A manual of practical obstetrics . wo parts of the operation, hold thehand still, relaxed, and flat, and thus avoid risk of rupturinguterine wall with the knuckles. Operation.—The woman is placed on her back, the hipsbrought to the edge of the bed, the legs properly supported;the operator sits between them on a low seat. If the womb isfirmly contracted and wraters discharged, complete anaesthesiais required. • Bare the arm to above the elbow, and anoint it with vase-line or lard, etc., on all parts except the hands palm. Usethe hand whose palm corresponds to the abdomen of the child,viz., in t
A manual of practical obstetrics . wo parts of the operation, hold thehand still, relaxed, and flat, and thus avoid risk of rupturinguterine wall with the knuckles. Operation.—The woman is placed on her back, the hipsbrought to the edge of the bed, the legs properly supported;the operator sits between them on a low seat. If the womb isfirmly contracted and wraters discharged, complete anaesthesiais required. • Bare the arm to above the elbow, and anoint it with vase-line or lard, etc., on all parts except the hands palm. Usethe hand whose palm corresponds to the abdomen of the child,viz., in the L. O. A. and L. O. P. positions, the left hand; inthe P. O. A. and R. O. P. positions, the right hand. The finger-ends are brought to a cone over the end of the 238 VERSION OR TURNING thumb, and the hand introduced into the vagina (with a slightrotatory movement, if necessary) in the axis of the pelvicoutlet, its back toward the sacrum. The finger-ends andhand are then pressed on into the os uteri, the elbow being Fig. 0 Podalic version, grasping the feet. depressed toward the perineum so as to bring the hand in linewith the axis of the brim, while the other hand rests outside,making support and counter-pressure upon the fundus. With the thumb between the head and pubes, and the fourfingers between the head and sacrum, the head is grasped andlifted out of the way, on the shelf of that iliac fossa towardwhich the occiput points. The wrist resting against the fore-head keeps it there, while the hand goes on up to grasp the INTERNAL VERSION, 239 feet, the other hand continuously supporting the fundus (seeFig. 97, page 238). The feet (one, or both if possible) are then drawn down,while the other hand depresses the breech, which begins thesecond step, or turning the child (see Fig. 98). As it gets Fig. 98.
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Keywords: ., bookcentury1800, bookdecade1890, bookpublisherphila, bookyear1895
