The Place of Version in Obstetrics |
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Accouchements accoucheur advocated Aëtius after-coming head anesthesia baby belly birth body breech presentation brim bring brought Byrthe Cameron canal cephalic version cervix cesarean section child's head chloroform contracted pelvis craniotomy danger delivered by version difficult dilated employing version external extraction feet fetal mortality fetus Figg fingers foot footling forceps French fundus gently gynecology head presentation indicated Infant injury Jour knee left hand legs living child Louise Bourgeois maternal Mauriceau method of version Midwife Midwifery mother and child mother's abdomen multipara natural neck obstetric obstetric practice obstetrician operation Orifice patient pelvis performed perineum placed placenta previa position possible pressure primipara procedure prolapsed cord pubic arch pushed rotated rupture shoulder presentations side Simpson sion Sir James Simpson Soranus stage of labor surgeon tation technic thighs tion traction transverse presentation treatise turn the child twin uterine cavity uterus vagina version is complete vulva woman Womb women
Popular passages
Page 58 - We now apply our fingers upon the top of the shoulder, and our thumb in the opposite axilla, or on such part as will give us command of the chest, and enable us to apply a degree of lateral force. Our left hand is also applied to the abdomen of the patient, over the breech of the fetus. Lateral pressure is...
Page 60 - Introduce the left hand into the vagina as in podalic version; place the right hand on the outside of the abdomen in order to make out the position of the foetus and the direction of the head and feet.
Page 77 - Hospital, New York; Physician - in - Charge of the Babies' Clinic of the Society of the Lying-in Hospital of the City of New York.
Page 58 - Suppose the patient to have been placed upon her back, across the bed, and with her hips near its edge — the presentation to be the right shoulder, with the head in the left iliac fossa — the right hand to have been introduced into the vagina, and the arm, if prolapsed, having been placed, as near as may be, in its original position, across the breast. We now apply our...
Page 60 - This will bring the head down to the os ; then let the head be received upon the tips of the inside fingers. The head will play like a ball between the two hands; it will be under their command, and can be placed in almost any part at will. Let the head then be placed over the os, taking care to rectify any tendency to face presentation.
Page 55 - ... some cases, half an hour's duration. In many instances the first arm brought down is a little painful when moved for a day or two. I confess with humility that I have even broken four arms, which, though they occurred in cases of great pelvic contraction, were attributable to my own mismanagement in pressing over the shaft of the os humeri instead of following its line to the elbow. Should you commit the same error, with similar result, be not too candid to the relatives, but at once by your...
Page 59 - Without any direct action upon the head it gradually approaches the superior strait, falls into the opening, and will, in all probability, adjust itself as a favorable vertex presentation. If not, the head may be acted upon as in deviated positions of the vertex, or it may be grasped, brought into the strait, and placed in correspondence with one of the oblique diameters.
Page 67 - Except in cases of considerable pelvic contraction, the forceps operation may be regarded as comparatively harmless in skilled hands, while internal version is always a serious undertaking involving more or less danger for mother and child, even when performed with the greatest skill. The unpracticed operator is far less likely to do harm with the forceps than with version. Whenever, then, it comes to be a question of choosing between forceps and internal version, the forceps should be selected unless...
Page 55 - I have had but one maternal death where the infant was turned, and that occurred five days after the event, by inflammation of the peritoneum of a patient, who with contracted pelvis, had submitted to the ordeal to produce her sixth fulltimed dead child. " If I be entitled to any credit at all, it is for the candid avowal of a practice, that some, under fear of professional censure, would have adhered to but concealed. " The operation was ancient, but nearly obsolete, and its revival by Dr. Simpson...
Page 60 - It very frequently happens, when the membranes are perfect, that, as soon as the shoulder is felt, the breech and foot come to the os in a moment, in consequence of the tendency of the uterus to bring the long axis of the child coincident with that of its own. Should it, therefore, be difficult to hook down the knee, depress the breech still more, and it will be almost always the case that the foot will be at hand.