Items related to Lectures on the principles and practice of midwifery
Synopsis
This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1862 Excerpt: ...refuses to move, and tl child is strangled, if we can use such a term where there is t respiration. In this dilemma additional aid is hastily summono and the consultant finds all but the head of the child delivere which he is told every effort failed to remove, in consequence of ti contraction of the pelvis! In such cases, the first object of atteii lion is the funis; if it pulsate, it is better at once to apply u vectis in the oblique measurement of the pelvis, opposite to tha in which the head is arrested, to raise the head from its situatioi and to turn it towards the sacro-iliac synchondrosis of the saim side: when this is accomplished, the vectis may be withdrawn and a finger pressed into the mouth of the child to bring dowi the head and complete the delivery. If this be done adroitly, an with promptitude, the child may yet be saved: sometimes the vectis may be dispensed with. It is sufficient to pass two finger; along the cheek to press round the head towards the sacro-ili articulation, and, when the position is thus changed, to deliver a before. If the pulsation in the funis have ceased, there is no ncec for haste; the head may be extracted by the hands alone, or if wedged in the brim, the cranium maybe perforated behind th ear or through the mouth, the crotchet introduced, and the head brought down. Fig. 118. Delivery of head. Hand used as a veciis. Wc have stated, that the natural efforts to deliver breech presentations should not be interrupted until there is some risk f injury either to the perinaeuin or to the child: the time, therelore, for interference, is usually when the breech has passed the rnlva; but there are exceptions to this rule. In some cases, the f»iDs are feeble, end return at long intervals; the child descends nay slowly thr...
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