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
each other, they would probably slip, or there would be a failure
of some kind in the operation, as the bulk of the head would not be
included, or they would be fixed on some improper part of the head;
though allowance is to be made for the difference in the size of the
heads of children. But if a case be proper for the forceps, if they be
well applied, and we were to act slowly with them, there would not be
much risk of failure or disappointment. The difficulty of applying the
forceps is most frequently occasioned by attempting to apply them too
soon, or by passing them in a wrong direction, or by entangling the
soft parts of the mother between the instrument and the head of the
child, against all which accidents we are to be on our guard.
"When the forceps are first locked, they are placed backwards, with
the lock close to, or just within, the internal surface of the
perineum; and they can have no support backwards, except the little
which is afforded by the soft parts. The first action with them
should therefore be made by bringing the handles, grasped firmly in
one or both hands, to prevent the instrument from playing upon the
head of the child, slowly towards the pubes till they come to a full
rest. Having waited a short interval with them in that situation, the
handles must be carried back in the same slow but steady manner to the
perineum, exerting, as they are carried in the different situations,
a certain degree of extracting force; and after waiting another
interval, they are again to be carried towards the pubes, according
to the direction of the handles. Throughout the operation, especially
the first part, the action of that blade of the forceps originally
applied towards the pubes must be stronger and more extensive than
the action with the other blade, this having no fulcrum to support
it, and chiefly answering the purpose of regulating the action of
the other blade. If there were any labor pains when the operation
was begun, or should they come on in the course of it, the forceps
should only be acted with during the continuance of the pains; the
intention being, not only to supply the want or insufficiency of the
pains, but to follow them, and imitate also the manner in which they
return. By a few repetitions of this alternate action and rest before
described, we shall soon be sensible of the descent of the head; and
it will be proper to examine very frequently, to know the progress
made, that we may not use more force than needful, nor go on with
more haste than may be expedient or safe. In every case we ought to
proceed slowly and circumspectly, not forgetting that a small degree
of force, continued for a long time, will in general be equivalent to
a greater force hastily exerted, and with infinitely less detriment to
the mother or child. But after some time, should we not perceive the
head to descend, the force hitherto used must be gradually increased,
Public-domain text, read in full here on John Shaqi.
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