The American text-book of obstetrics for practitioners and students . m 25 to 28 centimeters 110 to 11 inches . while that of the flexed headis from SO to 33 centimeters (12 to 131 inches), so thai the closed tist should p:«~s loosely toensure rapid extraction of the after-coming head. 478 AMERICAN TEX1-BOOK OF OBSTETRICS. be sufficiently movable to allow the presenting part to be pushed back. Neither must the fetus be too large. If premature (before twenty-eight weeks) and dead, and macerated, nooperation is likely to be needed. Mostfavorable will be the case wherein thechild is relatively sm


The American text-book of obstetrics for practitioners and students . m 25 to 28 centimeters 110 to 11 inches . while that of the flexed headis from SO to 33 centimeters (12 to 131 inches), so thai the closed tist should p:«~s loosely toensure rapid extraction of the after-coming head. 478 AMERICAN TEX1-BOOK OF OBSTETRICS. be sufficiently movable to allow the presenting part to be pushed back. Neither must the fetus be too large. If premature (before twenty-eight weeks) and dead, and macerated, nooperation is likely to be needed. Mostfavorable will be the case wherein thechild is relatively small, the uterus lax,the cervix open, the membranes intact,and the mother insensitive. Dangers of Internal Version.—Thedangers, as has been said, are ruptureof the uterus from the employmentof undue force, and sepsis caused byuncleanliness, together with laceration,hemorrhage, and shock. The advantages of this method arethe complete control of the fetus andits evolutions which it of Foot.—Before proceeding to operate, we must have a clear idea of. Fig. 261.—Dorso-anterior position: the handis passed directly across the child to seize thenear foot.


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Keywords: ., bookcentury1900, bookdecade1900, booksubjectobstetrics, bookyear1