Practical midwifery; handbook of treatment . hanism of spontaneous evolution. Of course,during this whole joroeess the most careful counter-pressure mustbe maintained at the fundus. In simple cases a lorolajDsed arm may be used as a convenienthandle by which to push up the shoulder, and in all cases it iswell to begin the operation by noosing a fillet around the pro- OBSTETRIC SURGERY. 179 lapsed wrist. This answers a double purpose: it may be used, atfirst to draw the arm out of the way of the operating hand; and,secondly, during the process of extraction slight tractions on thefillet will pr
Practical midwifery; handbook of treatment . hanism of spontaneous evolution. Of course,during this whole joroeess the most careful counter-pressure mustbe maintained at the fundus. In simple cases a lorolajDsed arm may be used as a convenienthandle by which to push up the shoulder, and in all cases it iswell to begin the operation by noosing a fillet around the pro- OBSTETRIC SURGERY. 179 lapsed wrist. This answers a double purpose: it may be used, atfirst to draw the arm out of the way of the operating hand; and,secondly, during the process of extraction slight tractions on thefillet will prevent the extension of that arm, and thus greatlyfacilitate the delivery; but care must be taken to remove thenoose as soon as possible, for cases are on record in which slough-ing of a member has followed the too prolonged or violent use ofa fillet. In the search for a foot two methods may be used. The handwhich corresponds to the position—^. e., right position, right hand—may be passed along the back and over the buttocks to the thigh. Fig. 39.—Indirect Method of Seizing a Foot (Lusk). and leg (Fig. 39); or the other hand may be passed across the ab-domen and directly to the feet (Figs. 40 and 41). The first is thesurest way, and should, as a rule, be preferred, but the lattermethod is often the easiest, especially in abdomino-anterior posi-tions. When the foot is once reached, the remainder of the operation,in easy cases, differs in no way from that already described underHead Presentations. Much has been written on the advantage to be gained by se-lecting the superior foot, in version for transverse presentation;but as this view has never obtained much credence outside ofEngland, and as the latest British authority, Gralabin, not onlydisapproves of this practice but gives a very convincing mechani- 180 PRACTICAL MIDWIFERY. eal proof of the fallacy of the theory which prompted it, the sub-ject need be no more than mentioned here. Unless special care be taken to select
Size: 1550px × 1612px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1890, booksubjectmidwifery, bookyear18
