The Matron's Manual of Midwifery, and the Diseases of Women During Pregnancy and in Childbed: Being a Familiar and Practical Treatise, More Especially Intended for the Instruction of Females Themselves, but Adapted Also for Popular Use among Students and Practitioners of MedicineHollick, Frederick
Science
The Matron's Manual of Midwifery, and the Diseases of Women During Pregnancy and in Childbed: Being a Familiar and Practical Treatise, More Especially Intended for the Instruction of Females Themselves, but Adapted Also for Popular Use among Students and Practitioners of Medicine
Hollick, Frederick
Chloroform; Gynecology; Indian Territory; Midwifery; Obstetrics; Pregnancy
The only part to which the forceps are intended to be applied is the
head, to the dimensions and form of which they are specially adapted.
Some practitioners have used them on the breech, but the practice is
not generally sanctioned, because they seldom retain their hold on this
part and are nearly sure to seriously injure the child when so applied.
With properly constructed forceps, rightly applied to the head, there
is but little danger either to the mother or the child; but in the
hands of an unskillful or careless person the consequences of their use
may be deplorable to both.
It is scarcely necessary to remark that the forceps are neither
_cutting_ nor _crushing_ instruments, but are simply intended to _lay
hold_, like the hand itself, and enable us to draw down the head, or
change its position. Most usually they are made long and curved, as
shown in the above plate, but sometimes they are made much shorter
and straight. They may be used upon the head when it is either at the
upper or the lower straits, or while it is in the passage; but on no
account should they be applied till the parts are fully dilated, and
everything indicates that the child _can_ pass. Thus they should never
be used when the head is too large, or the pelvis too small, nor when
there are tumors in the way. In short no attempt should be made with
them to _force_ the fœtus through a passage which will not admit it
by reasonable efforts. M. Dubois says they should never be used when
the pelvic diameter is less than _three inches_, because with such
dimensions the child is nearly certain to be crushed to death, and the
mother can scarcely escape serious bruises and lacerations. In like
manner, if they are thrust into the womb before the mouth of it is
naturally dilated they are sure to tear and injure it.
It is not necessary here to give directions for using the forceps in
every variety of presentation and position, but simply to show the mode
of applying them as they are most frequently required. The two blades
are adjusted separately, one to each side of the head, and then locked
together, so that the head is firmly inclosed between them, but not
crushed. Dr. Denman gives perhaps the best and simplest directions on
this point, and I therefore quote from his work.
Public-domain text, read in full here on John Shaqi.
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