File:Transactions of the American Association of Obstetricians, Gynecologists, and Abdominal Surgeons for the year (1920) (14593378008).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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iliac fossa with the right hand. Continued gentle trac-tion is made until the knees are exposed, at which time the version iscomplete. Now rest for a few moments and then gently pull upon theanterior foot and lower leg until the pelvis of the child comes intoview, when it will be seen that the pelvis rotates in the opposite direc-tion and is eventually delivered in that direction. This rotation isbrought about by the traction on the lower leg and the baby comes intothe world with its back transverse to the pelvic outlet, No attention ispaid to the cord at this time if it is free and loose, which it usually is,but if it is tight and short a clamp is placed at the umbilicus and thecord is cut, if it cant be otherwise loosened. We now proceed with the delivery of the scapulae which must bealways thoroughly exposed and well out in view before any attempt ismade to deliver the shoulder. Then the fingers and the hand of theoperator are pushed well above the shoulder between the lips of the
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78 IRVING W. POTTER vulva and the anterior shoulder is delivered with the upper arm. Theoperator now grasps the baby with his hand over the exposed shoulderand chest and rotates the chilcls body so that the posterior arm comesanterior and is delivered as such. Both shoulders being now delivered,the lower arms usually fall out of themselves. If, however, they re-main undelivered they can be gently lifted up across the chest of thechild and drawn away from the perineum under the pubic arch. (Youwill observe that the baby in this rotation movement is not twistedfrom the legs as I have seen it done.) The older method of versionbrought the arm down as a posterior arm across the distended peri-neum, which was often the cause of the extensive tears consequent uponthat method of podalic extraction. The operator now determines whether there is any loop of the cordaround the neck and finding none he proceeds with the delivery, but ifthe cord be twisted once or twice or even three times around t

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