The Accoucheur's Vade Mecum V. 2

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But when the waters have been Jong discharge, the uterus contracted, and the case requires speed ; an artificial re- laxation must be induced, by giving a large opiate, and r=elivery promoted when the atonic state of that organ commences.
Situation of the Fcetus^ When~it is known that an arm presents, a practitioner ought to find out the particular position of the fcetus, and situation of its feet ; for which there are several rules.
First, If we carry our hand along the inner side of the arm,
...it will lead to the breast, neck, and head; along the outer side, to the scapula and back.
Seco d, In most cases the feet are found in the forepart of the uterus, towards the navel of the mother. But their situation may be better known by examining the presentation ; PRETERNATURAL LABOR. 89 when we ascertain the shoulder, we know, that if the scapula be felt at the sacrum, the feet will be towards the belly.
Third, If the arm be in the vagina, or a hand protrude through the os externum, the palm will be directed towards the inferior ex- tremities ; but, Fourth, We should identify which hand presents.


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