Obstetrics; a Manual for Students And Practitioners

Cover Obstetrics; a Manual for Students And Practitioners
Obstetrics; a Manual for Students And Practitioners
Evans, David James, B. 1868
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Having looseneil the head and secured good flexion, traction is then made with both hands at once, in the axis of the pelvic out- let, until the occiput pivots under the pubes ; then the child's body is carried upward toward the mother's abdomen, this movement being made very slowly and deliberately, to avoid laceration of the perineum. Care must be taken not to fract- ure or dislocate the lower jaw.
Digitized by Google MANAGEMENT OF LABOR IN BEEECH PRESENTATIONS. 241 3. Wigand-Martin method :
...The child's body is held on the left arm, the index-finger of the left hand being inserted into the mouth in order to flex the head. The right hand is then placed on the mother's abdomen over the pubes, so as to secure a firm grasp of the head (Fig. 92). Firm pressure is then Fig. 93.
made with the right hand in the axis of the parturient canal; at the same time traction is made with the left hand, and as the head descends the child's body is elevated toward the mother's ab- domen.
4. Prague method: Having wrap- ped the body in a warm towel, the operator seizes the child's feet with the right hand, the middle finger being placed between the internal malleoli, the index and ring fingers being above the external malleoli.


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