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. 1873 Excerpt: ...the interior, and the shoulder is pushed into the right side of the mother. Here also the external pressure upon the head with the right hand can never be dispensed with. /3. Turning by the breech.--In general, turning by the breech is then indicated when, the os being slightly dilated, cephalic version was originally ...
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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. 1873 Excerpt: ...the interior, and the shoulder is pushed into the right side of the mother. Here also the external pressure upon the head with the right hand can never be dispensed with. /3. Turning by the breech.--In general, turning by the breech is then indicated when, the os being slightly dilated, cephalic version was originally intended, and this has become impracticable, because the head is too far away from the inlet. Under such conditions a transverse or oblique position is usefully converted into a breech presentation. If alteration of the posture of the woman or external manipulations alone suffice, turning by the breech may be tried. But if internal manipulations are necessary, it is always better to bring one foot down into the vagina. The breech position has hardly any advantages over an incomplete foot position, and when the breech has entered the pelvis a speedy extraction may become impossible, whilst this can easily be done by one foot. At the time when the breech is made to engage in the brim, it cannot be said with certainty whether speedy extraction will be necessary or not, and since after the descent of the breech a foot cannot possibly be brought down, it is certainly always for the interest of the child to turn by one foot. In exceptional cases, where the hand cannot reach the feet at all, or only with the greatest difficulty, as when a transverse position has persisted too long, it then becomes a necessity to turn by the breech. Betschler says that in the live child, even in very difficult cases, the breech can be brought to the brim by a finger hooked on the perineum, and Schmitt recommends bringing the breech downwards by leverage movements. In the dead child, and when the shoulder is not too low down, the breech can be brought down by hooking o...
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