Operative midwifery : a guide to the difficulties and complications of midwifery practice . os is fullydilated. No fcetus, showing cardiac embarrassment, could be ex-tracted alive unless the parturient canal was, at the commencementof the operation, sufficiently dilated to allow of the child passing, orunless the operator was prepared to make deep incisions in theservix. The foot is to be grasped in the manner shown (Fig. 31), and iftraction is made upon both feet they are best held with one fingerbetween, to prevent them chafing. The attachment of a fillet is seldomnecessary. The line of trac
Operative midwifery : a guide to the difficulties and complications of midwifery practice . os is fullydilated. No fcetus, showing cardiac embarrassment, could be ex-tracted alive unless the parturient canal was, at the commencementof the operation, sufficiently dilated to allow of the child passing, orunless the operator was prepared to make deep incisions in theservix. The foot is to be grasped in the manner shown (Fig. 31), and iftraction is made upon both feet they are best held with one fingerbetween, to prevent them chafing. The attachment of a fillet is seldomnecessary. The line of traction should be well back, so as to be 58 OPERATH E MIDWIFERY exerted as nearly as possible in the a\ of the brim. ()nce t be knee isborn, the operators hand should be passed over the thigh so that thelatter rests in his fingers, while his thumb is applied over it- dorsalaspect (Fig. ;{2). When the posterior buttock distends the pelvic fl >or,the leg on which the traction is being made should be pulled ! need be a finger may be passed into the fold of the other thigh, so-. <\ Fig. 31.—The Manner of grasping the Foot. that a little more traction can be exerted (Fig. 83). There should,however, be no attempt at pulling down the leg, which is still alongthe side of the trunk, until the foetal pelvis is completely born. Thenit can be dislodged by passing the lingers up to the bend of the knee,and sweeping the lower part of the leg over the lower part of thetrunk. All this time delivery of the breech may be much facilitated by BREECH PRESENTATIONS 5!r< a nurse or assistant exercising pressure on the uterus. This, however,must be done during the uterine contractions; it is profitless to applyit in the intervals. Both legs being now down, traction on the trunk should be carriedout by applying the thumbs over the dorsal aspect of the fatal pelvis,
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Keywords: ., bookcentury1900, bookdecade1910, bookpubli, booksubjectobstetrics
