The practice of obstetrics, designed for the use of students and practitioners of medicine . ly rely on two points in making the diagnosis ofpresentation at this time. First, the shape of the childs head; and, second, theposition of the caput succedaneum. When labor has been rapid, when there hasbeen no caput, and when little or no moulding has occurred, there is nothing bywhich we may be enabled to express a positive opinion, and there is nothing inthe genital canal of the woman to aid us in making our diagnosis. Prognosis.—Vertex presentation offers the best prognosis for both motherand chil
The practice of obstetrics, designed for the use of students and practitioners of medicine . ly rely on two points in making the diagnosis ofpresentation at this time. First, the shape of the childs head; and, second, theposition of the caput succedaneum. When labor has been rapid, when there hasbeen no caput, and when little or no moulding has occurred, there is nothing bywhich we may be enabled to express a positive opinion, and there is nothing inthe genital canal of the woman to aid us in making our diagnosis. Prognosis.—Vertex presentation offers the best prognosis for both motherand child, but it varies slightly with the position,—the anterior being more favor-able than the posterior, since in the latter cases the labors are generally longer andmore difficult, while the forceps is necessary about once in seven cases. The softparts are more frequently torn. The maternal mortality is less than i per cent,when the case is intelligently managed. The fetal mortality is 5 per cent, in ante-rior vertex positions, and is increased to over 9 per cent, in posterior Fig. 608.—The Palpation of the Anterior orLowest Ear of the Fetus as a Means of Posi-tive Diagnosis of the Position. THE MANAGEMENT OF OF VERTEX POSITIONS. 463 Position of Fetus. Position of FetalHhart-sounds. Left occipito-anterior, Occiput to left acetabulum, forehead to Below and to the left ofL. O. A. right sacro-iliac joint; back to left; umbilicus. extremities to right, above. Right occipito-ante- ^ Occiput to right acetabulum, forehead Near median line, belowrior, R. O. A. to left sacro-iliac joint; back to right; umbilicus, extremities to left, above. i Right occipito-poste-rior, R. O. P. Left occipito-poste-rior, L. O. P. Occiput to right sacro-iliac joint, fore-head to left acetabulum; back in rightflank; extremities to left, anteriorly. In right flank, below atransverse line throughumbilicus. Occiput to left sacro-iliac joint, forehead I In left flank, below a to r
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectobstetrics, bookyear1
