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
_Relative frequency of the different positions._--The most favorable
positions, like the most favorable presentations, are also the most
frequent. According to Baudelocque, in _ten thousand three hundred and
twenty-two cases_, of head presentation, there were _eight thousand
five hundred and twenty-two_ cases when the back of the child's head
was on the mother's left side, and towards the front, (or in the left
anterior occipito iliac position); _one thousand seven hundred and
fifty-four_ when it was on the _right_ side towards the front, (right
anterior occipito iliac); _twenty-five times_ to the right side, but
towards the Sacrum, (right posterior occipito iliac); and _nineteen
times_ on the left, but towards the Sacrum, (left posterior occipito
iliac.) Being most frequently with the back of the head _towards the
front on the left side_, as shown in Plate XXVII; next towards the
front on the right side; and but seldom towards the Sacrum, or back,
on either side. In all these ten thousand cases we do not find a
single instance of the head lying from back to front, in the _occipito
pubic_, or _occipito sacral_ positions, commonly called transverse;
neither do we find a single instance in _fifteen thousand six hundred
and fifty-two cases_ recorded by Madame Lachapelle; which will show
how rare such unfortunate positions must be. What this great frequency
of one particular position depends upon we do not know--possibly on
that cause, previously alluded to, which determines the most frequent
presentation.
In the next Chapter, the mechanism of delivery, or the manner in which
the child escapes out of the body, as it most frequently occurs, will
be fully explained.
CHAPTER XI.
THE MECHANISM OF DELIVERY, IN A PRESENTATION OF THE HEAD.
THE LEFT ANTERIOR OCCIPITO ILIAC POSITION.
This is the presentation and position most frequently observed, perhaps
fifteen out of sixteen times. In most Obstetrical works it is called
the _first_ position.
By observing the following Plates, and referring to the previous
explanations of the diameters of the Pelvis, and fœtal head, in Plates
IX and XXV, it will be seen that through all its changes of position,
while making its exit, the head always presents by one of its shortest
diameters to one of the largest diameters of the Pelvis, so that the
relation between them is invariably the best that could be established;
and many peculiar turnings and revolutions occur, apparently for the
express purpose of bringing this about.
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