A textbook of obstetrics . neum, careshould be exercised to moderate the tractive force, otherwise thehead might be violently pulled out through, instead of over, theperineum. When the degree of distention is reached shown infigure 533, the grip on the forceps is changed. The handles areseized in the right hand, as shown in figure 533, the operatorstanding to one side of the patient. Instead, now, of makingtraction, the forceps-handles with each pain are lifted and carriedup over the womans abdomen, very little force being outspread fingers and thumb of the left hand push the head
A textbook of obstetrics . neum, careshould be exercised to moderate the tractive force, otherwise thehead might be violently pulled out through, instead of over, theperineum. When the degree of distention is reached shown infigure 533, the grip on the forceps is changed. The handles areseized in the right hand, as shown in figure 533, the operatorstanding to one side of the patient. Instead, now, of makingtraction, the forceps-handles with each pain are lifted and carriedup over the womans abdomen, very little force being outspread fingers and thumb of the left hand push the headaway from the perineum and guide it upward under the pubicarch. When the pain passes off, the forceps-handles are allowedto sink again. Finally, just before the head emerges, the grip onthe instrument is again changed so that the handles may bealmost laid on the womans abdomen (Fig. 536). Used in thisway there is no better safeguard for the integrity of the perineumthan the obstetric forceps. ; 40 (tjBSTE TRIC OPERA Fig- 533-—The extraction of the head from the vulvar orifice: first stage.
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Keywords: ., bookcentury1800, bookdecade1890, bookidtex, booksubjectobstetrics
