare here met with ! Thus, not to speak of the obstacle to the operation causedby the trunk filling up the vulvar orifice, we must remark : 1. That, whenthe head is lodged transversely with regard to the pelvi
A theoretical and practical treatise on midwifery : including the diseases of pregnancy and parturition and the attentions required by the child from birth to the period of weaning . ir-cumstances; but, notwithstanding the greatauthority of their names, cases of this kindmay well be dreaded when such a man asDewees has always failed in the operation ! In fact, what a series of difficultiesare here met with ! Thus, not to speak of the obstacle to the operation causedby the trunk filling up the vulvar orifice, we must remark : 1. That, whenthe head is lodged transversely with regard to the pelvis, as frequently happens,the forward inclination of the upper strait makes it impossible to apply theblades on the sides of the head; 2. That the vertical diameter of the head willnecessarily be placed in the direction of the axis of the blades, and that thelatter will consequently be applied upon the two extremities of a long diameter,—a circumstance tending strongly to defeat the operation; 3. That on account ofthe elevation and position of the head, it is often imperfectly grasped by theinstrument, which is. liable, upon the first tractions, to slip and wound the parts52. Application of the forceps where thehead is retained after the delivery of thebody. , 818 DYSTOCIA. of the mother. It is, however, the extreme resource, and must be attemptedwhenever tractions, as strong as are compatible with the life of the child, haveproved unavailing. The rules for its accomplishment are very simple; namely, to carry the trunktowards the part corresponding with the occiput; to depress the chin as much aspossible, with a view of diminishing the extension of the head; to enter theblades on the side of the pelvis; and, lastly, to operate, as far as practicable, inthe direction of the pelvic axes. Should the base of the cranium present after the accidental or designed sepa-ration of the head from the body, it would be proper, provided the pelvis werewell formed, to apply the forceps, afte
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Keywords: ., boo, bookcentury1800, booksubjectmidwifery, booksubjectobstetrics
