It has been a general rule with almost every modification of forceps, that
the greatest distance between their blades should not be less than two
inches and a half, for as this is the breadth of the basis cranii in the
foetal head, it would be impossible to compress the head beyond this
extent. The form of the head curvature will determine the situation of the
point where the blades are most distant from each other: in some forceps
it is about one-third the length of the blades from their extremities; in
some it is nearly equidistant; whereas, in others it is nearer to the
lock; the medium between these extremes is the best. The extremities of
the blades ought to be at least half an inch apart: in this country they
are usually somewhat more; on the Continent they are much less, being
rarely more than one or two lines asunder. The fenestræ, or open spaces in
the blades, should be wide and ample, for not only are the projecting
parts of the head allowed to protrude between them, but the pressure of
the blades is diffused over a larger extent of surface: this is remarkably
seen in the forceps of the late Dr. Hopkins and that of Professor Davis,
both of which are extensively used. It is also important that the edge at
the extremities of the blades should be well rounded and not too thin; it
is thus less liable to catch against corrugations either of the vagina or
foetal scalp. The greatest breadth of the fenestræ is generally towards
the extremities of the blades; in some, their edges are parallel; whereas,
in those of Drs. Orme and Lowder the greatest breadth is near the lock:
upon the whole, an oval shaped fenestra is the best, for it can be easily
introduced, and has the advantages of a wide blade.
In 1751 and the following year another curve was given to the blades of
the forceps by the celebrated M. Levret of Paris, and by the equally
distinguished Dr. Smellie of London, by which the instrument was adapted
to the curve formed by the axes of the brim, cavity, and outlet of the
pelvis, and by which the head could be seized much higher in the pelvis
than by the straight forceps. Each have an equal claim to the merit of
having invented this "pelvic curvature," as it has been called: the
priority of the invention is perhaps due to Levret; but as he made a
secret of it for some years, it is impossible to ascertain the precise
fact. The pelvic curve, as it is called,[81] is especially adapted to the
long forceps, which thus becomes an instrument of very considerable power.
Numerous modifications of these curved forceps have since been made, but
they are merely varieties of the original ones invented by Smellie and
Levret, which have become the national instruments of their respective
countries.
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