1000000031

dueed high eoough; Ihe ligalUre at Ihe h.odles down wi,h bo,h, as .bove direeled. If ,he 1¡e.d is nol

markcd with lhe two doned

lines

then

lJe

un-

over-offified, rhe crotchet will tear apeo rhe lkull; aod

~iedJ

rhe

'lhea~h

withdrawo, and lhe poiot, being the

~uJk

being of confc!quence diminifhed, rhe

whole

may

!..neo.cred. is 6"cd as in Pla,e

cxnl.

fig . 5.

be brought aloog,

c.co

in , narrolV pelvis: bur if it e'n·

b, Givc:s a view of lhe back part of aocor tbe clotchets. not be moved, c:vcn

tbis expeditot, he mufi

introduce

whieh i.

in<hes loog . .

Ihe o,her erotehet along ,he o,her lide of ,he he.d, aod

e, A fron, .iew of ,he POiOl, ID fhe" iu proporliooal fi"ing i, upoo Ihe fkull, locle. ,hem ,ogether; ,heo in

leog,h and bread,h .

pulliog, 'urn ,he fore-he.d down io,o tbe hollolV of ,he

d, The

fcifra.r,

(or perforating

lhe

cranium

very facrum, aod extraét with "an half round turo

upward"

narrow aod diClorted pelvis's. They ough,

be . when ddi.eriof with the forcep•.

m.de

very Clrong, and .,

le.CI

nine inches in loog'h,

,he forehead i, loward. ,he os pubi" .nd canno, be

wi,b {lops or reU. iD the middle of ,he blades, by brough, in 'o . ,he righ, POfilioo, let him with his

h.od

which a large dilatarían is more eafily made.

pufh up the head iota the uterus, turn the forehead from

If one el otchet be fouad in(ufficient. Jet him introduce

~be

anterior- to lhe Gde or back parr of it, and try to ex–

Ibe o:her iD ,he

f.me

m.IiDer, aloog the oppoGte fide, trael as belore.

,he ehild hath been dead fome time,

Jock .od jDin them .ogether, aod pull .Iong, mo.iDg aod and is much morti6ed, he muCl pull c.u,iouay at .he un–

turniog ,he heod, fo as 'o humoOr the

fh.pe

of tbe pelvi.. der jaw, beeaufe, fhould 'h....gi.e w'y, he will have

Tbi. me<hod feldom f.ils 'o .eeomplifh his .im, though other hold for pulliog. or keeping ,he head (leady wheD

fometimes

~ery

grear force is rcquired; in which eaCe, be attemprs to extraét with one erotchet.

he .II!!!CI pull with leifure .nd eaution.

Wheo Ibe he.d is (o large, or .he pelvis fo oarrow,

Biít

111

<hefe expedieotl fhoDld

f.il

, by reafon of ,he tha, oone of thefe methods "ill fueeced, 1.. him ppfh up,

extraordioasy oCli6cation or fize of ,be head. or the nar- and curning the upper parts downwards, direét an affi!hot

rownef. and diClo"ioD of ,he pelvis, after h..ing ufed ,he 'o pref. the patieo,', beUy with botb h.nds, moying them

crolehe.. wi,hou, fuccefs, he muCl fep.rate ,he body from from fide 'o fide, and fqucezing in fueh a direelioo ..

the liead wi,h a biClory or

p.ir

of fcifI'a ... ; ,beo puChiDg will force ,he head .owards ,be os interoum, aod retain

up .he he.d io,o Ibe ute..s, ,uro ,he

f.ee

'o ,he fundus,

6rmly iD <ha, pofitíon ; ,heo

muCl be opened aud e:<–

and the

vertex

down to the

¡nteroum aod brim of tbe traéted.

pel.is:

le' him dirael ao .CIiClaD' 'o prefs upoo ,he

\VO-

AI,ho~gh,

by Ihefe mean', yoo m.y fuecced in a few

man's beUy with hoth hands, iD order 'o keep ,he uterus elÚes of Ihis kind, ye. as gre., diRiculti•• m.y occur from

and head Jirm in th..ar

poCadon

;

then opeo the íko1l with inBlmmations of the pudenda, eontraétion of thl" uterus,

the feifI'ars, deClroy ,he ClruBure .of th: braio, aDd ex- lIipperinófs or largeoefs of ,be he.d, aod ,he narro\Ynef.

