. Lectures on natural and difficult parturition . must be at once released, and re-main so until the succeeding pain, when the same steady trac-tion may be renewed. Thus you will generally succeed inbringing the head through the opposing part of the pelvis, andas it advances more easily and approaches the perineeum, againrecollect to leave it as much as possible to the efforts of theuterus. While the head is thus drawn through the pelviccavity, you should bear in mind the direction in which it mustpass; that when the forceps is in the axis of the pelvic cavity,the shank of the handles would li
. Lectures on natural and difficult parturition . must be at once released, and re-main so until the succeeding pain, when the same steady trac-tion may be renewed. Thus you will generally succeed inbringing the head through the opposing part of the pelvis, andas it advances more easily and approaches the perineeum, againrecollect to leave it as much as possible to the efforts of theuterus. While the head is thus drawn through the pelviccavity, you should bear in mind the direction in which it mustpass; that when the forceps is in the axis of the pelvic cavity,the shank of the handles would lie between the tubera ischii,but when the head is in the hollow of the sacrum, the handles?would then be directed forwards towards the pubis. Youshould therefore first draw, with a waving motion, directlytowards you, and as the head advances, direct the handlesforwards. It is necessary also to observe the rotation of thehead in its lateral direction from the oblique towards the antero-posterior measurement of the pelvis. At the same time, it is. Application of Dr. Radfords forceps when the head is fixed in the brim, etc. MODE OF APPLYING THE FORCEPS. 199 advisable rather to follow than to guide the direction of thehead in its progress, because, as it descends, it will naturallychange its position, which might be prevented by the operatorsawkardness in holding the forceps, and attempting too hastilyto turn it. The operation when the head is fixed in the brim of the pelvisdiffers from either of the preceding operations. The blades areapplied over the occiput and face of the child, and not over theears. This may easily be done in the case to which we haveconfined this application of the forceps; but it would appear to usextremely difficult and dangerous to do so in other deformities ofthe brim of the pelvis. Two fingers, and as much as possible ofthe right hand, should be passed behind the trochanter, towardsthe centre of the ilium, on the superior side of the pelvis, and ifthe ant
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Keywords: ., bookcentury1800, bookdecade1840, bookidlec, booksubjectobstetrics
