The obstetrical remembrancer, or, Denman's aphorisms on natural and difficult parturition : the application and use of instruments, &c. / augmented by Michael Ryan.

  • Thomas Denman
Date:
1848
Catalogue details

Licence: Public Domain Mark

Credit: The obstetrical remembrancer, or, Denman's aphorisms on natural and difficult parturition : the application and use of instruments, &c. / augmented by Michael Ryan. Source: Wellcome Collection.

Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)

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    The shoulders are engaged obliquely in the brim or superior strait, at the same time that the arms are placed on the sides of the head. [When traction is not made the arms do not rise. C.] When the shoulders arrive at the inferior strait, the inferior one, which is towards the sa- crum, escapes first; the body of the infant being raised towards the abdomen of the mother. The head is now engaged obliquely at the superior strait, and the chin is flexed on the chest. Arrived at the inferior strait, it under- goes rotation, the face is turned into the hollow or cavity of the sacrum, and the occiput is placed under the arch of the pubes. The chin courses along the concavity of the sacrum, coccyx, and perineum, and presenls'at the vulva. The different parts of the face traverse the sacrum, coccyx, perineum, and escape at the inferior commissure or angle of the vulva; the forehead, crown of the head, and occiput follow on the same parts, and the back of the head is born last.* Second position.—These are in exactly an inverse sense to those of the first position, just described. Third position.—The heels correspond to * During the birth of the head, the body of the infant ought to be supported on the left arm, the fore-finger of the left hand placed in the mouth to depress the chin on the chest, and the back of the infant turned on the abdomen of the mother.