traél: with the crotchets.

of the pelvis, it .will

nOI

be improper tO inform the rea,def

The head is fome,imes lef, in ,he nterus

.hofe of otber method, ,h., 'ppear 'o be ufeful. Le, ,he

praétitioners, who not knowing how to turo the fore -paru haod be introduced into the vagina, and

it canDot

and face of the child towards the back part of the utenu, admitted within the merus, the' fingers beiog iolinuated,

". how

bring i, aloog, .lthough i, prefeOled in ,h.. may move ,he head fo as 'o raife .h. face and ehin ' o Ihe

pofitioD. pull at random ",ith all tbeir llrength; fo that fundus, the vertex being turned tO the os inreroum, ar

the oeck i. Clretched .nd fepaTated, 'and ,he head left be· ,h eforehead lowards ,he fide

oft~e

facrum . This beloe

hind . Thi. m.y .Ifo happen to ao exper< .ccoucheur, effeeled, let ,he operator lIide up .Ioog one ear a blade

when ,he child h.,h been dead fo,

m.oy

day., lod ,b, of the long forcep., whieh are eurved 'o ,he fide; then

body i. much morti6ed, even 'hough he

h.tb

ufed all .he eh.oge h.o(l., and feod up the other blade along Ihe op–

JleeefI'ary preea.,ion..

pofi,e e.. : when ,hey areJocked, aod the baodles feeu·

In fueh • cafe, Plo.ided ,he head is no, very large, red by a fillet, he mu(l pull ,he head as low as i, will

nor the pelyil nar.row, and the forehcad is towards tbe come; then puuing them ioto tbe hands of

afUllanr,

f¡crum, let him Oide up his

h.nd

.Iong ,he baek· part of who will keep them in ,ha. pofitioo, let him m..ke a

Ihe pdvi., aod introducing two fiogen in.o the mou,h, Iarge opeoing ,,·i.h .he fci(fan, fqueeze .he head wi<h

with ,he thumb below .he chin, try 'o pull the forehead great force, and e"tr.a aowly and by degrecs.

into rhe hollow of the facram ,:

it llíckt at the jetting.

Having turned down tbe yertex, as aboye direéted, let

in of that bone, be mull endeayour to move it, firll

one

Leverol's

tire-téte,

wi~Jl

the three lides joined rogether,

lide, and ,hen

.he o,her.

Ihe head i. fmall, i, will be introduced .Iong lhe aceoucheur:.

h.nd

the

urp~r

come .Iong; ir any fragmen, of the neek

rem.io

., or any pa" of Ihe

h.ad;

,he

le, ,he lidés Or bl.d.. be opened

pu, of ,he loofe Ckin, he may lay hold on i" and aCliCl wi,h ,he other hand, fo as. 'o inclofe ,he head. moving

. delivery, by pulling at i. Wilh his o.her hand; if .he he.d ,hem cireularly and Icngthwife in a !igh' and eafy man–

low down, i, may be extr.e1ed with ,he foreeps.

Der. ,bat .hey may paf, o... ,he inequaJi'ies of the fc,lp,

. Should.1I ,hefe methods foil, le' him pu(l, up his hand aod ••oid ,he refiCl,nee of ,be head

~nd

u'eru," when

along ,he fide of the he. d, unlil i, fhall have pa(fed ,he .hey are ex.aly pl.ced a' equal diCl.nces from one .no,

os ioternum; with the

o~her

haod, let him inuoouce one ther, let him join the handl(!s . withdraw his haod, and

of ,he ctlrYed cro,cbelS, aod fi" i, "POO ,he upper p.r< tyiog ,hem ,otether wi,h

filie" pull down, ' open, and

of the bcad;

t~en

withdrawing the hand which wa,

iD~

extraa, as above direéled; aod let it be remcOlbered,

troduced. take ho!d

.he in(l,ument, and fliding ,he .h.. Ihe fa..her ,he

h.nd

can .b.. introdueed in,o the u'e–

linnen

,he o.her hand ioto ,he mou,h, he muCl pull rus, .he more

ea~ly

will bOlh ioClrum<g's be

~,.naged_