File:Cyclopædia of obstetrics and gynecology (1887) (14782712522).jpg

Identifier: cyclopdiaofobs04gran (find matches)
Title: Cyclopædia of obstetrics and gynecology
Year: 1887 (1880s)
Authors: Grandin, Egbert H. (Egbert Henry), b. 1855, ed Bandl, Ludwig Billroth, Theodor, 1829-1894 Börner, Ernst, 1843-1914 Breisky, A Charpentier, Arthur Louis Alphonse, 1836-1899 Chrobak, Rudolf Gusserow, A Hegar, A. (Alfred), 1830-1914 Kaltenbach, Rudolph, 1842-1896 Müller, Peter, 1836-1922 Olshausen, Robert Michaelis von, 1836-1915 Winckel, F Zweifel, Paul
Subjects: Obstetrics Women Gynecology Obstetrics
Publisher: New York, W. Wood & Company
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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Fig. 69.—Insertion of right Blade with Loop. the fenestra? are brought together with a force proportionate to the trac-tions, and the infants head is firmly held. (Fig. 70.) With one hand the tractions arc regulated at will, according to the indexof the dynamometer; the other hand guides the handles of the forcepsas may be desired, up or down, to the right or to the left. The opera-tion is simple, and the tractions, although mechanical, may be made inany direction as readily as in the purely manual operation. Lately Tarnier has devised a forceps which we will soon describe.The above method has, in Tarniers hands, resulted in four dead infantsand two mothers out of seven cases. The movable rod of Pros and of Poullet is another valuable modification THE FORCEPS. 71 of mechanical tractors, but is not sufficient to overcome our objections,for still the head must be seized either in the bi-temporal or bi-parietaldiameter, and although this is possible in the excavation, it is nearly im-
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° 03P S ^ w possible at the superior strait, in particular when there is marked pelvicdeformity, and this is, above all, the case in which the advocates of 72 A TREATISE ON OBSTKTKICS. niecliiuiiciil tractors claim the greatest utility. Further, meclninical trac-tors do not allow us to take cognizance of rotation movements. For thesereasons, chiefly, we are in favor of relegating mechanical tractors to thearmamentarium of the veterinary surgeon, never forgetting that the livesei^trusted to our care are far more valuable than those of the cow and hercalf, with both of whom we may, if we please, in full conscience, experi-ment with any curious contrivance. With the mother and the child weare never so justified. Brute force is not what the accoucheur aims at, but intelligent reason-ing force; and although I may need only a force of 88 ))Ounds with amechanical tractor, 1 would far rather exert one of 135 with mv hand.

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