Perhaps the greatest improvements in the blades of modern times is seen in
the forceps of Dr. Hopkins, above alluded to: the head curvature forms an
elongated oval, admirably adapted to the form of the foetal head when
considerably compressed during a difficult labour; and from the great
breadth of the fenestræ, the pressure of the blades is applied over a
large extent of surface; the pelvic curve is but slight, being greater on
the posterior edge of fenestræ than on the anterior; the blades themselves
are thin, their inner surface flat to ensure a firmer hold, their outer
surface slightly rounded in order to be introduced with greater ease; and
for a similar reason the edges of their extremities are somewhat thicker
and carefully rounded in a peculiar manner.
[Illustration: Naegelé's forceps.]
The lock of the modern English forceps consists of two deep grooves, into
which the shank of each blade mutually fits, so that the two blades are
fixed upon each other merely by the pressure exerted upon the handles. In
former times the blades were united together by a pivot, which could screw
and unscrew at pleasure. This was abandoned by Chapman, who published the
first work in English on operative midwifery.[82] He found that the
forceps held better without the pivot than with it; and from what we have
brought forward elsewhere (_Med. Gaz._ Jan. 8, 1831,) there can be little
doubt that he invented the lock which is now generally used in this
country. Chapman's forceps was adopted in France prior to this improvement
in its lock, especially by Gregoire, and has retained the original pivot
lock which now forms one of the most distinguishing marks between the
French and English forceps. Although the pivot forms by far the firmest
lock, for the blades can never slip from each other, still the difficulty
in locking, and also in separating, the blades at a moment's notice,
render it much inferior to the English lock. An ingenious modification was
invented by the late Professor Von Siebold of Berlin, but the most perfect
lock is that of Professor Brüninghausen of Würzburg, first introduced by
ourselves into this country, and commonly known among the
instrument-makers under the name of Professor Naegelé's forceps. The shank
of one blade has a semicircular indentation, which at the moment of
locking fits into a fixed pivot in the other: this, therefore, combines
the advantages of the French and English locks. We can safely affirm, from
extensive experience for many years, that there is even less difficulty in
locking it than with the English lock: the blades are capable of instant
separation, and yet when locked, the firmness of their union is equal to
that of a pivot joint.
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