File:The principles and practice of obstetrics (1864) (14783147675).jpg

Identifier: 67240830R.nlm.nih.gov
Title: The principles and practice of obstetrics
Year: 1864 (1860s)
Authors: Hodge, Hugh L. (Hugh Lenox), 1796-1873
Subjects: Obstetrics Obstetric Surgical Procedures Pregnancy
Publisher: Philadelphia : Blanchard and Lea
Contributing Library: U.S. National Library of Medicine
Digitizing Sponsor: Open Knowledge Commons, U.S. National Library of Medicine

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Text Appearing Before Image:
Transverse position of Anterior FontanelVectia applied Fig. 120.
Text Appearing After Image:
Posterior position of Anterior Fontanel Ye c Lis applied T. Sinclairs Mi,PH1 DELIVERY BY FLEXION OE EXTENSION. 19 to injure the bladder or urethra. By this instrument,assisted by the fingers directed againt the os frontis,flexion may be induced, so as to secure a vertex pre-sentation. Should this also fail, it may be right, as has beenrecommended—provided the child be still living—toapply the forceps to the side of the head, so as to graspthe head firmly and push it directly upward, duringthe absence of a pain. If by these means the headshould be fortunately disengaged, it should be changedto a first or second position by rotating the handles ofthe forceps. This change of position being accom-plished, the forceps should be removed, inasmuch asthe blades would correspond to the trachelo-bregmaticdiameter, and traction effort made by them would causethe head to descend, presenting the anterior fontanel;and, of course, the occipito-frontal diameter would beconcerned. The case should

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