Obstetrics : a Text-Book for the Use of Students And Practitioners

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I. A.
eminence or the right sacro-iliac synchondrosis. Accordingly, the left mento-iliac anterior and right mento-iliac posterior are the varieties usu- ally observed.
It is generally stated that face presentations do not exist during preg- nancy, but owe their origin to extension of the head at the superior strait at the onset of labour, although Mme. La Chapelle, Naegele, Spiegelberg, Eibemont-Dessaignes, Fieux, and others have described instances in which they were diagnosed during pregnancy
.... These are designated as primary, 246 17 PLATE XII.
First manoeuvre.
Second manoeuvre.
"i ^y y^ Third manoeuvre. Fourth manoeuvre.
PALPATION IN EIGHT MENTO-ILIAC-ANTEEIOE PEESENTATION.
MECHANISiM OP LABOUR IN FACE PRESENTATIONS 24?
in contradistinction to the much more frequent secondary face presenta- tions.
Diagnosis. — In the left mento-iliac anterior variety, palpation gives the following data: First manoeuvre : Second manoeuvre : Third manoeuvre : Fourth manoeuvre Breech in fundus.
Back in the right and posterior portion of the abdomen, and dis- tinctly felt only in its upper portion ; small parts in left and anterior portion of the abdomen.


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