. A system of obstetrics . Met in id ot Extraction when the Chin i- arrested at the Symphysis (Chailly Bonabdomen, the neck pivots npmi the fingers of the left hand, and the head is -helled out of the pelvis (Fig, 95). It the head is extended, the eliin pointing forward and arrested ;il the symphysis, while the occiput lies in the hollow of the sacrum, thebody of the child should he carried upward during traction and theocciput made to rotate over the perineum (Fig. 961 240 VERSION. (4) Wigand-Martin1 Method.—This method consists of combinedextraction and expression. The hand whose palmar surf
. A system of obstetrics . Met in id ot Extraction when the Chin i- arrested at the Symphysis (Chailly Bonabdomen, the neck pivots npmi the fingers of the left hand, and the head is -helled out of the pelvis (Fig, 95). It the head is extended, the eliin pointing forward and arrested ;il the symphysis, while the occiput lies in the hollow of the sacrum, thebody of the child should he carried upward during traction and theocciput made to rotate over the perineum (Fig. 961 240 VERSION. (4) Wigand-Martin1 Method.—This method consists of combinedextraction and expression. The hand whose palmar surface, whenmidway between pronation and supination, corresponds to the abdom-inal surface of the child is passed into the vagina along the posteriorwall until the tips of the first and second fingers reach and are insertedinto the childs mouth ; a firm hold is taken on the lower jaw, by whichthe head can be flexed and drawn down. The other hand seizes the Fig. Wigand-Martin Method (Winckel). occiput through the abdominal walls and exerts powerful pressure inthe direction of the axis of the superior strait. By this method, Winckelsays, one can bring the head of a full developed child through a con-jugate diameter of only 6 cm. in the short space of 15-75 seconds. For this reason, continues Winckel, the method will surely in ashort time displace all others. (5) Forceps.—Manual extraction having failed, the forceps shouldbe tried as a last resort. Considerable difference of opinion exists asto the utility of the forceps in the delivery of the after-coming strongly by such men as Smellie, Busch, Rigby, and Meigs, 1 See Wigand, Beitraye zur iheor. und prakt. Geburtshiilfe, Heft 2, Hamburg, 1800;Mme. Lachapelle, Pratique des Accouchemens, Paris, 1821, t. i. pp. 337, 338; K. Ruge,Zeitsch. f. Geburtsh. u. Frauenkr., v. E. Martin, i. p. 82, 1876; Champetier de Ribes,Du passage de la tetefoetale d. travers le detroit superieure retrc
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectobstetrics, bookyear1
