A Manual of Obstetrics

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General Books LLC, 2009 - 230 pages
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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1898 Excerpt: ...no matter what "position" the head may occupy, hence they grasp the latter obliquely, and there is great liability to slipping of the instrument, and danger of the tips of the blades injuring the interior of the uterus. Traction must be made very slowly at first, and decidedly backwards and downwards in line with the axis of the plane of the superior strait, by keeping the handles as near the coccyx as possible. To facilitate this backward traction, Tarnier has constructed a special instrument, Fig. 54. Hours may be reFig. 54. Tarnier's forceps. quired to bring the head down to the pelvic floor, and care must be taken to direct it in accordance with the natural mechanism of labor as far as practicable. If the head is altogether above the superior strait, and movable, i. e., not yet fixed in its position by any partial engagement at the brim, version should certainly be preferred to forceps. Dangers Of Forceps Operations Laceration and bruising of uterus, vagina, and perineum; the vaginal injuries sometimes involving rectum, bladder, and urethra, thus leading to subsequent ulceration and fistulae; rupture or injury to veins and subsequent phlebitis; possibly fracture of pelvic bones and separation of pelvic joints when great force is employed. Dangers to the child are: abrasion, contusion, and laceration of the skin; depression or fracture of cranial bones; laceration of bloodvessels, and consequent subcutaneous hematocele; temporary facial palsy from injury to facial nerves. The prognosis in forceps cases largely depends upon the conditions preceding and requiring their application, and upon the care and skill of the operator. It is, of course, more favorable, other things equal, in proportion as the head is low in the pelvis. Forceps In Face Pres...

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