A System of midwifery : including the diseases of pregnancy and the puerperal state . irmly grasped by the womb as to render theoperation unusually difficult, the woman must be put under the influ-ence of chloroform, and a fillet attached by a running noose above theankle (see chap, xxxii), when steady traction upon this, combinedwith pushing up the arm, and with the further aid of external manip-ulation, to be afforded by an assistant, will usually effect the the cord have formed one of the elements of the original pres-entation, great attention must be paid to it, in order, if
A System of midwifery : including the diseases of pregnancy and the puerperal state . irmly grasped by the womb as to render theoperation unusually difficult, the woman must be put under the influ-ence of chloroform, and a fillet attached by a running noose above theankle (see chap, xxxii), when steady traction upon this, combinedwith pushing up the arm, and with the further aid of external manip-ulation, to be afforded by an assistant, will usually effect the the cord have formed one of the elements of the original pres-entation, great attention must be paid to it, in order, if possible, thatit should retreat into the uterine cavity along with the superior ex-tremity ; failing which, it should be guided into that part of the pelviswhere it is least likely to be exposed to injurious pressure. The case,otherwise, is to be managed as an ordinary footling presentation, anddelivery sloAvly or rapidly effected according to the urgency of the symp-toms and the other attendant circumstances. Positions more complicated still may be, although rarely, Case of complicated presentation. We may have, for example, the Hand and Foot presenting along withthe Head, or we may have, as in the case which is represented in theaccompanying engraving, a presentation of the Head, Hand, Foot, and XXI.] PROLAPSE OF THE CORD. 355 Cord. All such cases are to be managed on similar principles by theperformance of podalic version. In the case in question, the whole ofthe presenting parts were tightly jammed in the pelvis, the child firmlyembraced by the uterus, and the cord flaccid and pulseless, before itwas brought uuder our observation. The woman had previouly borneseveral children at the full term. Although greatly exhausted by afruitless labor of many hours duration, her pulse was of tolerablestrength ; and it was resolved, after the administration of some stimu-lants, at once to proceed to the operation. Version was, however, inthis instance, effected with extre
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Keywords: ., bookcentury1800, bookdecade1870, booksubjectobstetrics, bookyear1
