The American text-book of obstetrics for practitioners and students . ng,not whether possibly it might not be delivered after a time by some othermeans. When ordinary measures have failed and the childs life is in im-minent danger, the forceps should be tried. The old rule is to apply theblades along the childs abdomen ; if the occiput is to the front, the childsbody is lifted up over the pubes and the blades are applied to the head frombeneath (Fig. 214); if the face is to the front, the childs body is carried backover the perineum and the blades are applied from above. Traction is madein the
The American text-book of obstetrics for practitioners and students . ng,not whether possibly it might not be delivered after a time by some othermeans. When ordinary measures have failed and the childs life is in im-minent danger, the forceps should be tried. The old rule is to apply theblades along the childs abdomen ; if the occiput is to the front, the childsbody is lifted up over the pubes and the blades are applied to the head frombeneath (Fig. 214); if the face is to the front, the childs body is carried backover the perineum and the blades are applied from above. Traction is madein the direction that will secure speediest delivery. It will sometimes befound more convenient to reverse the rule and to apply the blades along thechilds back, especially if the perineum is very long and rigid. The best planis to apply the blades wherever there is most room. The application of for-ceps to the after-coming head is the only means of saving the child when thecervix has retracted about the neck and resists all efforts to deliver by trac-tion upon the Fig. 214.—Forceps extraction of the after-coming head: the arrows showthe direction of traction. OBSTETRIC SURGERY. 129 / iln Severed Mead.—When decapitation has been performed, il is some-times difficult to deliver the head. If an assistant brings the head down overthe brim and hold- it firmly there, the operator can generally pass hi- handinto the uterus and guide the blades over the head until they grasp ii musl be taken thai no spicules of bone protrude to lacerate the parturientcanal during extract ion. Application of Forceps in H>< Ijeft-lateral Position (English Method).—Thepatient is placed across the bed, lying on her lefl Bide, with both knees drawn
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectobstetrics, bookyear1
