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 first part of the operation consists in passing the forefinger
of the right hand behind the ossa pubis and the head of the child to
the ear; then taking the part of the forceps to be first introduced
by the handle in the left hand, the point of the blade is to be
slowly conducted between the head of the child and the finger till
the instrument touches the ear: there can be no difficulty or hazard
in carrying the instrument thus far, because it will be guided, and
in some measure shielded, by the finger. But the further introduction
must be made with a slow semi-rotatory motion, keeping the point of
the blade not rigidly, yet closely, to the head of the child, by
raising the handle toward the pubes. In this manner the blade must
be carried gently along the head till the lock reaches the external
parts near the anterior angle of the pudendum. The point of the blade,
while introducing, sometimes hitches upon the ear of the child, and
it then requires a little elevation. But when it has passed the ear,
and is beyond the guidance of the finger, should there be any check
to the introduction either of this or the other blade, it should
be withdrawn a little, to give us an opportunity of discovering
the cause of the obstacle, which we must never strive to overcome
by violence, though we must proceed with firmness. When the first
blade is properly introduced, it must be held steadily in its place
by pressing the handle towards the pubes, and it will be a guide in
the introduction and application of the second blade. Let the second
blade be introduced in this manner. Keep the blade first introduced
in its place with the two lesser fingers of the left hand, and carry
the fore-finger of the same hand between the perineum and head of the
child as high as you can reach. Then take the second blade of the
forceps by the handle in the right hand, and, conveying the point
between the finger placed within the perineum and the head of the
child, conduct the instrument, with the precautions before mentioned,
so far that the lock shall touch the interior part of the perineum, or
even press it a little backwards. In order to fix the two blades thus
introduced, that which was placed towards the pubes must be slowly
withdrawn, and carried so far backwards that it can be locked with the
second blade retained in its first position; and care must be taken
that nothing be entangled in the lock, by passing the finger round it.
When the forceps are locked, it will be convenient to tie the handles
together with sufficient firmness to prevent them from sliding or
changing their position when they are not held in the hand, but not
in such a manner as to increase the compression upon the head of the
child. Should the blades of the forceps be introduced so as not to be
opposite each other, they could not be locked; or if, when applied,
the handles should come close together, or be at a great distance from
Public-domain text, read in full here on John Shaqi.
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