. Chicago medical journal . fossa,the forehead resting upon the pubis, at the right of the sym-physis ; the head was strongly extended, the back archedupward, and to the extreme left was a foot (apparently theright), with the heel directed inward. Between head and footwas a wide space, in which the hand could be freely moved,occupied solely by a pulsating loop of the umbilical cord. Efforts at flexing and votating the head proved futile; neither 754 DYSTOCIA. was it possible to draw down the foot to any considerable Jones was sent for at 8 A. M. Thus far our able house-physician, Dr
. Chicago medical journal . fossa,the forehead resting upon the pubis, at the right of the sym-physis ; the head was strongly extended, the back archedupward, and to the extreme left was a foot (apparently theright), with the heel directed inward. Between head and footwas a wide space, in which the hand could be freely moved,occupied solely by a pulsating loop of the umbilical cord. Efforts at flexing and votating the head proved futile; neither 754 DYSTOCIA. was it possible to draw down the foot to any considerable Jones was sent for at 8 A. M. Thus far our able house-physician, Dr. N. Senn, narrates thecase. Upon my arrival, at noon, the patient was found to be in anirritable condition, her pains severe; pulse one hundred andtwenty; tongue dry; otherwise apparently in statu quo. Chloroform being now administered by Dr. Senn, I proceededto verify the diagnosis already made, and, with additionalassistance from Drs. D. S. Root and Miller, to deliver thepatient by such method as might be most The accompanying diagram illustrates very nearly the posi-tion then occupied by the foetus. Agreeing in essentials withthe statements before made, the degree of extension of thehead present, taken coincidentally, with the posterior relationsof the vertex secured, to favor podalic version rather than aforceps delivery. Both feet were now firmly grasped, and an effort made, aidedby external manipulation, to rotate the body on its transverse DYSTOCIA. 755 axis, in elevating the head and depressing the pelvic extremity,as well as, longitudinally, to turn the back of the child towardthe front of the mother. This complex attempt was successfulonly in the substitution of an anterior for a posterior rotatingof the trunk. The descent of the foetus upon the latter procedure, was asrepresented in figure second.
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Keywords: ., bookcentury1800, bookdecade1860, booksubjectmedicine, bookyear186
