A manual of obstetrics . ters, or funis; prolapseof the cord; and injuryduring obstetric manip-ulations. Maternal deathresults from exhaustion,rupture of the uterus,hemorrhage, or sepsis. Ifthe transverse presenta-tion be corrected prior tothe onset of labor or be-fore engagement of thepresenting part have oc-curred, the risks to themother are but slight, pro-vided no serious condi-tions, as a grave pelvic deformity or abnormal growths, bepresent. Treatment of Trunk Presentations.—The treatment willvary according to the stage of the labor, i. If the womanbe seen before labor, immediate externa
A manual of obstetrics . ters, or funis; prolapseof the cord; and injuryduring obstetric manip-ulations. Maternal deathresults from exhaustion,rupture of the uterus,hemorrhage, or sepsis. Ifthe transverse presenta-tion be corrected prior tothe onset of labor or be-fore engagement of thepresenting part have oc-curred, the risks to themother are but slight, pro-vided no serious condi-tions, as a grave pelvic deformity or abnormal growths, bepresent. Treatment of Trunk Presentations.—The treatment willvary according to the stage of the labor, i. If the womanbe seen before labor, immediate external cephalic version isindicated: the corrected longitudinal position of the fetusmust then be preserved by the application of pads in frontof and behind the fetal head; these pads must be held inplace by an abdominal binder. 2, If labor have begun andthe membranes be still intact, cephalic version may be triedby the external or by Baudelocques method. 3. If themembranes have ruptured, cephalic version by the combined 30. Fig. 130.—Spontaneous evolution, second andrare form of mechanism, known as birth withdouble body (one-sixth natural size, redrawnfrom Kiistner). 466 A MANUAL OF OBSTETRICS. method may be attempted, or, this faiHng, podalic versionis to be resorted to. 4. In case of impaction of the shoulderthe fetus must be decapitated, or removed by some otherform of embryotomy. Version, or Turning.—By this term is meant an obstetricoperation whereby, chiefly by manual efforts on the part ofthe accoucheur, the position of the fetus /// 7ttero is alteredso that one extremity of the fetal ellipse is made to take theplace occupied by the other extremity or by some portionof the trunk. Varieties.—There are described three mainvarieties of version : (i) Cephalic, that in which the fetus isso turned as to cause a presentation of the head; {2) pelvic,that in which the breech is caused to present at the superiorstrait; (3) podalic, that in which one or both feet are graspedand
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectobstetrics, bookyear1
