A System of midwifery : including the diseases of pregnancy and the puerperal state . e the brim, especially if the uterus beactive. When the breech has arrived at about the transverse diameter ofthe uterus, the head will have cleared the brim, and the shoulder willbe opposite the os. That is pushed on in like manner as the head, andafter a little further depression of the breech from the outside, the kneetouches the finger, and can be hooked down by it. It very frequentlyhappens, when the membranes are perfect, that, as soon as the shoulderis felt, the breech and foot come to the os in a mome
A System of midwifery : including the diseases of pregnancy and the puerperal state . e the brim, especially if the uterus beactive. When the breech has arrived at about the transverse diameter ofthe uterus, the head will have cleared the brim, and the shoulder willbe opposite the os. That is pushed on in like manner as the head, andafter a little further depression of the breech from the outside, the kneetouches the finger, and can be hooked down by it. It very frequentlyhappens, when the membranes are perfect, that, as soon as the shoulderis felt, the breech and foot come to the os in a moment, in consequenceof the tendency of the uterus to bring the long axis of the child coin-cident with that of its own. Should it, therefore, be difficult to hookdown the knee, depress the breech still more, and it will be almostalways the case that the foot will be at hand. It will, sometimes, render turning more easy if, as soon as the headis above the brim, we pass the outside hand beneath it, and push it upfrom the outside alternately, with the depression of the breech. All this. Bimanual version t stag* XXXI.] BIPOLAR METHOD. 525 can generally be performed in a much less time than I have taken todescribe it, although in some it requires gentle, firm, and steady perse-verance, with such a supply of patience as is always demanded in ob-stetric operations. If the os will only admit one finger, and the footcannot be brought through in consequence, it can yet be retained at theos by pressing it with that finger against the inner surface of the os ;the most convenient part being against the anterior part, because thepubes will assist in supporting the pressure, while, at the same time, inmost persons, unless very stout, the hand pressing externally above thepubes is capable of assisting materially in retaining the leg in that posi-tion, and securing the altered change, ready for us to takeadvantage of it,should the case so require, as soon as the os dilates sufficiently; andthe me
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Keywords: ., bookcentury1800, bookdecade1870, booksubjectobstetrics, bookyear1
