The practice of obstetrics, designed for the use of students and practitioners of medicine . terior superiorangle of the left parietal bone,sometimes overlapping the frontalsuture; in left occipito-posteriorpositions we find the caput uponthe anterior superior angle of theright parietal bone, also often over-lapping the frontal suture. In in-stances of a moderately rapid labor up to the time the head reaches the pelvicfloor, and in instances in which the internal rotation of the head has been com-plete and the head is detained for a long period at the vaginal outlet, a large caputsuccedaneum o


The practice of obstetrics, designed for the use of students and practitioners of medicine . terior superiorangle of the left parietal bone,sometimes overlapping the frontalsuture; in left occipito-posteriorpositions we find the caput uponthe anterior superior angle of theright parietal bone, also often over-lapping the frontal suture. In in-stances of a moderately rapid labor up to the time the head reaches the pelvicfloor, and in instances in which the internal rotation of the head has been com-plete and the head is detained for a long period at the vaginal outlet, a large caputsuccedaneum often forms directly in the median line over the sagittal suture, andthus possibly obscures the diagnosis. 2. Engagement and Descent of the Head (Fig. 586).—It must be rememberedthat flexion, engagement, and descent of the head are often completed beforelabor actually sets in, this being specially true of primigravidae (see Engagementand Descent, page 441). In these cases of ante-partum engagement and descent,head-flexion is completed or emphasized in the transit of the head through the. Fio. 578.—Diagram showing the Relation ofTHE Lever-like Action of the Head to theFetal Axis. 454 PHYSIOLOGICAL LABOR. MOULDING IN VERTEX POSITIONS


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectobstetrics, bookyear1