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n.ould ·,he Jif1i;u!ty rennio, '" ,he !te,d bc pulhecl up a ·
gJin, and (Urned 10 tbe ot~)e r rJe j bccaufe ir is uncer–
rain which of the (houlders refis 00 I he os pll~is. Or fa–
crum. Suppofe, for exam rlc, lhe ri&h t fhou lder of (he
c1H ld flicks aboye lhe os puhis, lhe forehead being in th!
Ilollow of lhe racrum ; in chis ccif: . ir the forehead be
lu rned tO lhe rigln-helnd Cide of the WOlllan, che ChoulJer
will IlOI Illon; ; wl,trta" ir. it be turned ,lo rhe left, and
¡he head al lhe fau:ie time pcfhc:d i\ lit,tle llpW'3.rds, fo as
to raire lnd dlferos_ge lhe: parts thal ""ere líxcd. the rigb t
lhoulder-bl.:ing tO\VJrc.h t~e rig,ht .haDd fide; :II od lhe other·
tu ,he I: f, liJ< of ,he brim of .he pelvi" when ,he fo[e–
head is ru rneu b:lC k again iota (he hollow of rhe f<lcrum,
, he oblhcle \Vi II be removed, .od ,he head be mure eafily
ddivcrcd. T his bcing per:ormcc!, let tbe rorct"ps be un4
loek<d, and- ,he blad"s dirpored c. uIioufly uoder ,he
c!r;'ths rol as nOt to ~e dircovered; then proceed to che
delivcry o( Ihe child, which, when [he naveJ -nrinc is
cm and licd, IUly be commiued tO the nurfe. The next
Col' ': is to wipe the bloides o( the forcep" Gagly, uodcr
Ih'e clo uhs, Oije tJlI:m warily ioto you r pockets, and de ·
li,'cr the placenta.
Inen Ih, fl r<hM:1 jI lo ¡fu Os P ubis.
\VHEN ,he forehead, ioflead of b,ing toward, ,he r.–
Crllm, is turoed forwards to (he os pubis, the wom,lD
ID\Ifl be laid in lhe fame poútion as io the former cale;
hecaufe herc alfo, the ears of the· cbild are towards me
(ides of Ihe pelvi•• or a Enle diagonally filUated, provi4
d<d ,he foreliead is lowards OAe of ,he groio•. The bl.d~.
of lhe forcers being i,!ltroduced ...Ioog the ears, or as nea,
them as po(1jble, according to lbe foregoiog direélions ,
Ihe he.d OIufl be pu(bed up a I¡ule, and ,he forehe.d
I"rned 'o ooe fide o( ,he , hus le, i, be broughl
along. until the hindhead arriv~s al lhe 10\\'er pan of the
iCchium: the" (he forehead mun be turned back ward,
into the hpllow of the4 facrum, and C'Veo a 'luarter or
more to the contrary fide, in order tO prevenl lhe Oloul ·
de:rs from hilching on lhe upper pan of the: os pubis, or
{.ClUID, ro Iha, ,hey ruay be fiill tOwards Ihe fides of Ih.
peh'is j then Jet the quuter ·lurn be reYerf~d, aoó the
{orehead beiog repla:ed io ,he bollow of ,h e f..cru m, ,he
head m.y be ex tr.<l,..d .s abov~. lo porfurmiog ,he{o
differtnt ,uros, le, ,he head De pulhed up or pulled tia \V11
occafionally, as it meen with Jeart rdifla oce. In this
caCe, ",hen the head is (mall, it wilJ come along as it
rroreOts; b , ir I.rge, ,he chin will be_ro much prtned
ag~inn the brean, that it cannOI be brouglH up with the
h..lf round lurn, and lhe wom~n wdl be tore if it c.:omes
..long. See Plate CXII. where
F.c . 3. fllews ,he head or Ihe (",!u', hy (hong l•.
bour.pains, fque~zed into ¡f longifh form, with a
tumour on lhe venex. from a long cOO1prdrlOn ol" the
he.d in ,he pelvis.
K, The tumou! on the vcrtex.
L , The forcep'.
~1, The vdica urinaria much dif1.enocd wilh a [.e
quantity of urine from th : long p:-errure of the hc,uJ
againrl: the ure:lhra .
N, T he uoder p." of ,he u!eru,.
OO. The os ",cri.
VOL . III. N°. 7.9. 2
F 1:. H. . Y.
/I'!-o, ji jr ni Ih; Dr jm ·~r Il , P elvis.
