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
In each of these _three_ full presentations there may be certain
variations, which require to be noticed. The head, for instance, may
present either by the _cranium_ or by the _face_; the lower part of the
body may present either by the _feet_, the _knees_, or the _breech_,
according as the legs and thighs are flexed or extended; and the trunk
may present either on the _right_ or _left_ side, and inclined towards
the _back_ or towards the _chest_, though neither the back nor abdomen
ever fully present.
Each of these variations may also have slight variations again. Thus
the face may present full, or by one or the other cheek, and so on.
These variations however, are of little practical consequence, because
we only find them at the very commencement of the labor, and they
always change to the full presentation.
Practically speaking therefore, there are _five full presentations_,
viz., _the Cranium_, _the Face_, _the Breech_, _the Feet_, or knees,
and the _Trunk_, either by the right or left side.
The _varieties_ of these, as already remarked, not requiring any
special attention from the accoucheur, providing he is not puzzled or
misled by them.
POSITIONS.
The position means the particular direction in which the presenting
part of the Fœtus is placed in relation to the Pelvic straits. The
Pelvis itself is supposed to be divided into two similar halves, the
_right_ and the _left_, and each presenting part has one particular
place which is referred to as the indicating point. Thus, for
instance, in the Cranium the Occipit, or behind part of the head, is
the indicating point; and we therefore say, in Cranium presentations,
that it is a _right or left Occipital position_, according as the
back of the head is to the right or left side of the Pelvis. In face
presentations, the chin (_mentor_) is the indicating point, and we
therefore say it is a _right or left mento position_, according as the
chin is towards the right or left side. In breech presentations, the
child's sacrum is the indicating point, and we then say it is a _right
or left sacral position_, according as the Sacrum is towards the right
or left side of the Pelvis. In trunk presentations, which are always
crosswise, the head (cephalo) is the indicating point, and we therefore
say it is a _right or left cephalo position_, according as the head
lies towards the right or left side of the mother's body.
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