A manual of practical obstetrics . Reposition of cord. (After Wit- KOWSKI.) Brauns reposition of cord. KOWSKI.) (WlT- end of the catheter, when the ends of the tape, passing alongthe shaft of the catheter, are drawn tight enough to holdfunis, etc. Stylet to be used for introducing it, and withdrawnafterward, leaving catheter, etc., in utero. (See Fig. 136.)A flat piece of whalebone, having an eye near one end, throughwhich a loop of tape may be threaded, has been also employed PKOLAPSE OF FUNIS. 351 in a somewhat similar manner, and, after reposition, left in tillthe completion of labor. Other
A manual of practical obstetrics . Reposition of cord. (After Wit- KOWSKI.) Brauns reposition of cord. KOWSKI.) (WlT- end of the catheter, when the ends of the tape, passing alongthe shaft of the catheter, are drawn tight enough to holdfunis, etc. Stylet to be used for introducing it, and withdrawnafterward, leaving catheter, etc., in utero. (See Fig. 136.)A flat piece of whalebone, having an eye near one end, throughwhich a loop of tape may be threaded, has been also employed PKOLAPSE OF FUNIS. 351 in a somewhat similar manner, and, after reposition, left in tillthe completion of labor. Other methods of using the catheter,tape, and stylet are shown in Figs. 137, 138 and 139, which Fig. 137. Fig. 138. Fig. Other methods of reposition of cord. explain themselves. Ketention of a replaced funis has beensecured by attaching to the cord a collapsed elastic bag orpessary, having a tube by which it may be inflated, after in-troduction into the uterine cavity—so-called ballooning thecord. 352 PROLAPSE OF FUNIS. When reposition fails, as it is often wont to do, the nextelement of treatment, generally speaking, is speedy delivery;or, when circumstances render this impracticable it may beattempted to place the cord where it will receive a minimum([mount of pressure. Thus, when the occiput is placed at oneof the acetabula. the loop of the cord should be put near thesacro-iliac synchondrosis of the same side. In breech pres-entations put it near the sacro-iliac synchondrosis whichcorresponds to the anteroposterior diameter of the breech. Speedy delivery may be secured by forceps, when the os isdilated and the head sufficiently low. When forceps are not available, the next alternative isversion by
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