. The science and art of midwifery. Operations, Am. ed., p. 210. f The combined traction upon the chin and shoulders is in Germany known as theSmellie-Veit modified method, the latter having warmly advocated the measure in , however, long before spoke of its adoption in France, and attributed its introduc-tion to Mme. La Chapelle. 388 OBSTETRIC SURGERY back of the child should rest upon the arm. With one or two fingersof the other hand the chin should be flexed. Tractions should be madedownward, so that while the neck rests upon the perinagum the fore-head rotates under the symphys
. The science and art of midwifery. Operations, Am. ed., p. 210. f The combined traction upon the chin and shoulders is in Germany known as theSmellie-Veit modified method, the latter having warmly advocated the measure in , however, long before spoke of its adoption in France, and attributed its introduc-tion to Mme. La Chapelle. 388 OBSTETRIC SURGERY back of the child should rest upon the arm. With one or two fingersof the other hand the chin should be flexed. Tractions should be madedownward, so that while the neck rests upon the perinagum the fore-head rotates under the symphysis pubis. Ordinarily, when the head enters the pelvis in a transverse direc-tion, the occiput rotates to the symphysis pubis during the head, however, remain with its long diameter in the trans-verse diameter of the pelvis, a hand introduced into the vagina, withthe back to the sacrum and the fingers over the childs face, may some-times be successfully employed to rotate the latter into the sacral con-cavity. -1. Fig. 176.—Combined traction upon mouth and shoulders. (Chailly-Honore.) 2. Extraction with the Head at the Brim.—Schroeder, and a con-siderable portion of the modern German school, employ combinedtraction upon the shoulder and chin for all emergencies alike, whetherthe head be high, or after its entrance into the pelvis. As, however,the life of the child depends upon the speedy extraction of the head,it is well to become familiar with the various procedures, as, by pass-ing rapidly from one to another, a successful result is often obtained,when failure might have followed ineffectual efforts in a single direc-tion. The Prague Method owes its modern name to the advocacy of Ki-wisch, Scanzoni, and Lange, all representatives of the Prague was, however, nearly a century earlier described by Pugh. It con-sists in seizing the feet with one hand, and directing the body of thechild nearly vertically downward. The fingers of the other hand arehoo
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