File:Transactions of the American Association of Obstetricians, Gynecologists, and Abdominal Surgeons for the year (1920) (14593375508).jpg

Identifier: transactionsofam3319amer (find matches)
Title: Transactions of the American Association of Obstetricians, Gynecologists, and Abdominal Surgeons for the year ...
Year: 1920 (1920s)
Authors: American Association of Obstetricians, Gynecologists, and Abdominal Surgeons
Subjects: Gynecology Obstetrics Gynecology Obstetrics
Publisher: St. Louis : C.V. Mosby
Contributing Library: Columbia University Libraries
Digitizing Sponsor: National Endowment for the Humanities (NEH)

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act is demonstrated when I say that I personallydelivered last year 1113 women, of which 920 were delivered by version400 being primiparas and 520 multiparas. I have thought it best to describe as briefly and as fully as I can, mymethod of podalic version. The patient is prepared as for any majoroperation, shaved, scrubbed and made as clean as possible. The oper-ator is similarly treated and then gowned, with short sleeves and longgloves reaching to the elbow. The woman is placed upon the table and anesthetized to the stage ofsurgical anesthesia, then there is no resistance to the various proced-ures to be carried out. She is then placed in a modified Walcher posi-tion, one leg held by an assistant standing on each side, or if no assist-ants are available, the legs are supported on two chairs while theoperator stands between them. The bladder is emptied of all its urine, and this is very impor-tant, as many patients void and still retain a half pint and more ofurine in the bladder. 74
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70 IRVING W. POTTER The vagina and soft parts are now dilated by first putting in onefinger of the gloved hand, well lubricated with green soap, and passingit up as high as the cervix and then withdrawing it with a steady,continuous and firm pressure. Then two fingers are inserted and thenthree fingers, and finally the closed fist until all the rugae and folds ofthe vagina are thoroughly ironed out. It matters not whether the casebe a primipara or a multipara, the procedure can be just as satisfac-torily and completely done. Now the cervix, which must always be obliterated or soft and easilydilatable before version is ever attempted, is gently stretched with thefingers. Then the outstretched hand and the arm is pushed high upbetween the uterine wall and the membranes, and the latter are gentlyseparated all over by sweeping the fingers of the hand up and down andaround, being careful not to work too near the placenta. Next a towel is rolled around the wrist to catch any of the amni-oti

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