On the nature, mechanism, and treatment of face presentations / [James Marr].

  • Marr, James, -1866.
Date:
1842
Catalogue details

Licence: Public Domain Mark

Credit: On the nature, mechanism, and treatment of face presentations / [James Marr]. Source: Wellcome Collection.

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    1 AW the lever to the forceps, and they recommend it to be passed into the hollow of the sacrum over the occiput, as a tractor, in order to make the occiput descend. Considering how completely the hollow of the sacrum is filled by the cranial tumour in these cases, and the difficulty there is of introducing any instrument in this direction, coupled with the fact, that it is not the occiput but the chin which ought first to descend, I would humbly sug¬ gest, that in most cases the forceps will be found the best instru¬ ment. But whichever instrument we prefer, the great point is to remember the mechanism of these cases, and in the course of the delivery, ever to make the head descend in the direction which nature herself has pointed out. By forgetting this, or bringing the head down in a different manner, delivery by the forceps or lever becomes impracticable, and then the only resource left is to terminate labour by the perforator.
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