Outlines of Midwifery, Developing Its Principles And Practice : Intended As a Text book for Students, And a book of Reference for Junior Practitioners

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Oenwal 3&ules.
Turning ought never to be attempted until the rec- tum and bladder have been emptied, and the os uteri is sufficiently dilated to permit the hand of the accou- cheur to pass into the uterus with ease ; and, if pos- sible, the operation should be performed before the liquor amnii has escaped.
Considerable importance has been attached to the position of the woman, and to the use of one arm of the accoucheur in preference to the other; but, after all, no particular rules are of much
... use, for the operator will be compelled so to place his patient, as to enable him with ease to use that arm which gives him the 144 PRETERNATURAL LABOUR.
most command of the child in utero ; and this will altogether depend on the circumstances of the indivi- dual case.
Generally, the woman may lie on her left side, as usual, only with her nates over the edge of the bed; and the practitioner may use his right or left hand ac- cording as the feet of the child are to the right or left side of the pelvis, taking care always so to introduce the hand, so that the child shall be in its palm, and its back be opposed to the inner surface of the uterus.


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