Dr. Conquest's outlines of midwifery : intended as a text-book for students, and a book of reference for junior practitioners.

  • Conquest, Dr.
Date:
1854
Catalogue details

Licence: Public Domain Mark

Credit: Dr. Conquest's outlines of midwifery : intended as a text-book for students, and a book of reference for junior practitioners. Source: Wellcome Collection.

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    pelvis, witli the occiput to the syinphysis pubis. This, it will be recollected, is the most favourable position; but exhaustion, haemorrhage, convulsions, want of room, and other circumstances, may justify the em- ployment of the forceps. [When the head is impacted in the cavity of the pelvis, the forceps cannot be used without great risk of injuring the mother. It is when the head is simply arrested that the forceps is indicated in presentations of this description. — J. M. W.] In this position of the head, the lower blade should be applied first, with its concavity corresponding to the convexity of the head, the extremity of the blade directed backwards towards the promontory of the sacrum, and consequently the handle pointing for- wards. The upper blade having been passed by the right hand, in a corresponding direction, attention to the rules already laid down will enable the ac- coucheur to conduct this case to a favourable ter- mination. 2. The ears may have the same relation to the cir- cumference of the pelvis as in the former case, the occiput being in the hollow of the sacrum. In this position of the head, the presenting part will not be so conical towards the symphysis pubis; the bones of the cranium will not so readily overlap each other; and the largest, anterior, or quadran- gular fontanelle will be felt towards the pubis, with the sagittal suture running backwards towards the sacrum. , . p . j Such being the relative malposition ot parts, and