On combined external and internal version / by J. Braxton Hicks.

  • Hicks, John Braxton, 1823-1897.
Date:
1864
Catalogue details

Licence: Public Domain Mark

Credit: On combined external and internal version / by J. Braxton Hicks. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

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    seventh confinement, five hours after lahour had commenced, by the obstetric clerk, Mr. Davy, who found the hand and funis presenting. The case requiring version, Mr. Davy decided upon the podalic form. Chloroform having been given, Mr. Davy depressed the breech from the exterior, bringing the inferior extremity down to the os readily. The child was treated as usual in footling cases, but its life was not saved. Case 23.—Shoulder Presentation; podalic Version. Mrs. , admitted into Mary ward in April, 1861. The antero-posterior diameter of pelvic brim measured only two inches and one eighth, which had caused her labour to be accomplished with the greatest diflaculty; embryotomy being employed on the last occasion, although brought on at the seventh month. Labour was induced on ] 3th April last, in the seventh month of this her fourth pregnancy, by puncturing the membranes. Pains came on in about sixty hours, after which they continued to increase for twenty-four hours, at intervals of five minutes. The os uteri was then about the size of half-a-crown, still unyielding, scarcely admitting two fingers. The liquor amnii still existed in small quantities, draining slowly away. The shoulder presented, the head being to the right side, the breech to the left, but both approaching the fundus, the child being somewhat doubled in itself. As it was of much importance to rectify the presentation before the os dilated, so that the presenting part might not be driven lower down; and as the footling presentation seemed, with so narrow a brim and a small soft head, to give the best chance for the life of the foetus, I decided on attempting podalic version. The patient was put under the 5