Essentials of obstetrics : arranged in the form of questions and answers prepared especially for students of medicine / by William Easterly Ashton.

  • William E. Ashton
Date:
1896
Catalogue details

Licence: Public Domain Mark

Credit: Essentials of obstetrics : arranged in the form of questions and answers prepared especially for students of medicine / by William Easterly Ashton. Source: Wellcome Collection.

    230/258 (page 232)
    1. Occipih-pubic Position.—The blades of tho fnm«. .• . to the sides of the child's head, and^ra e^ of the mother's pelvis. The left-hand blade is introduced first Trac turn is made downward until the occiput comes in front of X pubes, when the handles are gradually elevated toward Z mother abdomen, so as to assist extension 8 2. Occipito-sacral PoSition.~The position of the blades and their Ts bl over be7Ward aUd f°rWard' Until the °<*iput becoresrentd^^ 6dge0f ^ ^ad 3\ Left Occipitoanterior Posit ion.-Intvodnee the left blade first PetcL: iftn0t b6,attemPted »»* ^e head occupies tie pel™floor After rotation takes place delivery follows as in an occipito-pubic position. ' as man tin, fAt\?Tt0'PT'i0r Position-^e introduction and posi- Ifter the6b , S ^ T* M * ^left -^-anterior position, be made to 1 ■^ ! * fl°°r °f ^ PelviS' aD attemI* should remove he 1 ,7* i^ anteri°r r°tati°n- If this is succ-sful, remove the blades and then reapply them. If, however posterior rotation^occurs deliver as in an occipito-posterior position AL H T:P°- ^■''0;^^^-Introduce the right blade first, itft to 1 1?tl^uct1011 °f the blades the right will be below the left, to lock them cross the handles and bring the right blade ttr,\ u T1868 the handle 0f the riSht b]^e and introduces ttn THlt'-hUS PkCing WadeS iu their Properpos position ^ aCC°mPli8hed ^ in a rjght occipito-posterior 6. ^0C^^0-ara<m0rP0^.-The introduction of the blades is the same as in a left occipitoanterior position; the delivery is accomplish as m a left occipito-anterior position. Describe the application of the forceps in head-last labor. See fig. 68. _ 1. Potation of the Face Posteriorly.-This is the normal rotation in a breech presentation. Raise the body of the child upward, its back directed toward the mother's abdomen. Apply the forceps to the sides of the head; the left blade first. The nucha pivots on the subpubic ligament and the head is born by flexion