\ V 11 eN the forchead . nd of ,he·eh ild are luroed lO
the lide of the pelvis. (in which caCe ic is higher than in
,he firft fitUa,ioo). i, ~ di be dimeult , ir , he wom.o lie.
on he r back, lO introduce Ihe (orceps (o as to gr.. rp lhe
head with a uldde over eaeh ear; becaufe Ihe head is of–
tt a prefltd fo hald 3&ain(t the bones, in chis pofitioo.
that tbere i~ no room tu in(inuate lhe hngers bctwcen the
ear anJ the os pub:s. (o as lO int roduce the L.ladt:s fftf~Jy..
on the infide ol' the os internuOl. or pu(h one of them up
be{ween the fingers and rhe child'¡ head. W hen things
are ro fituated, the ocfl poflure for the \Vomito is that of
Iying en one fide, as fcu mu ly dircaed, becaufe the Dones
\~ill yield a Jiule, aoJ <1.< fUfce p. (of conrequeoce) m~y
be lhe more eafily inc loduccd.
Suppore her Iyiog 00 her Id , fide , anJ ,he forehead of
,he cllIld ,uroed 10 ,roe {ame fide of Ihe peh·i.; le< ,he
liogers of ,he opera,o(s right haAd be introduced along.
the ear, uet~en the head and the os pubis, until they
p,r. ,he o, io,eroum: if ,he head i. ro immov~ably fixe¡.l
in the pelvis, tha[ there is no pa(fage bet wceo them, Jet
hi, Id , be pulhed up be,woen ,he r.crum anel ,be
child', he.d, which beiog raired as high as po(]ible, above
lhe brim oE the pelvis, he wjIJ have room Jüffi cient fo,r
hls fioge rs and forceps ; then lec him Oidt up one of ,be
blades ,' with the right hand, rcmembuing to pref, (he
haodJe backwards tO 'the , that the. poiot may
humoór ,he 'uro of ,he racrum aod child's head : ,hi.
beiog efFe<led, 1« him wi,hdraw hi, lef, hand, wi,h whicb.
he m.y hold lhe ,he blade, already iotr.oduced"
while he iofioua..s ,he fiogers of hi. righ,. hand at Ihe Da
pubis, as befare direéled, aod pulhes up ,he o,her blade,.
flowl y and gently, thal be may run 00 rilk of huning ,he
O! imcrnum or bladder; and here alfo ketp (he haodle–
of it as far backwards as the perir.reum will allow;
when the point has pa(fcd the os internum, Jet him nide–
il up f.nber, aod joio ,he legs by locking ,heln loge,her,
ke<?ing ,hem fl ill io a line ,,~,h he middle rpace be,win
,he oavel • .,d rcrobieulus co,di•. Then Je, him pull along.
lhe hedd. moving it from fide to fide, or from one ear'
of the child tO the othcr j ' when it is fufficie ndy advanced,.
lt!l him mO\'e the ferehead ioto the holJow of the facrum,.
and a qua rter-luro fanher, then bring it back ioto the
Carne c~vity ; bUl, ir the he2d wiJl oot ca!i:y come :\long~
Jet the woman be 00 her alter the forceps.
have becn 6xcd, and the bar;¿les 'firmly tied with a gar–
ta or fill<t; le, ,h e hiodh<ad be pull<d halr round OUI,
w¡lfds, (roO) uclo\V lhe: os pubis, ar,d {he jnltrumenl anei
child manageJ as before.
Jo all ,hure car.. ,h.. re~uire ,he f",ceps, if ,he head
cannOl be r"i(:-d íibove: lhe briOl oE the: pel"is, or the fi n,.
gcrs Imroctuct"tl wilhi n the os ia tcrnulll. l O' guide Ihe
poin" of ,he foretps along lhe e"s. erpecially a, ,he olf.
rubisf, ¡Cchia. or (acrum; let lhe fingen Hnd haod ue
pUlhcd IIp as fH ;:, they \ViII go, along lhe opeo (pace
bCl",ixt ,he facrull) nnd iCehiom j then one of the blaJe,
nl'l}' be inlroduc(d . muved to. anJ fixed over lhe ear, lhe
fi~l:1tion or \'I1\i:h IS alrcady known : the other hanu may
b~ (¡dllCcd , and lhe olhc.r bJJde conduéted in the Came
rn;~n(.tr. 00 the orpofitc LiJe of lhe ptlvis i butJ oefore
"t 3 L Ihey