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
_Second Movement, Rotation of the Head._--When the Fœtus is thus
brought to the bottom of the Pelvis, its head turns completely round,
the back of it being brought to the front, or under the pubes of the
mother, and its forehead turned against her Sacrum, as represented in
Plate XXIX.
[Illustration: Plate XXVIII.
This Plate represents the head descended still lower in the Pelvis.]
PLATE XXIX.
Here the head is seen just beginning to turn--the right side, and
part of the back of it, just passing under the pubes. As the rotation
becomes complete the neck straightens, so that the two fontanelles
are again found on the same level. Finally the back of the head fully
emerges from under the pubic arch, and the chin slides gradually out
after it beneath, so that the neck of the child is encircled by the
ring of the Vulva.
[Illustration: Plate XXIX.
This Plate represents the head still further down, and beginning to
Rotate.]
[Illustration: PLATE XXX.
In _Fig. 1_, the back of the head is nearly under the pubic bone, while
the forehead is just passing the external opening below.
In _Fig. 2_, the back of the head is completely extruded, and also the
chin, so that the whole head is now born.--(_p._ is the pubic bone, in
front.)]
In Fig. 1 it will be seen how the Os Coccygis, or lowest part of the
back bone, (c,) is straitened out, backward, while the head is passing,
as I explained before; and in Fig. 2 it has returned again to its
natural position.
The reason for this rotation of the head will be obvious on calling
to mind the form of the Pelvis and the external opening. On examining
Plates IX and X, it will be seen that the longest diameter of the
Vulva, or external opening, the _antero posterior_, is nearly at right
angles to the longest diameters of the upper strait, the _oblique_.
Now the longest diameter of the head is adapted to this oblique
diameter, on _entering_ the upper strait, as already explained, and it
is necessary for it also to be adapted to the longest diameter of the
external opening, the anterior posterior when making its _exit_; but
as the two are not parallel the head is compelled to turn, or rotate,
in order to pass from one to the other. To accomplish this however,
the neck has to be twisted considerably. But when the head is fully
delivered, it is immediately straitened again, by the back of the head
turning towards the mother's left side, so that its proper relations
with the trunk is re-established.
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